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中国山东农村地区蔬菜大棚种植户肌肉骨骼疾病的患病率及危险因素:一项横断面调查。

Prevalence and risk factors for MSDs in vegetable greenhouse farmers: a cross-sectional survey from Shandong rural area, China.

机构信息

Shandong Academy of Occupational Health and Occupational Medicine, Shandong First Medical University&Shandong Academy of Medical Sciences.

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出版信息

Med Lav. 2021 Oct 28;112(5):377-386. doi: 10.23749/mdl.v112i5.11490.

Abstract

PURPOSE

The aim of the research is a cross sectional survey on the prevalence of symptoms related to MSDs in vegetable greenhouse farmers from Shandong rural area and on the risk factors that may influence it.

METHODS

This cross-sectional survey was selected 249 farmers working in vegetable greenhouse from different districts of Shandong Province, China. The Questionnaire and the Rapid Upper Limb Assessment (RULA) technique were used to identify ergonomic risks. χ2 analysis was used to find the relationship between MSDs and various factors. Also, logistic regression methodology was applied to get the most influencing factor for MSDs.

RESULTS

The prevalence of MSDs in farmers working in vegetable greenhouse is 87.5%, and the top 3 prevalent areas of MSDs in various parts of the body are: lower back (47.4%), neck (33.3%), and shoulder (31.7%). The results of Logistic regression analysis showed that age, years working in vegetable greenhouses, keeping their backs in the same position for a long time, and working hours greater than 10 hours per day were the risk factors for MSDs in the farmers. The outcome of the RULA grand score had been found to be higher than 5 in the overwhelming majority of the farmers.

CONCLUSIONS

All findings infer that each task of greenhouse vegetable growing inflicts different levels of disorder in a farmers' musculoskeletal structure. Interventions should be increased and reduce the bad ergonomic load level as soon as possible, provided to reduce the impact of such disorders.

摘要

目的

本研究旨在调查山东农村蔬菜大棚种植户中与肌肉骨骼疾病(MSDs)相关症状的患病率及其可能影响因素。

方法

本横断面研究选取了来自中国山东省不同地区的 249 名蔬菜大棚种植户。采用问卷和快速上肢评估(RULA)技术来识别人体工程学风险。χ2 分析用于发现 MSDs 与各种因素之间的关系。此外,还应用逻辑回归方法确定 MSDs 的最主要影响因素。

结果

蔬菜大棚种植户 MSDs 的患病率为 87.5%,身体各部位最常见的 MSDs 部位为:下背部(47.4%)、颈部(33.3%)和肩部(31.7%)。Logistic 回归分析结果显示,年龄、在蔬菜大棚工作年限、长时间保持背部同一姿势以及每天工作时间超过 10 小时是种植户 MSDs 的危险因素。RULA 总分的结果发现,绝大多数农民的得分都高于 5。

结论

所有研究结果表明,蔬菜大棚种植的每一项任务都会对农民的肌肉骨骼结构造成不同程度的紊乱。应尽快增加干预措施,降低不良人体工程学负荷水平,以减轻此类紊乱的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45aa/8600572/dbbba9645b1c/MDL-112-377-g001.jpg

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