Fassa Anaclaudia Gastal, Spada Fiori Nadia, Dalke Meucci Rodrigo, Müller Xavier Faria Neice, Peres de Carvalho Maitê
Doctora en Epidemiología. Profesora Titular, Universidade Federal de Pelotas, Pelotas, Brasil.
Doctora en Epidemiología. Profesora Adjunta, Universidade Federal de Pelotas, Pelotas, Brasil.
Salud Colect. 2020 Jul 23;16:e2307. doi: 10.18294/sc.2020.2307.
This study aims to assess neck pain prevalence and associated factors among tobacco farm workers. This is a cross-sectional study of 2,469 tobacco farm workers in southern Brazil. An adapted version of the Nordic Questionnaire of Musculoskeletal Symptoms was used to characterize neck pain. Multivariate analysis was performed using Poisson regression, following a hierarchical theoretical model. Neck pain prevalence in the last year among the population studied was 7.4%. Worker age, tobacco smoking, tobacco bundling, use of heavy chainsaws, working at an intense or accelerated pace and green tobacco sickness were variables associated with neck pain in females. Among males, age, use of heavy chainsaws, working in a sitting position on the ground, pesticide poisoning, and green tobacco sickness were associated with the outcome. The study reinforces the importance of ergonomic and physiological workloads in the determination of neck pain. Future studies are needed to understand the role of pesticides and nicotine exposures on musculoskeletal problems. The mechanization of tobacco harvesting could reduce ergonomic and chemical exposure, thereby improving farmers' health.
本研究旨在评估烟草农场工人的颈部疼痛患病率及相关因素。这是一项对巴西南部2469名烟草农场工人进行的横断面研究。采用北欧肌肉骨骼症状问卷的改编版来描述颈部疼痛情况。按照分层理论模型，使用泊松回归进行多变量分析。在所研究人群中，过去一年的颈部疼痛患病率为7.4%。工人年龄、吸烟、捆绑烟草、使用重型电锯、高强度或快节奏工作以及绿烟草病是女性颈部疼痛的相关变量。在男性中，年龄、使用重型电锯、在地面坐着工作、农药中毒和绿烟草病与该结果相关。该研究强化了人体工程学和生理工作量在确定颈部疼痛方面的重要性。需要进一步研究以了解接触农药和尼古丁对肌肉骨骼问题的作用。烟草收割机械化可减少人体工程学和化学暴露，从而改善农民健康。
