Elshaer Noha
Community Medicine Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
J Egypt Public Health Assoc. 2017 Dec 1;92(4):203-211. doi: 10.21608/EPX.2018.22041.
Globally, there is an expansion in computer-related work, which may have contributed to an increased burden of complaints of the arm, neck and/or shoulder (CANS). The study was conducted to determine the prevalence and factors associated with CANS among computer office workers (OWs) in Alexandria.
Computer OWs at four banks and two telecommunication companies (n=211) were included in a cross-sectional study in 2016. Data were collected using the self-administered Musculoskeletal Upper Extremity Questionnaire-Arabic version. Potentially related factors were examined using bivariate and multivariate analyses.
The sample comprised 95 (45.02%) males and 116 (54.97%) females. Overall, 72% aged 25-35 years. Prevalence with 95% confidence interval (CI) for CANS was 0.73 (95% CI: 0.66-0.79), 0.69 (95% CI: 0.62-0.75) and 0.70 (95% CI: 0.64-0.76), respectively. The majority of the complaints were minor (86%). Factors significantly associated with neck complaints were female sex (P=0.03), inappropriate office equipment (P=0.02), task complexity (P<0.01), break autonomy (P=0.02) and low decision authority (P=0.05). Factors significantly associated with arm/hand complaints were female sex (P=0.01), awkward body posture (P=0.05), break autonomy (P<0.01) and low break quality (P=0.04).
The study revealed high prevalence of CANS and highlighted associated factors, namely, task complexity, inappropriate office equipment, low decision authority, low break quality and female sex. Improving ergonomic conditions, reducing job demands, and increasing job control are crucial to reduce CANS among computer OWs.
在全球范围内,与计算机相关的工作有所增加,这可能导致了手臂、颈部和/或肩部不适(CANS)投诉负担的加重。本研究旨在确定亚历山大港计算机办公人员(OWs)中CANS的患病率及其相关因素。
2016年,对四家银行和两家电信公司的计算机办公人员(n = 211)进行了一项横断面研究。使用自行填写的阿拉伯语版肌肉骨骼上肢问卷收集数据。采用双变量和多变量分析检查潜在的相关因素。
样本包括95名(45.02%)男性和116名(54.97%)女性。总体而言,72%的人年龄在25 - 35岁之间。CANS的患病率及其95%置信区间(CI)分别为0.73(95% CI:0.66 - 0.79)、0.69(95% CI:0.62 - 0.75)和0.70(95% CI:0.64 - 0.76)。大多数投诉为轻度(86%)。与颈部投诉显著相关的因素包括女性(P = 0.03)、办公设备不合适(P = 0.02)、任务复杂性(P < 0.01)、休息自主性(P = 0.02)和决策权限低(P = 0.05)。与手臂/手部投诉显著相关的因素包括女性(P = 0.01)、身体姿势笨拙(P = 0.05)、休息自主性(P < 0.01)和休息质量差(P = 0.04)。
该研究揭示了CANS的高患病率,并突出了相关因素,即任务复杂性、办公设备不合适、决策权限低、休息质量差和女性。改善人体工程学条件、减少工作需求以及增强工作控制对于减少计算机办公人员的CANS至关重要。