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埃塞俄比亚 Modjo 旱港长途卡车司机的腰痛程度及其影响因素:一项横断面研究。

Magnitude and Contributing Factors of Low Back Pain among Long Distance Truck Drivers at Modjo Dry Port, Ethiopia: A Cross-Sectional Study.

机构信息

Department of Public Health, College of Medicine and Health Sciences, Mizan-Tepi University, Mizan Teferi, Ethiopia.

School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

出版信息

J Environ Public Health. 2019 Sep 22;2019:6793090. doi: 10.1155/2019/6793090. eCollection 2019.

Abstract

BACKGROUND

Low back pain (LBP) is well known as the most common musculoskeletal disorder with the lifetime prevalence of eighty percent. Worldwide, 37% of low back pain was attributable to occupational risk factors. Truck driving is one among the jobs causing occupational LBP. Even though these drivers in Ethiopia run the high risk of occupational injuries and illnesses like drivers elsewhere, the evidence that shows the magnitude and factors that contribute to LBP is a significant shortcoming.

OBJECTIVE

To assess the magnitude and contributing factors of low back pain among long-distance truck drivers at Modjo Dry Port, Ethiopia, 2018.

METHODS

A cross-sectional study was conducted among systematically selected 422 long-distance truck drivers at Modjo Dry Port, Ethiopia, from February to March 2018. Data were collected through face-to-face individual interview using a structured questionnaire adapted from the standardized Nordic questionnaire for the analysis of musculoskeletal symptoms. The data were entered using EPI-DATA version 4.2.0.0 and cleaned and analyzed using SPSS version 20 statistical software for windows. Binary logistic regression was computed to determine the association using crude and adjusted odds ratios at 95% confidence intervals. Independent variables with a value less than 0.05 in the multivariable logistic regression model were considered as significant.

RESULTS

Of 400 truck drivers interviewed, the prevalence of LBP was found to be 65%. The study also found smoking cigarette (AOR = 2.24, 95% CI (1.25-4.01), and =0.007), physical inactivity (AOR = 2.12, 95% CI (1.28-3.51), and =0.003), chronic diseases other than LBP (AOR = 2.18, 95% CI (1.32-3.61), and =0.002), frequent lifting or carrying heavy objects (AOR = 3.02, 95% CI (1.75-5.22), and ≤ 0.001), perceived improper sitting posture while driving (AOR = 2.20, 95% CI (1.35-3.60), and =0.002), and perceived job stress (AOR = 2.07, 95% CI (1.20-3.57), and =0.009) were contributing factors of low back pain.

CONCLUSION

This finding shows the public health importance of low back pain among long-distance truck drivers in Ethiopia. Individual factors largely accounted for the development of low back pain; hence, orientation on these modifiable risk factors and regular follow-up on safety procedures should be considered to mitigate the problem.

摘要

背景

腰痛(LBP)是众所周知的最常见的肌肉骨骼疾病,其终身患病率为 80%。在全球范围内,37%的腰痛归因于职业危险因素。卡车驾驶是导致职业性腰痛的工作之一。尽管这些埃塞俄比亚的司机与其他地方的司机一样,面临着职业伤害和疾病的高风险,但表明腰痛程度和促成因素的证据仍然存在显著的不足。

目的

评估埃塞俄比亚 Modjo 旱港长途卡车司机腰痛的程度和促成因素,2018 年。

方法

2018 年 2 月至 3 月,对埃塞俄比亚 Modjo 旱港的 422 名长途卡车司机进行了横断面研究。通过面对面的个人访谈,使用从标准化北欧肌肉骨骼症状问卷改编的结构化问卷收集数据。数据使用 EPI-DATA 版本 4.2.0.0 输入,并使用 Windows 版 SPSS 版本 20 统计软件进行清理和分析。使用粗和调整后的比值比(OR)在 95%置信区间(CI)内确定关联。多变量逻辑回归模型中 值小于 0.05 的自变量被认为具有统计学意义。

结果

在接受采访的 400 名卡车司机中,腰痛的患病率为 65%。研究还发现,吸烟(OR=2.24,95%CI(1.25-4.01),P=0.007)、身体不活动(OR=2.12,95%CI(1.28-3.51),P=0.003)、除腰痛以外的慢性疾病(OR=2.18,95%CI(1.32-3.61),P=0.002)、频繁举起或搬运重物(OR=3.02,95%CI(1.75-5.22),P=0.001)、驾驶时感知到不正确的坐姿(OR=2.20,95%CI(1.35-3.60),P=0.002)和感知到工作压力(OR=2.07,95%CI(1.20-3.57),P=0.009)是腰痛的促成因素。

结论

这一发现表明,腰痛在埃塞俄比亚长途卡车司机中具有重要的公共卫生意义。个体因素在腰痛的发生中起主要作用;因此,应考虑针对这些可改变的危险因素进行定向,并定期对安全程序进行随访,以减轻这一问题。

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