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巴西巴西利亚结构城垃圾场可回收材料拾荒者的肌肉骨骼疾病患病率及危险因素

Prevalence of musculoskeletal disorders and risk factors in recyclable material waste pickers from the dump of the structural city in Brasília, Brazil.

作者信息

Bonini-Rocha Ana Clara, de Oliveira Rayssa Alves Costa, Bashash Morteza, do Couto Machado Giullia, Cruvinel Vanessa Resende Nogueira

机构信息

University of Brasilia, Faculty of Ceilândia, Brasília, Brazil.

University of Brasilia, Faculty of Ceilândia, Brasília, Brazil.

出版信息

Waste Manag. 2021 Apr 15;125:98-102. doi: 10.1016/j.wasman.2021.02.018. Epub 2021 Mar 4.

DOI:10.1016/j.wasman.2021.02.018
PMID:33677182
Abstract

UNLABELLED

Solid waste management is a global challenge impacting the lives of thousands of people, among them the recyclable materials waste pickers, through the separation and sale of these materials, make a living for themselves. These workers face unhealthy working conditions and are exposed to various occupational risks, which predispose the prevalence of musculoskeletal as chronic back problems.

METHOD

Exploratory cross-sectional study with a semi-structured questionnaire to investigate the prevalence of back pain and related risk factors.

RESULTS

1.025 waste pickers were interviewed, and 970 records of chronic back pain were detected. Among them, 660 were women (68.04%), 310 were men (31.96%), the average age of 40.21 years; 597 were single (61.92%); 629 (64.84%) had over 11 years of work; 942 (97.11%) worked exclusively in the open dump, 899 (92.68%) with bags, 922 (95.05%) on dayshift. We found significant associations between gender (p < 0.001); age (p < 0.001); time at work (p < 0.022) and place at work (p < 0.001). After adjusting, there were higher prevalence of chronic back pain women (OR = 1.7), older age (OR = 2.64); working more than 11 years (OR = 1.09); and working on the open dump (OR = 2.8).

CONCLUSION

The prevalence of subjective symptoms of musculoskeletal disorders was high. Women, over 36 years old, who worked more than 11 h a day in the open dump were more exposed to suffer from chronic back problems. The importance of urgently addressing the labor impacts related to solid waste management in developing countries to protect these workers and, especially, women involved in this work is emphasized.

摘要

未标注

固体废物管理是一项全球性挑战,影响着成千上万的人,其中包括可回收材料拾荒者,他们通过分离和售卖这些材料来维持生计。这些工人面临不健康的工作条件,暴露于各种职业风险中,这使得肌肉骨骼疾病如慢性背痛的患病率较高。

方法

采用半结构化问卷进行探索性横断面研究,以调查背痛患病率及相关风险因素。

结果

对1025名拾荒者进行了访谈,检测到970例慢性背痛记录。其中,女性660例(68.04%),男性310例(31.96%),平均年龄40.21岁;597例为单身(61.92%);629例(64.84%)工作年限超过11年;942例(97.11%)仅在露天垃圾场工作,899例(92.68%)使用袋子,922例(95.05%)上白班。我们发现性别(p<0.001)、年龄(p<0.001)、工作时间(p<0.022)和工作地点(p<0.001)之间存在显著关联。调整后,慢性背痛患病率较高的人群为女性(OR=1.7)、年龄较大者(OR=2.64)、工作超过11年者(OR=1.09)以及在露天垃圾场工作者(OR=2.8)。

结论

肌肉骨骼疾病主观症状的患病率较高。年龄超过36岁、每天在露天垃圾场工作超过11小时的女性更易患慢性背痛。强调了在发展中国家迫切解决与固体废物管理相关的劳动影响问题以保护这些工人,尤其是从事这项工作的女性的重要性。

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