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裁缝中与工作相关的肌肉骨骼疾病:加尔各答一个贫民窟的横断面研究

Work Related Musculoskeletal Morbidity among Tailors: A Cross Sectional Study in a Slum of Kolkata.

作者信息

Banerjee S, Bandyopadhyay L, Dasgupta A, Paul B, Chattopadhyay O

机构信息

Department of Preventive and Social Medicine, All India Institute of Hygiene and Public Health, Kolkata, West Bengal, India.

出版信息

Kathmandu Univ Med J (KUMJ). 2016;14(56):305-310.

PMID:29336416
Abstract

Background Musculoskeletal disorders comprise the single largest group of work-related illnesses in developing countries. Sedentary working style with wrong posture for long time is considered to be an important risk factor, which is largely modifiable. Objective This study was performed to determine the prevalence and find out the factors associated with Musculoskeletal disorders among the workers involved in tailoring occupation. Method A descriptive community based cross-sectional study was conducted in the urban slums of Chetla, Kolkata on March and April, 2015. One hundred and ten (110) out of 383 resident tailors in the area were chosen by simple random sampling and interviewed by approaching them in their work place. Descriptive statistics and multivariable logistic regression were used Result Using Nordic Musculoskeletal questionnaire, Musculoskeletal disorders was found among 65.45% of tailors. The most commonly affected site was neck (41.8%) followed by lower and upper back. In bivariate analysis, musculo-skeletal disorders was found to be significantly associated with age more than 45 years [OR (95% CI)= 3.35 (1.30- 8.60)], working for > 10 years [OR (95% CI)= 7.01 (2.93-16.79)*], working > 8 hours per day [OR (95% CI)= 2.75 (1.20-6.20)], full time job [OR (95% CI)= 2.41 (1.08-5.39)] and unfavourable workstation ergonomic [OR (95% CI)= 2.40 (1.10-5.40)], whereas in multivariate analysis age, sex, duration in the profession [AOR (95%CI= 4.40 (1.40- 14.30)], working hours per day [AOR (95%CI= 7.20 (1.80-27.80)], and unfavourable workstation ergonomic [AOR (95%CI)= 3.50 (1.26-9.80)] remained significant. Conclusion A multidimensional approach including appropriate technique in terms of operators' posture and ergonomically sound workstation are required to avoid the debilitating effect of Musculoskeletal disorders among the workers.

摘要

背景

在发展中国家,肌肉骨骼疾病是与工作相关疾病中最大的单一类别。长时间保持错误姿势的久坐工作方式被认为是一个重要的风险因素,且在很大程度上是可以改变的。

目的

本研究旨在确定从事裁缝职业的工人中肌肉骨骼疾病的患病率,并找出与之相关的因素。

方法

2015年3月和4月,在加尔各答切特拉的城市贫民窟开展了一项基于社区的描述性横断面研究。通过简单随机抽样,从该地区383名常住裁缝中选取了110名,并在他们的工作场所对其进行访谈。使用了描述性统计和多变量逻辑回归分析。

结果

使用北欧肌肉骨骼问卷发现,65.45%的裁缝患有肌肉骨骼疾病。最常受影响的部位是颈部(41.8%),其次是下背部和上背部。在二元分析中,发现肌肉骨骼疾病与年龄超过45岁[比值比(95%置信区间)= 3.35(1.30 - 8.60)]、工作超过10年[比值比(95%置信区间)= 7.01(2.93 - 16.79)*]、每天工作超过8小时[比值比(95%置信区间)= 2.75(1.20 - 6.20)]、全职工作[比值比(95%置信区间)= 2.41(1.08 - 5.39)]以及不利的工作站人体工程学[比值比(95%置信区间)= 2.40(1.10 - 5.40)]显著相关,而在多变量分析中,年龄、性别、职业时长[调整后比值比(95%置信区间)= 4.40(1.40 - 14.30)]、每天工作时长[调整后比值比(95%置信区间)= 7.20(1.80 - 27.80)]以及不利的工作站人体工程学[调整后比值比(95%置信区间)= 3.50(1.26 - 9.80)]仍然具有显著性。

结论

需要采取多维方法,包括在操作员姿势方面采用适当技术以及符合人体工程学的良好工作站,以避免肌肉骨骼疾病对工人造成的衰弱影响。

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