Weigel M M, Armijos R X, Beltran O
Department of Public Health Sciences, College of Health Sciences, University of Texas at El Paso (UTEP), El Paso, TX, 79968, USA,
J Immigr Minor Health. 2014 Oct;16(5):904-13. doi: 10.1007/s10903-013-9788-6.
Migrant and seasonal farmworkers are at high risk for musculoskeletal and other occupational injuries. Although persons aged 40-80 years account for 40 % of all US farmworkers and as many as 50 % in certain regions, little is known about their occupational health issues. The current study examined work-related persistent musculoskeletal injuries (PMIs) and their association with clinical and functional indicators of disability and health-related quality of life (HRQOL) in 177 middle-aged and elderly US-Mexico border farmworkers. At interview, 68 % reported current PMI pain; 51 % had pain at multiple sites. PMI pain was associated with increased shoulder, knee, and lower extremity dysfunction and reduced HRQOL scores. However, fewer than 25 % of injured participants received any conventional medical treatment. The study results indicated that work-related PMIs, especially multiple PMIs, caused significant functional impairment, disability, and poorer HRQOL, adversely affecting the ability of the aging farmworkers to perform work, self-care, and other daily activities.
流动和季节性农场工人面临肌肉骨骼及其他职业伤害的高风险。尽管40至80岁的人群占美国所有农场工人的40%，在某些地区这一比例高达50%，但对他们的职业健康问题却知之甚少。当前研究调查了177名美国-墨西哥边境的中老年农场工人与工作相关的持续性肌肉骨骼损伤（PMI）及其与残疾的临床和功能指标以及健康相关生活质量（HRQOL）的关联。在访谈中，68%的人报告目前有PMI疼痛；51%的人在多个部位疼痛。PMI疼痛与肩部、膝盖和下肢功能障碍增加以及HRQOL得分降低有关。然而，受伤参与者中接受任何传统医学治疗的不到25%。研究结果表明，与工作相关 的PMI，尤其是多处PMI，会导致严重的功能损害、残疾和较差的HRQOL，对老年农场工人从事工作、自我护理和其他日常活动的能力产生不利影响。
