van Vuuren Bernard, Zinzen Evert, van Heerden Hendrik J, Becker Piet J, Meeusen Romain
Department of Biokinetics, Sport and Leisure Sciences, LC de Villiers Sport Centre, University of Pretoria, South Street, Hatfield, Pretoria 0002, South Africa.
J Occup Rehabil. 2007 Sep;17(3):409-21. doi: 10.1007/s10926-007-9092-1. Epub 2007 Jul 18.
Back complaints are a common in society.
An analytical cross-sectional epidemiological study was carried out among 366 steel plant workers to examine the prevalence and association between lower back problems (LBP) and family and workplace related psychosocial risk factors.
Using inclusive and stringent definitions for LBP, point prevalence was 35.8% and 15.3%, respectively. Logistic regression analyses indicated significant adjusted odd ratios (OR) for negative perceptions of workplace support (2.32; CI 1.09-4.92), unexpected events (2.58; CI 1.19-5.59) and working under time pressures and deadlines (2.83; CI 1.24-6.48). A significant protective association was found for control over the order and pace of working tasks (OR 0.30; CI 0.14-0.63). A significant univariate association was further found between LBP and negative perceptions of family (1.97; CI 1.06-3.68) support.
These findings suggest that workers who feel more in control on the job and who have good family and workplace support systems in tact are less likely to experience LBP. Supervisors are therefore encouraged to develop appropriate support and organizational systems which may be an inexpensive, but potentially beneficial, means of reducing worker stress and LBP.
背痛在社会中很常见。
对366名钢铁厂工人进行了一项分析性横断面流行病学研究,以检查下背部问题(LBP)与家庭及工作场所相关心理社会风险因素之间的患病率及关联。
采用对LBP包容性和严格性的定义,点患病率分别为35.8%和15.3%。逻辑回归分析表明,对工作场所支持的负面看法(2.32;可信区间1.09 - 4.92)、意外事件(2.58;可信区间1.19 - 5.59)以及在时间压力和期限下工作(2.83;可信区间1.24 - 6.48)的调整后比值比(OR)具有显著性。发现对工作任务的顺序和节奏有控制权具有显著的保护关联(OR 0.30;可信区间0.14 - 0.63)。还进一步发现LBP与对家庭支持的负面看法之间存在显著的单变量关联(1.97;可信区间1.06 - 3.68)。
这些发现表明,在工作中感觉更有掌控力且拥有良好家庭和工作场所支持系统的工人患LBP的可能性较小。因此,鼓励主管制定适当的支持和组织系统,这可能是一种低成本但潜在有益的减轻工人压力和LBP的方法。