Fong Kenneth N K, Law Clara Y T
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
J Occup Rehabil. 2008 Sep;18(3):273-81. doi: 10.1007/s10926-008-9142-3. Epub 2008 Jul 8.
To examine patterns of time use and self-perceived musculoskeletal symptoms for women homemakers in Hong Kong using a cross-sectional survey.
A total of 216 women were selected from a women's center and a selected district by trained volunteers for a single interview using convenience sampling; 63 respondents had paid work and 153 were full-time homemakers. The study included a surveillance of self-reported musculoskeletal symptoms for the past 12 months and a time use log to report respondents' daily activities retrospectively during a 24-h reference day.
Significant differences were found in the mean hours spent in paid work, outdoor activities, and passive leisure between respondents with paid and those with unpaid work (P = 0.000-0.021). Although the reported musculoskeletal problems were mostly mild to moderate, more than 60% of homemakers experienced at least one musculoskeletal symptom over the spine or upper or lower extremities in the 12 months prior to the survey. Homemakers were more likely to report discomfort in their upper back (OR = 2.70, 95% CI 1.27-5.71) and shoulder (OR = 3.50, 95% CI 1.21-10.19) while shopping; in their lower back (OR = 1.90, 95% CI 1.03-3.50), wrist (OR = 2.02, 95% CI 1.06-3.84), and hip (OR = 2.35, 95% CI 1.07-5.13) while washing utensils; and in their finger (OR = 1.45, 95% CI 1.03-2.03) and knee (OR = 1.84, 95% CI 1.19-2.82) during cleaning tasks.
The results showed a high degree of musculoskeletal discomfort among women homemakers in Hong Kong. Modifying current participation in household chores like cleaning, washing utensils, and shopping is needed to reduce the risk of developing musculoskeletal problems in this population.
采用横断面调查研究香港家庭主妇的时间利用模式和自我感知的肌肉骨骼症状。
通过便利抽样，由经过培训的志愿者从一个妇女中心和一个选定地区选取了216名女性进行单次访谈；63名受访者有有偿工作，153名是全职家庭主妇。该研究包括对过去12个月自我报告的肌肉骨骼症状的监测，以及一份时间利用日志，用于回顾性报告受访者在24小时参考日的日常活动。
有薪工作和无薪工作的受访者在从事有偿工作、户外活动和被动休闲所花费的平均小时数上存在显著差异（P = 0.000 - 0.021）。尽管报告的肌肉骨骼问题大多为轻度至中度，但超过60%的家庭主妇在调查前12个月内经历过至少一种脊柱、上肢或下肢的肌肉骨骼症状。家庭主妇在购物时更有可能报告上背部（OR = 2.70，95%CI 1.27 - 5.71）和肩部（OR = 3.50，95%CI 1.21 - 10.19）不适；在清洗餐具时更有可能报告下背部（OR = 1.90，95%CI 1.03 - 3.50）、手腕（OR = 2.02，95%CI 1.06 - 3.84）和臀部（OR = 2.35，95%CI 1.07 - 5.13）不适；在清洁任务中更有可能报告手指（OR = 1.45，95%CI 1.03 - 2.03）和膝盖（OR = 1.84，95%CI 1.19 - 2.82）不适。
结果显示香港家庭主妇存在高度的肌肉骨骼不适。需要调整当前参与清洁、清洗餐具和购物等家务的情况，以降低该人群出现肌肉骨骼问题的风险。
