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印度西孟加拉邦稻农腰背痛的人体工效学和心理社会危险因素。

Ergonomic and psychosocial risk factors for low back pain among rice farmers in West Bengal, India.

机构信息

Department of Physiology, South Calcutta Girls' College, University of Calcutta, 72 Sarat Bose Road, Kolkata 700025, India E-mails:

出版信息

Work. 2022;72(3):967-977. doi: 10.3233/WOR-210433.

Abstract

BACKGROUND

Rice farming is considered the most crucial industry in India, where millions of farmers suffer from LBP.

OBJECTIVES

The present study's primary objectives were to evaluate the prevalence of low back pain among India's rice farmers and determine the relationship between low back pain and ergonomic risk factors and psychosocial factors encountered by the farmers.

METHODS

Socio-demographics, ergonomics risk factors and psychosocial factors that cause LBP among rice farmers were examined. Modified Nordic Musculoskeletal Questionnaire and Oswestry LBP Questionnaire were administered among the farmers to evaluate the LBP. Univariate analysis was done to find out the odds ratios and 95% confidence intervals among the farmers.

RESULTS

The primary findings from this study regarding the psychosocial factors, such as perceived inadequacy of income (84.7%), job demands (78.1%), work demand targets specific productivity (76.5%), rigidity in work methods (75.3%), monotony at work (73.2 %), have a relationship with LBP. The results also revealed that the relationship between the low back pain and ergonomic risk factors, such as repetitiveness (OR- 4.215; 95% CI- 2.551-6.965), working in awkward posture (OR- 85.82; 95% CI- 43.134-170.77), lifting loads (OR- 0.281; 95% CI- 0.125-0.324), pulling loads (OR- 0.274; 95% CI- 0.173-0.434), showed significant relationship with LBP in the univariate analysis.

CONCLUSIONS

The prevalence of LBP among rice farmers connected with ergonomic and psychosocial risk factors. The awkward posture, MMH (lifting and carrying) are the main causative factors of LBP.

摘要

背景

水稻种植被认为是印度最重要的产业,数以百万计的农民深受下腰痛(LBP)困扰。

目的

本研究的主要目的是评估印度水稻种植农民中 LBP 的患病率,并确定 LBP 与农民面临的工效学风险因素和心理社会因素之间的关系。

方法

检查了与水稻种植农民 LBP 相关的社会人口统计学、工效学风险因素和心理社会因素。对农民进行了改良北欧肌肉骨骼问卷和 Oswestry LBP 问卷评估 LBP。进行单变量分析以确定农民之间的比值比和 95%置信区间。

结果

本研究关于心理社会因素的主要发现,例如收入不足的感知(84.7%)、工作需求(78.1%)、工作需求特定生产力目标(76.5%)、工作方法僵化(75.3%)、工作单调(73.2%),与 LBP 有关。结果还表明,LBP 与工效学风险因素之间存在关系,例如重复性(OR-4.215;95%CI-2.551-6.965)、工作姿势不佳(OR-85.82;95%CI-43.134-170.77)、提举负荷(OR-0.281;95%CI-0.125-0.324)、拉载负荷(OR-0.274;95%CI-0.173-0.434),在单变量分析中显示出与 LBP 显著相关。

结论

与工效学和心理社会风险因素相关的水稻种植农民中 LBP 的患病率较高。不良姿势、MMH(提举和搬运)是导致 LBP 的主要因素。

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