Al-Shehri Zainah, Al-Zoughool Mustafa
Department of Community and Environmental Health, King Saud Bin Abdulaziz University for Health Sciences, Saudi Arabia.
Ind Health. 2017 Aug 8;55(4):338-344. doi: 10.2486/indhealth.2016-0174. Epub 2017 Mar 22.
Musculoskeletal disorders are very common in the dental practice. This cross-sectional study assessed the nature and prevalence of musculoskeletal symptoms (MS) and their associated risk factors among dentists in three types of clinics in Riyadh. A structured, self-administered questionnaire about demographic characteristics, nature of work, and prevalence and frequency of MS was completed by 274 male and 241 female dentists. Chi-square and logistic regression were used to determine the association of MS with a number of important variables. Pain in the lower back (64%) and neck (60%) were the most prevalent MS. Working in the dental colleges' clinics was associated with increased risk of MS (adjusted OR 2.30, 95% CI 1.27-4.18). A stronger association was observed for dentists working in the private clinics (adjusted OR 2.58, 95% CI 1.28-5.17) compared to government clinics. Female dentists were at more risk of MS than the male dentists (OR 1.63, 95%CI 1.02-2.59). The OR of MS for dentists treating more than 10 patients/d was 1.53 (95%CI 0.83-2.81). The higher risk of reported MS in females and for those working in the dental colleges and private clinics underscores the importance of recognition and prevention of MS even early in the dental profession.
肌肉骨骼疾病在牙科诊疗中非常常见。这项横断面研究评估了利雅得三种类型诊所的牙医中肌肉骨骼症状(MS)的性质、患病率及其相关危险因素。274名男性牙医和241名女性牙医完成了一份关于人口统计学特征、工作性质以及MS患病率和频率的结构化自填问卷。采用卡方检验和逻辑回归来确定MS与一些重要变量之间的关联。下背部疼痛(64%)和颈部疼痛(60%)是最常见的MS。在牙科学院诊所工作与MS风险增加相关(调整后的OR为2.30,95%CI为1.27 - 4.18)。与政府诊所相比,在私人诊所工作的牙医中观察到更强的关联(调整后的OR为2.58,95%CI为1.28 - 5.17)。女性牙医患MS的风险高于男性牙医(OR为1.63,95%CI为1.02 - 2.59)。每天治疗超过10名患者的牙医患MS的OR为1.53(95%CI为0.83 - 2.81)。女性以及在牙科学院和私人诊所工作的人员报告的MS风险较高,这凸显了在牙科职业早期识别和预防MS的重要性。