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工作组织如何影响肌肉骨骼疾病的患病率:一项病例对照研究。

How Work Organization Affects the Prevalence of WMSDs: A Case-control Study.

作者信息

Liu Lu, Chen Song Gen, Tang Shi Chuan, Wang Sheng, He Li Hua, Guo Ze Hua, Li Jing Yun, Yu Shan Fa, Wang Zhong Xu

机构信息

Department of Occupational and Environmental Health Science, Peking University School of Public Health, Beijing 100191, China.

Foshan Institute of Occupational Disease Prevention and Control, Foshan 528000, Guangdong, China.

出版信息

Biomed Environ Sci. 2015 Sep;28(9):627-33. doi: 10.3967/bes2015.088.

Abstract

OBJECTIVE

In this study, we aimed at exploring the association between work-related musculoskeletal disorders (WMSDs) and work organization based on a case-control study.

METHODS

A total of 1938 workers who claimed to suffer from WMSDs were selected from Beijing, Henan, Hubei, and the Guangdong province. The control group consisted of 2009 workers employed in similar industries without severe disease or musculoskeletal discomforts. We used a modified version of the questionnaire developed by the NMQ and the DMQ to investigate individual and work-related factors.

RESULTS

A total of 13 variables (P<0.1) were selected by the chi-square test and finally, 7 variables entered into the equation, with 6 variables reaching statistical significance (P<0.05). The odds ratios (OR) of 'work changing with season' and 'sufficient rest time' did not reach 1 (0.749 and 0.441, respectively). In addition, 'sufficient rest time' seemed to be the stronger protective factor according to its higher standardized coefficient. And 'repetitive work every minute', 'constantly repetitive work' (every day), 'shortage of site personnel', and 'often switching shifts with others' seemed to be the risk factors.

CONCLUSION

Work organization may have comprehensive effects on the occurrence of WMSDs. This pattern of associations suggests that further investigation into the mechanism of how work organization affects the prevalence of WMSDs is required.

摘要

目的

在本研究中,我们旨在基于病例对照研究探索工作相关肌肉骨骼疾病(WMSDs)与工作组织之间的关联。

方法

从北京、河南、湖北和广东省选取了1938名自称患有WMSDs的工人。对照组由2009名受雇于类似行业且无严重疾病或肌肉骨骼不适的工人组成。我们使用了由NMQ和DMQ开发的问卷的修改版本来调查个人和工作相关因素。

结果

通过卡方检验共选择了13个变量(P<0.1),最终7个变量进入方程,其中6个变量具有统计学意义(P<0.05)。“工作随季节变化”和“充足休息时间”的优势比(OR)未达到1(分别为0.749和0.441)。此外,根据其较高的标准化系数,“充足休息时间”似乎是更强的保护因素。而“每分钟重复工作”、“每天持续重复工作”、“现场人员短缺”和“经常与他人换班”似乎是风险因素。

结论

工作组织可能对WMSDs的发生有综合影响。这种关联模式表明需要进一步研究工作组织影响WMSDs患病率的机制。

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