Maakip Ismail, Keegel Tessa, Oakman Jodi
Centre for Ergonomics and Human Factors, School of Psychology and Public Health, La Trobe University, Victoria 3086, Australia; Faculty of Psychology & Education, Universiti Malaysia Sabah, 88400 Kota Kinabalu, Sabah, Malaysia.
Centre for Ergonomics and Human Factors, School of Psychology and Public Health, La Trobe University, Victoria 3086, Australia; Monash Centre for Occupational and Environmental Health, School of Public Health and Preventive Medicine, Monash University, Victoria 3800, Australia.
Appl Ergon. 2016 Mar;53 Pt A:252-7. doi: 10.1016/j.apergo.2015.10.008. Epub 2015 Oct 20.
Musculoskeletal disorders (MSDs) are a major occupational health issue for workers in developed and developing countries, including Malaysia. Most research related to MSDs has been undertaken in developed countries; given the different regulatory and cultural practices it is plausible that contributions of hazard and risk factors may be different. A population of Malaysian public service office workers were surveyed (N = 417, 65.5% response rate) to determine prevalence and associated predictors of MSD discomfort. The 6-month period prevalence of MSD discomfort was 92.8% (95%CI = 90.2-95.2%). Akaike's Information Criterion (AIC) analyses was used to compare a range of models and determine a model of best fit. Contributions associated with MSD discomfort in the final model consisted of physical demands (61%), workload (14%), gender (13%), work-home balance (9%) and psychosocial factors (3%). Factors associated with MSD discomfort were similar in developed and developing countries but the relative contribution of factors was different, providing insight into future development of risk management strategies.
肌肉骨骼疾病（MSDs）是包括马来西亚在内的发达国家和发展中国家工人面临的一个主要职业健康问题。大多数与肌肉骨骼疾病相关的研究是在发达国家进行的；鉴于不同的监管和文化习俗，危害和风险因素的贡献可能有所不同这一点是合理的。对马来西亚公共服务办公室工作人员进行了一项调查（N = 417，回应率为65.5%），以确定肌肉骨骼疾病不适的患病率及相关预测因素。肌肉骨骼疾病不适的6个月期间患病率为92.8%（95%置信区间 = 90.2 - 95.2%）。使用赤池信息准则（AIC）分析来比较一系列模型并确定最佳拟合模型。最终模型中与肌肉骨骼疾病不适相关的因素包括身体需求（61%）、工作量（14%）、性别（13%）、工作与家庭平衡（9%）和社会心理因素（3%）。发达国家和发展中国家与肌肉骨骼疾病不适相关的因素相似，但各因素的相对贡献不同，这为风险管理策略的未来发展提供了见解。
