Shan Chow Li, Bin Adon Mohd Yusoff, Rahman Anita Binti Abd, Hassan Syed Tajuddin Syed, Ismail Kamal Bin
Universiti Putra Malaysia, Selangor Darul Ehsan, Malaysia.
Glob J Health Sci. 2011 Dec 29;4(1):94-104. doi: 10.5539/gjhs.v4n1p94.
Rubber tapping processes posed potential risk of various health problems among rubber workers. It ranges from simple musculoskeletal aches to more serious and complicated structural damage to bone, muscles, tendons and nerves of musculoskeletal system. These health problems might be linked directly to the arduous demands of farm labor.
A cross-sectional study was conducted to determine the prevalence of neck pain (NP) and musculoskeletal symptoms (MSS) and its association with personal characteristics, physical workloads and psychosocial factors among rubber workers.
Stratified random sampling method was adopted and a total of 419 rubber workers in FELDA's scheme Malaysia participated in this study. Data was collected through face to face interview using modified Standardized Nordic Questionnaire (SNQ) and Job Content Questionnaire (JCQ).
The results revealed the prevalence of NP was 59.9% and weak correlation with age (?= -0.184, p= 0.001) and a positive weak correlation with working hours per day (?= 0.099, p= 0.043) significantly. All physical workloads (neck flexion or rotation, awkward postures, repetitive motion and static postures) had significant weak to moderate positive correlation with NP (p<0.05). Job insecurity was found to have weak and positive correlation with NP (p<0.05). Binary logistic regression analysis showed risk factors for NP were decreased with age (OR= 3.92, 95% CI 1.61 - 9.58, p=0.003), increase in neck flexion or rotation (OR= 9.52, 95% CI 5.55 - 16.32, p= 0.001), awkward postures (OR=2.23, 95% CI 1.29 - 3.86, p= 0.004) and static postures (OR= 1.86, 95% CI 1.10 - 3.14, p= 0.021).
This study showed that high prevalence of NP was associated with neck flexion or rotation, awkward and static postures.
割胶作业给橡胶工人带来了各种健康问题的潜在风险。这些问题范围从简单的肌肉骨骼疼痛到肌肉骨骼系统的骨骼、肌肉、肌腱和神经更严重和复杂的结构性损伤。这些健康问题可能直接与农场劳动的繁重要求有关。
进行一项横断面研究，以确定橡胶工人颈部疼痛（NP）和肌肉骨骼症状（MSS）的患病率及其与个人特征、体力工作量和社会心理因素的关联。
采用分层随机抽样方法，马来西亚联邦土地发展局（FELDA）计划中的419名橡胶工人参与了本研究。通过使用改良的标准化北欧问卷（SNQ）和工作内容问卷（JCQ）进行面对面访谈收集数据。
结果显示，NP的患病率为59.9%，与年龄呈弱负相关（？=-0.184，p=0.001），与每日工作小时数呈弱正相关（？=0.099，p=0.043），差异均有统计学意义。所有体力工作量（颈部屈曲或旋转、别扭姿势、重复动作和静态姿势）与NP均呈显著的弱至中度正相关（p<0.05）。工作不安全感与NP呈弱正相关（p<0.05）。二元逻辑回归分析显示，NP的危险因素包括年龄降低（比值比[OR]=3.92，95%可信区间[CI]1.61-9.58，p=0.003）、颈部屈曲或旋转增加（OR=9.52，95%CI5.55-16.32，p=0.001）、别扭姿势（OR=2.23，95%CI1.29-3.86，p=0.004）和静态姿势（OR=1.86，95%CI1.10-3.14，p=0.021）。
本研究表明，NP的高患病率与颈部屈曲或旋转、别扭和静态姿势有关。
