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J Occup Environ Med. 2020 Nov;62(11):973-979. doi: 10.1097/JOM.0000000000002017.
Musculoskeletal disorders (MSDs) and opioid use are a combined burden for construction safety and health. This study examines both issues among construction workers using a large population-based survey.
The prevalence of MSDs in construction was estimated using multi-year data from the Medical Expenditure Panel Survey. Prescription opioid use among workers with MSDs was compared to those without MSDs.
About 34% of construction workers had at least one MSD symptom. Compared to those without MSDs, prescription opioid use tripled (aOR = 3.28, 95% CI: 2.44 to 4.41) among construction workers with MSDs.
MSDs are prevalent among construction workers, and prescription opioid use significantly increased among workers with MSDs. It is critical to adopt ergonomic solutions in construction to reduce MSDs, and support workers in injury recovery with effective pain management.
肌肉骨骼疾病（MSDs）和阿片类药物的使用是建筑安全和健康的双重负担。本研究使用大型基于人群的调查研究来检查建筑工人的这两个问题。
使用来自医疗支出面板调查的多年数据来估计建筑工人 MSD 的患病率。比较了患有 MSD 的工人与没有 MSD 的工人之间处方类阿片药物的使用情况。
约 34%的建筑工人至少有一种 MSD 症状。与没有 MSD 的工人相比，患有 MSD 的建筑工人中处方类阿片药物的使用增加了两倍（aOR=3.28，95%CI：2.44 至 4.41）。
MSDs 在建筑工人中很普遍，患有 MSD 的工人中处方类阿片药物的使用显著增加。在建筑中采用人体工程学解决方案以减少 MSD 并通过有效的疼痛管理来支持工人的伤害恢复至关重要。
