Zamri E N, Moy F M, Hoe V C W
Julius Centre University of Malaya, Department of Social & Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Cluster of Lifestyle Science, Advanced of Medical & Dental Institute, Pulau Pinang, Malaysia.
PLoS One. 2017 Feb 24;12(2):e0172195. doi: 10.1371/journal.pone.0172195. eCollection 2017.
Musculoskeletal pain is common among teachers. Work-related psychosocial factors are found to be associated with the development of musculoskeletal pain, however psychological distress may also play an important role.
To assess the prevalence of self-reported low back pain (LBP), and neck and/or shoulder pain (NSP) among secondary school teachers; and to evaluate the association of LBP and NSP with psychological distress and work-related psychosocial factors.
This was a cross-sectional study conducted among teachers in the state of Penang, Malaysia. The participants were recruited via a two stage sampling method. Information on demographic, psychological distress, work-related psychosocial factors, and musculoskeletal pain (LBP and NSP) in the past 12 months was collected using a self-administered questionnaire. Poisson regression was used to estimate the prevalence ratio (PR) for the associations between psychological distress and work-related psychosocial factors with LBP and NSP.
The prevalence of self-reported LBP and NSP among 1482 teachers in the past 12 months was 48.0% (95% Confidence Interval (CI) 45.2%, 50.9%) and 60.1% (95% CI 57.4%, 62.9%) respectively. From the multivariate analysis, self-reported LBP was associated with teachers who reported severe to extremely severe depression (PR: 1.71, 95% CI 1.25, 2.32), severe to extremely severe anxiety (1.46, 95% CI 1.22, 1.75), high psychological job demand (1.29, 95% CI 1.06, 1.57), low skill discretion (1.28, 95% CI 1.13, 1.47) and poorer mental health (0.98, 95% CI 0.97, 0.99). Self-reported NSP was associated with mild to moderate anxiety (1.18, 95% CI 1.06, 1.33), severe to extremely severe anxiety (1.25, 95% CI 1.09, 1.43), low supervisory support (1.13, 95% CI 1.03, 1.25) and poorer mental health (0.98, 95% CI 0.97, 0.99).
Self-reported LBP and NSP were common among secondary school teachers. Interventions targeting psychological distress and work-related psychosocial characteristics may reduce musculoskeletal pain among school teachers.
肌肉骨骼疼痛在教师中很常见。研究发现与工作相关的社会心理因素与肌肉骨骼疼痛的发生有关，然而心理困扰可能也起着重要作用。
评估中学教师中自我报告的腰痛（LBP）以及颈部和/或肩部疼痛（NSP）的患病率；并评估LBP和NSP与心理困扰及与工作相关的社会心理因素之间的关联。
这是一项在马来西亚槟城州的教师中开展的横断面研究。参与者通过两阶段抽样方法招募。使用自填式问卷收集有关人口统计学、心理困扰、与工作相关的社会心理因素以及过去12个月内的肌肉骨骼疼痛（LBP和NSP）的信息。采用泊松回归来估计心理困扰和与工作相关的社会心理因素与LBP和NSP之间关联的患病率比（PR）。
在1482名教师中，过去12个月内自我报告的LBP和NSP的患病率分别为48.0%（95%置信区间（CI）45.2%，50.9%）和60.1%（95%CI 57.4%，62.9%）。多变量分析显示，自我报告的LBP与报告有重度至极重度抑郁的教师相关（PR：1.71，95%CI 1.25，2.32）、重度至极重度焦虑（1.46，95%CI 1.22，1.75）、高心理工作需求（1.29，95%CI 1.06，1.57）、低技能自主性（1.28，95%CI 1.13，1.47）以及较差的心理健康状况（0.98，95%CI 0.97，0.99）。自我报告的NSP与轻度至中度焦虑（1.18，95%CI 1.06，1.33）、重度至极重度焦虑（1.25，95%CI 1.09，1.43）、低上级支持（1.13，95%CI 1.03，1.25）以及较差的心理健康状况（0.98，95%CI 0.97，0.99）相关。
自我报告的LBP和NSP在中学教师中很常见。针对心理困扰和与工作相关的社会心理特征的干预措施可能会减少学校教师的肌肉骨骼疼痛。
