Thetkathuek Anamai, Meepradit Parvena, Sa-Ngiamsak Teerayut
Department of Industrial Hygiene and Safety, Faculty of Public Health, Burapha University, Chonburi 20131, Thailand.
Saf Health Work. 2018 Jun;9(2):192-202. doi: 10.1016/j.shaw.2017.06.009. Epub 2017 Jun 30.
Work-related musculoskeletal disorders are accumulative disorders that are most frequently found in agricultural farmers. The purpose of this study was to investigate factors that affect symptoms resulting from work-related musculoskeletal disorders among Cambodian farm workers working in fruit plantations in the eastern region of Thailand.
The Nordic Musculoskeletal Questionnaire, Rapid Upper Limb Assessment, and Hazard Zone Jobs Checklist techniques were used to interview 861 farmers who participated in the study.
The data showed that men who had been working for >10 years were more at risk of neck pain than those working for <1 year with adjusted odds ratio (aOR) 1.66, 95% confidence interval (CI) (1.90, 14.5). Among women those who had been working for >10 years experienced lower back pain with aOR 8.13, 95% CI (1.04, 63.74), compared with those who had been working for <1 year. Men whose tasks required raising the arms above shoulder height had a risk factor contributing to neck pain of aOR 1.68, 95% CI (1.08, 2.61) when compared with those who did not work with this posture, and women had aOR 1.82, 95% CI (1.07, 3.12) when compared with those who did not work with this posture.
Based on the results of this study, it is recommended that work-related health conditions are monitored in migrant plantation workers to reduce the risks of musculoskeletal disorders.
与工作相关的肌肉骨骼疾病是累积性疾病,在农民中最为常见。本研究的目的是调查影响泰国东部水果种植园柬埔寨农场工人与工作相关的肌肉骨骼疾病所致症状的因素。
采用北欧肌肉骨骼问卷、快速上肢评估和危险区域工作清单技术对861名参与研究的农民进行访谈。
数据显示,工作超过10年的男性患颈部疼痛的风险高于工作不足1年的男性,调整后的优势比(aOR)为1.66,95%置信区间(CI)为(1.90,14.5)。在女性中,工作超过10年的女性患下背部疼痛的aOR为8.13,95%CI为(1.04,63.74),而工作不足1年的女性则无此情况。与不需要将手臂举过肩高的男性相比,工作任务需要将手臂举过肩高的男性患颈部疼痛的风险因素aOR为1.68,95%CI为(1.08,2.61);与不需要以这种姿势工作的女性相比,工作任务需要将手臂举过肩高的女性患颈部疼痛的aOR为1.82,95%CI为(1.07,3.12)。
基于本研究结果,建议对流动种植园工人的工作相关健康状况进行监测,以降低肌肉骨骼疾病的风险。