工作组织因素对腕管综合征和肱骨外上髁炎的影响。
Impact of Work Organizational Factors on Carpal Tunnel Syndrome and Epicondylitis.
作者信息
Bao Stephen S, Kapellusch Jay M, Merryweather Andrew S, Thiese Matthew S, Garg Arun, Hegmann Kurt T, Silverstein Barbara A, Marcum Jennifer L, Tang Ruoliang
机构信息
Safety and Health Assessment and Research for Prevention (SHARP) Program, Washington State Department of Labor and Industries, Olympia (Drs Bao, Silverstein, Marcum); Department of Occupational Science & Technology, University of Wisconsin-Milwaukee (Drs Kapellusch, Garg, Tang); Department of Mechanical Engineering (Dr Merryweather), and Rocky Mountain Center for Occupational and Environmental Health (RMCOEH), University of Utah, Salt Lake City (Drs Thiese, Hegmann).
出版信息
J Occup Environ Med. 2016 Aug;58(8):760-4. doi: 10.1097/JOM.0000000000000790.
OBJECTIVE
The aim of this study was to identify relationships between work organizational variables (job rotation, overtime work, having a second job, and work pacing) (These work organizational variables and their relationships with biomechanical and psychosocial exposures were studied previously and published in a separate paper.) and health outcome measures [carpal tunnel syndrome (CTS), lateral and medial epicondylitis (LEPI/MEPI)].
METHODS
Using a pooled baseline cohort of 1834 subjects, the relationships were studied using logistic regression models.
RESULTS
Varied degrees of associations between the work organizational and outcomes variables were found. Job rotation was significantly associated with being a CTS case [odds ratio (OR) = 1.23, 95% confidence interval (95% CI): 1.00 to 1.50]. Overtime work was significantly associated with lower LEPI prevalence (OR = 0.48, 95% CI: 0.28 to 0.84). No statistically significant associations were found between having a second job and different work pacing and any of the three health outcome measures.
CONCLUSIONS
Work organizational variables were only partially associated with the studied health outcomes.
目的
本研究旨在确定工作组织变量（工作轮换、加班、从事第二份工作和工作节奏）（这些工作组织变量及其与生物力学和心理社会暴露的关系先前已进行研究并发表在另一篇论文中）与健康结果指标[腕管综合征（CTS）、外侧和内侧上髁炎（LEPI/MEPI）]之间的关系。
方法
使用一个由1834名受试者组成的合并基线队列，采用逻辑回归模型研究这些关系。
结果
发现工作组织变量与结果变量之间存在不同程度的关联。工作轮换与成为CTS病例显著相关[比值比（OR）=1.23，95%置信区间（95%CI）：1.00至1.50]。加班与较低的LEPI患病率显著相关（OR=0.48，95%CI：0.28至0.84）。未发现从事第二份工作和不同工作节奏与三种健康结果指标中的任何一项之间存在统计学显著关联。
结论
工作组织变量仅部分与所研究的健康结果相关。
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