Shazzad Md Nahiduzzamane, Ahmed Shamim, Haq Syed Atiqul, Islam Md Nazrul, Abu Shahin Md, Choudhury Minhaj Rahim, Hasan Abu Tahir Muhammad Tanveer, Abdal Syed Jamil, Rasker Johannes Jacobus
Department of Rheumatology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh.
Faculty of Behavioural Sciences, Department of Psychology, Health & Technology, University of Twente, Enschede, The Netherlands.
Int J Rheum Dis. 2018 Dec;21(12):2063-2070. doi: 10.1111/1756-185X.13423. Epub 2018 Nov 5.
To study the prevalence of musculoskeletal (MSK) symptoms and disorders among garment workers in Bangladesh, to look for possible relationships between pain location and type of work performed and to estimate the prevalence of rheumatological diagnoses.
A cross-sectional pilot study among 350 garment workers using the COPCORD (Community Oriented Program for Control of Rheumatic Disorders) methodology. Subjects with musculoskeletal pain were examined by rheumatologists for rheumatological diagnosis. The workers were classified into cutting, sewing, finishing and quality control operators.
Most of the workers were aged below 35 years (88%) and females (82.9%) and the majority had only primary education (74.6%). The prevalence of MSK pain within 7 days of the interview was 77.1%, a much higher figure than in the general population. The most affected sites were: shoulder (17.9%), lower back (15.2%), neck (13.8%) and knee (10.8%). Multiple regional pain was the commonest finding in 173 of 350 workers. In this pilot study rheumatoid arthritis was diagnosed in 0.9%, undifferentiated arthritis in 1.1%, nonspecific low back pain in 4.6%, soft tissue rheumatism in 3.7%, osteoarthritis in 0.9% and lumbar spondylosis in 1.1%, figures comparable with those observed in the general population; spondyloarthropathy was seen more often, in 1.42%, possibly explained by the small numbers.
Musculoskeletal pains are common among garment workers of Bangladesh and may cause morbidity, disability, and work loss. Our findings may be important to plan ergonomic measures preventing complaints and may be of interest for international companies ordering garments in Bangladesh.
研究孟加拉国服装工人肌肉骨骼（MSK）症状和疾病的患病率，寻找疼痛部位与所从事工作类型之间的可能关系，并估计风湿性疾病诊断的患病率。
采用社区风湿性疾病控制项目（COPCORD）方法，对350名服装工人进行横断面试点研究。有肌肉骨骼疼痛的受试者由风湿病学家进行风湿性疾病诊断检查。这些工人被分为裁剪、缝纫、整烫和质量控制操作员。
大多数工人年龄在35岁以下（88%），为女性（82.9%），且大多数人只有小学学历（74.6%）。访谈前7天内MSK疼痛的患病率为77.1%，远高于普通人群。受影响最严重的部位是：肩部（17.9%）、下背部（15.2%）、颈部（13.8%）和膝盖（10.8%）。350名工人中有173人最常见的是多部位疼痛。在这项试点研究中，类风湿性关节炎的诊断率为0.9%，未分化关节炎为1.1%，非特异性下背痛为4.6%，软组织风湿病为3.7%，骨关节炎为0.9%，腰椎间盘突出症为1.1%，这些数字与普通人群中观察到的数据相当；脊柱关节病的发生率更高，为1.42%，这可能是由于样本量小所致。
肌肉骨骼疼痛在孟加拉国服装工人中很常见，可能导致发病、残疾和工作损失。我们的研究结果对于规划预防不适的人体工程学措施可能很重要，并且可能会引起在孟加拉国订购服装的国际公司的兴趣。
