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泰国橡胶种植农户中腰痛的患病率及其相关因素

The prevalence of low back pain and its associated factors in Thai rubber farmers.

作者信息

Udom Chadayu, Janwantanakul Prawit, Kanlayanaphotporn Rotsalai

机构信息

Department of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University.

出版信息

J Occup Health. 2016 Nov 29;58(6):534-542. doi: 10.1539/joh.16-0044-OA. Epub 2016 Sep 30.

Abstract

OBJECTIVES

Low back pain (LBP) is one of the most prevalent musculoskeletal disorders in the general population, especially among manual laborers. Moreover, it often brings about lost wages and additional medical expenses. However, the potential risk factors for LBP are unknown. This study aimed to estimate the prevalence of LBP and to determine the individual, occupational, and psychosocial factors associated with LBP among rubber farmers.

METHODS

A cross-sectional survey was conducted among 450 Thai rubber farmers using cluster random sampling. Data were collected using face-to-face interviews and objective examination and were analyzed using multivariate logistic regression.

RESULTS

Of the 433 rubber farmers, the point and 12-month prevalence of LBP in rubber farmers was 33% and 55.7%, respectively. BMI, primary school education, exposure to pesticides, and tapping below knee level were statistically associated with LBP after controlling for other variables.

CONCLUSIONS

Low back pain is common among rubber farmers. Only four factors were identified as being associated with the high prevalence of LBP. However, these factors might be altered if more variables are taken into account. Further research investigating the causal relation between these factors and LBP should be conducted.

摘要

目的

下背痛(LBP)是普通人群中最常见的肌肉骨骼疾病之一,在体力劳动者中尤为常见。此外,它常常导致工资损失和额外的医疗费用。然而,LBP的潜在风险因素尚不清楚。本研究旨在估计LBP的患病率,并确定橡胶种植农户中与LBP相关的个人、职业和社会心理因素。

方法

采用整群随机抽样法对450名泰国橡胶种植农户进行横断面调查。通过面对面访谈和客观检查收集数据,并使用多变量逻辑回归进行分析。

结果

在433名橡胶种植农户中,橡胶种植农户LBP的时点患病率和12个月患病率分别为33%和55.7%。在控制其他变量后,体重指数、小学教育程度、接触农药以及低于膝盖水平的割胶操作与LBP在统计学上相关。

结论

下背痛在橡胶种植农户中很常见。仅确定了四个与LBP高患病率相关的因素。然而,如果考虑更多变量,这些因素可能会改变。应开展进一步研究以调查这些因素与LBP之间的因果关系。

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