Dong Xiuwen S, Wang Xuanwen, Fujimoto Alissa, Dobbin Ronald
CPWR - The Center for Construction Research and Training, Silver Spring, Maryland 20910, USA.
Int J Occup Environ Health. 2012 Apr-Jun;18(2):99-109. doi: 10.1179/1077352512Z.0000000004.
This study assessed chronic back pain among older construction workers in the United States by analyzing data from the 1992-2008 Health and Retirement Study (HRS), a large-scale longitudinal survey. Fixed-effects methods were applied in the multiple logistic regression model to explore the association between back pain and time-varying factors (e.g., employment, job characteristics, general health status) while controlling for stable variables (e.g., gender, race, ethnicity). Results showed that about 40% of older construction workers over the age of 50 suffered from persistent back pain or problems. Jobs involving a great deal of stress or physical effort significantly increased the risk of back disorders and longest-held jobs in construction increased the odds of back disorders by 32% (95% CI: 1·04-1·67). Furthermore, poor physical and mental health were strongly correlated with back problems. Enhanced interventions for construction workers are urgently needed given the aging workforce and high prevalence of back disorders in this industry.
本研究通过分析1992 - 2008年健康与退休研究（HRS）的数据，对美国老年建筑工人的慢性背痛情况进行了评估。HRS是一项大规模纵向调查。在多元逻辑回归模型中采用固定效应方法，以探讨背痛与随时间变化的因素（如就业、工作特征、总体健康状况）之间的关联，同时控制稳定变量（如性别、种族、民族）。结果显示，50岁以上的老年建筑工人中约40%患有持续性背痛或相关问题。涉及大量压力或体力劳动的工作显著增加了背部疾病的风险，而在建筑行业中任职时间最长的工作使背部疾病的几率增加了32%（95%置信区间：1.04 - 1.67）。此外，身心健康状况不佳与背部问题密切相关。鉴于劳动力老龄化以及该行业背部疾病的高患病率，迫切需要加强对建筑工人的干预措施。
