Solis-Soto María Teresa, Schön Anabel, Solis-Soto Angel, Parra Manuel, Radon Katja
Universidad San Francisco Xavier de Chuquisaca, Estudiantes, 96, Sucre, Bolivia.
Institute for Occupational, Social and Environmental Medicine, Occupational and Environmental Epidemiology & Net Teaching Unit, University Hospital Munich (LMU), Munich. Ziemssenstr. 1, 80336, Munich, Germany.
BMC Musculoskelet Disord. 2017 Oct 27;18(1):425. doi: 10.1186/s12891-017-1785-9.
Musculoskeletal disorders (MSD) are important health problems in working populations. The study aimed to determine the prevalence of MSD among school teachers from urban and rural areas in Chuquisaca, Bolivia.
A cross-sectional study was conducted in 60 randomly selected schools. In total, 1062 teachers were invited to participate (response 58%). The Spanish version of the Standardized Nordic questionnaire was used assessing the 12-months and 7-days prevalence of MSD as well as the 12-months prevalence of work limiting pain. Prevalence were calculated for the different parts of the body; as summary measures, MSD in any part of the body and in ≥3 parts of the body were assessed. Crude and adjusted odds ratios with 95% confidence intervals were calculated using logistic regression models adjusting for age, sex, teaching level and school type.
Prevalence of MSD in any part of the body was 86% during the last 12 months, 63% during the last 7 days and 15% for work limiting pain. MSD was most common in the neck (12-months prevalence 47%) and least common in the wrist/hands (26%). In the adjusted model, teachers working in rural areas presented significantly higher odds than teachers from urban schools for work-limiting pain during the last 12-months considering any part of the body (aOR 2.2; 95% CI 1.1-4.1), and for ≥3 parts of the body (aOR 3.7; 95% CI 1.3-10.6).
The prevalence of MSD is high in School teachers, even more in teachers working in rural areas. It is needed to identify risk factors for MSD in teachers in order to propose appropriate strategies to control and reduce it.
肌肉骨骼疾病(MSD)是劳动人口中的重要健康问题。本研究旨在确定玻利维亚丘基萨卡城乡学校教师中MSD的患病率。
在60所随机选择的学校中进行了一项横断面研究。总共邀请了1062名教师参与(回应率为58%)。使用标准化北欧问卷的西班牙语版本评估MSD的12个月和7天患病率以及工作限制疼痛的12个月患病率。计算身体不同部位的患病率;作为汇总指标,评估身体任何部位和≥3个部位的MSD。使用逻辑回归模型计算粗比值比和调整后的比值比以及95%置信区间,对年龄、性别、教学水平和学校类型进行了调整。
在过去12个月中,身体任何部位的MSD患病率为86%,过去7天为63%,工作限制疼痛的患病率为15%。MSD在颈部最为常见(12个月患病率为47%),在手腕/手部最不常见(26%)。在调整后的模型中,考虑到身体的任何部位,在过去12个月中,农村地区的教师出现工作限制疼痛的几率显著高于城市学校的教师(调整后的比值比为2.2;95%置信区间为1.1 - 4.1),对于≥3个部位的情况(调整后的比值比为3.7;95%置信区间为1.3 - 10.6)。
学校教师中MSD的患病率很高,在农村地区工作的教师中更是如此。需要确定教师中MSD的风险因素,以便提出适当的控制和降低策略。