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 and 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. 2017 Apr;60:52-57. doi: 10.1016/j.apergo.2016.11.004. Epub 2016 Nov 12.
Prevalence and predictors associated with musculoskeletal disorders (MSDs) vary considerably between countries. It is plausible that socio-cultural contexts may contribute to these differences. We conducted a cross-sectional survey with 1184 Malaysian and Australian office workers with the aim to examine predictors associated with MSD discomfort. The 6-month period prevalence of self-reported MSD discomfort for Malaysian office workers was 92.8% and 71.2% among Australian workers. In Malaysia, a model regressing level of musculoskeletal discomfort against possible risk factors was significant overall (F [6, 370] = 17.35; p < 0.001) and explained 22% (r = 0.46) of its variance. MSD discomfort was significantly associated with predictors that included gender (β = 14), physical (β = 0.38) and psychosocial hazards (β = -0.10), and work-life balance (β = -0.13). In Australia, the regression model is also significant (F [6, 539] = 16.47; p < 0.001) with the model explaining 15.5% (r = 0.39) of the variance in MSD discomfort. Predictors such as gender (β = 0.14), physical (β = 24) and psychosocial hazards (β = -0.17), were associated with MSD discomfort in Australian office workers. Predictors associated with MSD discomfort were similar, but their relative importance differed. Work-life balance was significantly associated with increased MSD discomfort for the Malaysian population only. Design and implementation of MSD risk management needs to take into account the work practices and culture of the target population.
各国与肌肉骨骼疾病（MSD）相关的患病率和预测因素差异很大。社会文化背景可能是造成这些差异的原因。我们对1184名马来西亚和澳大利亚上班族进行了一项横断面调查，旨在研究与MSD不适相关的预测因素。马来西亚上班族自我报告的MSD不适的6个月患病率为92.8%，澳大利亚上班族为71.2%。在马来西亚，一个将肌肉骨骼不适程度与可能的风险因素进行回归分析的模型总体上具有显著性（F [6, 370] = 17.35；p < 0.001），并解释了其22%（r = 0.46）的方差。MSD不适与包括性别（β = 14）、身体因素（β = 0.38）和心理社会危害（β = -0.10）以及工作与生活平衡（β = -0.13）等预测因素显著相关。在澳大利亚，回归模型也具有显著性（F [6, 539] = 16.47；p < 0.001），该模型解释了MSD不适中15.5%（r = 0.39）的方差。性别（β = 0.14）、身体因素（β = 24）和心理社会危害（β = -0.17）等预测因素与澳大利亚上班族的MSD不适相关。与MSD不适相关的预测因素相似，但其相对重要性有所不同。工作与生活平衡仅与马来西亚人群中MSD不适的增加显著相关。MSD风险管理的设计和实施需要考虑目标人群的工作习惯和文化。
