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通勤上班途中道路交通延误与久坐上班族的肌肉骨骼健康:达卡市的一项横断面研究。

Road traffic delays in commuting workplace and musculoskeletal health among sedentary workers: A cross-sectional study in Dhaka city.

作者信息

Ali Mohammad, Ahsan Gias U, Uddin Zakir, Hossain Ahmed

机构信息

Department of Physiotherapy and Rehabilitation, Uttara Adhunik Medical College and Hospital, Dhaka, Bangladesh.

Centre for Higher Studies and Research, Bangladesh University of Professionals, Dhaka, Bangladesh.

出版信息

J Occup Health. 2021 Jan;63(1):e12289. doi: 10.1002/1348-9585.12289.

Abstract

OBJECTIVES

Despite previous research aimed at identifying factors linked to musculoskeletal health issues, there was no evidence about the relationship between road traffic delays (RTDs) and musculoskeletal health in sedentary employees. As a result, the aim of our research was to understand such a correlation among bank employees in Dhaka, Bangladesh.

METHODS

A cross-sectional analysis was conducted with bank employees who worked in sedentary settings. The Eriksen subjective health complaints scale was used to measure the eight items of musculoskeletal health complaints (MHCs), and RTDs were measured using principal component analysis using variables commute time, distance, and traffic congestion experience to work. The association between RTDs and MHCs was identified using a multilevel model after adjusting potential confounders.

RESULTS

A total of 628 employees (mean[SD] age, 36.1[7.0] years; 254[40.5%] women) participated in the study. Among the employees, the one-month prevalence of MHCs was 57.2%. The highest prevalence of MHCs was low-back pain (36.6%), followed by neck pain (22.9%) and upper-back pain (21.2%). Also, 136(21.7%) employees reported long-RTDs in commuting workplace and 81% of them had MHCs. The multilevel analysis identified that long-RTDs had a significant relationship with MHCs (adjusted odds ratio, AOR = 10.20, 95%CI = 5.41-16.91). Private transportation commuters reported 70% reduced odds of MHCs (AOR = 0.30, 95%CI = 0.15-0.59) and walking or bicycling commuters had 84% fewer MHCs (AOR = 0.16, 95%CI = 0.10-0.28) compared to public bus commuters.

CONCLUSIONS

Sedentary employees with long-RTDs reported increased MHCs, emphasizing the importance of including musculoskeletal exercise in office facilities. Findings of this study also highlight the need for a sound public transportation system in Dhaka city.

摘要

目的

尽管先前有研究旨在确定与肌肉骨骼健康问题相关的因素,但尚无证据表明道路交通延误(RTDs)与久坐员工的肌肉骨骼健康之间存在关联。因此,我们研究的目的是了解孟加拉国达卡银行员工中的这种相关性。

方法

对在久坐环境中工作的银行员工进行了横断面分析。使用埃里克森主观健康投诉量表来测量肌肉骨骼健康投诉(MHCs)的八项内容,并使用通勤时间、距离和上班交通拥堵经历等变量通过主成分分析来测量RTDs。在调整潜在混杂因素后,使用多层次模型确定RTDs与MHCs之间的关联。

结果

共有628名员工(平均[标准差]年龄,36.1[7.0]岁;254名[40.5%]女性)参与了研究。在员工中,MHCs的一个月患病率为57.2%。MHCs患病率最高的是下背痛(36.6%),其次是颈部疼痛(22.9%)和上背部疼痛(21.2%)。此外,136名(21.7%)员工报告在通勤上班时有长时间的RTDs,其中81%有MHCs。多层次分析确定长时间的RTDs与MHCs有显著关系(调整后的优势比,AOR = 10.20,95%置信区间 = 5.41 - 16.91)。与乘坐公共巴士通勤者相比,乘坐私人交通工具通勤者报告MHCs的几率降低了70%(AOR = 0.30,95%置信区间 = 0.15 - 0.59),步行或骑自行车通勤者的MHCs减少了84%(AOR = 0.16,95%置信区间 = 0.10 - 0.28)。

结论

报告有长时间RTDs的久坐员工的MHCs有所增加,这强调了在办公场所开展肌肉骨骼锻炼的重要性。本研究结果还凸显了达卡市建立完善公共交通系统的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3427/8577272/9c2a3e57a7b3/JOH2-63-e12289-g002.jpg

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