Trask Catherine, Bath Brenna, McCrosky Jesse, Lawson Josh
Centre for Health and Safety in Agriculture, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
J Rural Health. 2014 Summer;30(3):300-10. doi: 10.1111/jrh.12062. Epub 2014 Feb 1.
Chronic back disorders (CBDs) are a serious public health issue, both in the general population and among farmers. However, it is not clear whether all individuals with CBD should be treated the same, or if some subpopulations have special needs. This study's purpose was to determine the demographic, socioeconomic, co-morbidity, and other health characteristics of Canadian farmers and nonfarmers with self-reported CBD.
We performed a secondary analysis of the 2009-2010 Canadian Community Health Survey to develop a profile of adults with CBD comparing farmers (N = 350) to nonfarmer employed persons (N = 11,251). In addition to descriptive analysis, multiple logistic regression was used to control for possible confounding.
Our results indicate that farmers with CBD are significantly more likely to be older, less educated, and more often male and living rurally than nonfarmers with CBD. We found no difference between rates and type of co-morbidities between farmers and nonfarmers. However, the sociodemographic differences between farmers and nonfarmers with CBD may impact the design of effective interventions and have implications for health services planning and health care delivery. The information presented is anticipated to help address the identified need for musculoskeletal disorder prevention in agriculture.
慢性背部疾病(CBDs)在普通人群和农民群体中都是一个严重的公共卫生问题。然而,尚不清楚所有患有CBD的个体是否应接受相同的治疗,或者某些亚群体是否有特殊需求。本研究的目的是确定自我报告患有CBD的加拿大农民和非农民的人口统计学、社会经济、合并症及其他健康特征。
我们对2009 - 2010年加拿大社区健康调查进行了二次分析,以描绘患有CBD的成年人的概况,将农民(N = 350)与非农民就业人员(N = 11,251)进行比较。除描述性分析外,还使用多元逻辑回归来控制可能的混杂因素。
我们的结果表明,与患有CBD的非农民相比,患有CBD的农民年龄更大、受教育程度更低、男性比例更高且更多居住在农村地区。我们发现农民和非农民在合并症的发生率和类型上没有差异。然而,患有CBD的农民和非农民之间的社会人口学差异可能会影响有效干预措施的设计,并对卫生服务规划和医疗保健提供产生影响。预计所提供的信息将有助于满足已确定的农业中肌肉骨骼疾病预防需求。