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韩国农民肌肉骨骼疼痛的患病率及特征

Prevalence and Characteristics of Musculoskeletal Pain in Korean Farmers.

作者信息

Min David, Baek Sora, Park Hee-Won, Lee Sang-Ah, Moon Jiyoung, Yang Jae E, Kim Ki Sung, Kim Jee Yong, Kang Eun Kyoung

机构信息

Center for Farmer's Safety and Health, Kangwon National University Hospital, Chuncheon, Korea.; Department of Rehabilitation Medicine, Kangwon National University Hospital, Chuncheon, Korea.

Center for Farmer's Safety and Health, Kangwon National University Hospital, Chuncheon, Korea.; Department of Rehabilitation Medicine, Kangwon National University Hospital, Chuncheon, Korea.; Department of Rehabilitation Medicine, Kangwon National University School of Medicine, Chuncheon, Korea.

出版信息

Ann Rehabil Med. 2016 Feb;40(1):1-13. doi: 10.5535/arm.2016.40.1.1. Epub 2016 Feb 26.

Abstract

OBJECTIVE

To investigate the prevalence and characteristics of musculoskeletal pain (MSK) pain in Korean farmers using initial survey data of Farmers' Cohort for Agricultural Work-Related MSK pain (FARM) study.

METHODS

Farmers (534 females and 479 males; mean age 57.2±7.5 years) who owned or rented a farm and belonged to an agricultural cooperative unit were recruited. Presence of pain for each body part (neck, shoulder, arm/elbow, wrist/hand/finger, low back, leg/foot), and characteristics of MSK pain (prevalence, location, duration, severity, and frequency) during the last year was assessed. Additionally, demographic data such as farming duration, history of prior injury, and workload (low, moderate, somewhat hard, or hard) were collected using structured questionnaires.

RESULTS

Almost all subjects (n=925; 91.3%) complained of pain in more than one body part. The frequency order was low back (63.8%), leg/foot (43.3%), shoulder (42.9%), wrist/hand/finger (26.6%), arm/elbow (25.3%), and neck (21.8%). Low back pain was more frequent in those with over 30 years of farming experience (odds ratio [OR], 1.40; 95% confidence interval, 1.08-1.81). MSK pain was related to history of prior injury (OR, 2.18-5.24; p<0.05) in all body parts except for leg/foot, and very hard workload was associated with low back, leg/foot, neck, shoulder, and wrist/hand/finger pain (OR, 2.88-10.83; p<0.05).

CONCLUSION

Most Korean farmers experience MSK pain; furthermore, there is a significant association between pain, history of prior injury, and workload, suggestive of the necessity of coping and preventive strategies to reduce injury or workload.

摘要

目的

利用农业工作相关肌肉骨骼疼痛农民队列(FARM)研究的初始调查数据,调查韩国农民肌肉骨骼疼痛(MSK)的患病率及特征。

方法

招募拥有或租赁农场且属于农业合作社单位的农民(534名女性和479名男性;平均年龄57.2±7.5岁)。评估过去一年中每个身体部位(颈部、肩部、手臂/肘部、手腕/手/手指、下背部、腿部/足部)的疼痛情况以及MSK疼痛的特征(患病率、部位、持续时间、严重程度和频率)。此外,使用结构化问卷收集农业耕作时长、既往受伤史和工作量(低、中、有点辛苦或辛苦)等人口统计学数据。

结果

几乎所有受试者(n = 925;91.3%)都抱怨不止一个身体部位疼痛。疼痛频率顺序为下背部(63.8%)、腿部/足部(43.3%)、肩部(42.9%)、手腕/手/手指(26.6%)、手臂/肘部(25.3%)和颈部(21.8%)。有超过30年农业耕作经验的人下背部疼痛更为频繁(优势比[OR],1.40;95%置信区间,1.08 - 1.81)。除腿部/足部外,所有身体部位的MSK疼痛都与既往受伤史有关(OR,2.18 - 5.24;p < 0.05),而且工作量非常大与下背部、腿部/足部、颈部、肩部和手腕/手/手指疼痛有关(OR,2.88 - 10.83;p < 0.05)。

结论

大多数韩国农民经历MSK疼痛;此外,疼痛、既往受伤史和工作量之间存在显著关联,这表明有必要采取应对和预防策略以减少损伤或工作量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efc5/4775741/a79e2ecb9675/arm-40-1-g001.jpg

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