State University of New York SUNY)-Downstate School of Public Health, Brooklyn, New York (Dr Landsbergis, Mr Stillo, Mr Jain, Ms Davis), Johanning MD, PC, Albany, New York (Dr Johanning), and Center for Family and Community Medicine, Department of Medicine, Columbia University, New York, New York (Dr Johanning).
J Occup Environ Med. 2019 Jul;61(7):584-596. doi: 10.1097/JOM.0000000000001614.
The aim of this study was to measure musculoskeletal disorders and occupational risk factors among railroad maintenance-of-way (MOW) workers.
Four thousand eight hundred sixteen active, retired, and disabled members of the Brotherhood of Maintenance of Way Employes Division (BMWED) completed a survey.
Compared with U.S. employed men, adjusting for age, race, and region, active male MOW workers were more likely to report "repeated lifting, pushing, pulling, or bending" at work (74.6% vs 46.9%), not enough staff (88.1% vs 65.2%), and a diagnosis of carpal tunnel syndrome (7.9% vs 3.6%). They were less likely to report management priority on workplace health and safety (59.37% vs 94.8%), ability to make job decisions on their own (68.4% vs 87.7%), and supervisor support (60.3% vs 90.8%) (all comparisons, P < 0.001).
Prevention programs should address risk of musculoskeletal disorders and occupational hazards faced by MOW workers.
本研究旨在测量铁路维护工人（MOW）的肌肉骨骼疾病和职业风险因素。
4816 名现役、退休和残疾的铁路维护员工兄弟会（BMWED）成员完成了一项调查。
与美国就业男性相比，调整年龄、种族和地区因素后，现役男性 MOW 工人更有可能报告工作中“反复举升、推、拉或弯曲”（74.6%对 46.9%）、人手不足（88.1%对 65.2%）和腕管综合征诊断（7.9%对 3.6%）。他们不太可能报告工作场所健康和安全的管理优先级（59.37%对 94.8%）、自己做工作决策的能力（68.4%对 87.7%）和主管支持（60.3%对 90.8%）（所有比较，P<0.001）。
预防计划应针对 MOW 工人面临的肌肉骨骼疾病和职业危害风险。
