日本工人中视屏终端使用时间与颞下颌关节紊乱病患病率的相关性。

Association of visual display terminal time with prevalence of temporomandibular disorder among Japanese workers.

机构信息

Department of Oral Health Promotion, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan.

Department of General Dentistry, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan.

出版信息

J Occup Health. 2022 Jan;64(1):e12370. doi: 10.1002/1348-9585.12370.

DOI:10.1002/1348-9585.12370

PMID:36350045

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9644922/

Abstract

OBJECTIVES

Visual display terminal (VDT) time has been reported to affect the development of temporomandibular disorders (TMDs). However, no study has investigated the association between VDT time at and outside of work with TMDs Adjusting for known TMJ risk factors. This study aimed to investigate whether TMDs were associated with VDT time at and outside of work after adjusting for various working conditions in Japanese workers.

METHODS

This cross-sectional study was based on an internet survey of 3930 workers (2057 men and 1873 women), The TMD Screening Questionnaire (SQ-TMD), occupational factors, VDT time at and outside of work, psychosocial factors, and habits were assessed. We applied logistic regression to estimate the odds ratio (OR) of VDT time on SQ-TMD with adjustment for confounders.

RESULTS

The mean age of the respondents was 43.3 ± 11.7 years, and 778 (19.8%) and 3152 (80.2%) subjects were at high and low TMD-related symptoms (TRS). Logistic regression analysis adjusting for all covariates (Model 2), the prevalence of high TRS was significantly higher among those with VDT time at work of 60-179 min (OR = 1.52, 95% CI 1.18-1.94), 180-359 min (OR = 1.27, 95% CI 1.00-1.62), and more than 360 min (OR = 1.44, 95% CI 1.10-1.88) compared to those with 0-59 min. However, there was no significant difference in the prevalence of high TRS for VDT time outside of work.

CONCLUSION

VDT time at work, but not VDT time outside of work, influences the prevalence of TRS. Since the association between VDT time at work and the prevalence of TRS was found even after adjusting for sociopsychological factors and habits generally associated with TMD, further investigation of other factors is needed.

摘要

目的

已有研究报道，视屏显示终端（VDT）的使用时间与颞下颌关节紊乱病（TMD）的发生有关。然而，目前尚无研究在调整已知的颞下颌关节风险因素后，探讨工作时和工作外的 VDT 使用时间与 TMD 之间的关系。本研究旨在调查在调整日本劳动者的各种工作条件后，TMD 是否与工作时和工作外的 VDT 使用时间有关。

方法

本横断面研究基于一项针对 3930 名劳动者（男 2057 名，女 1873 名）的互联网调查，使用 TMD 筛查问卷（SQ-TMD）、职业因素、工作时和工作外的 VDT 使用时间、心理社会因素和习惯进行评估。我们应用 logistic 回归来估计 SQ-TMD 与 VDT 使用时间之间的比值比（OR），并对混杂因素进行校正。

结果

受访者的平均年龄为 43.3±11.7 岁，778 名（19.8%）和 3152 名（80.2%）受试者存在高 TMD 相关症状（TRS）。在校正所有协变量后（模型 2），工作时 VDT 使用时间为 60-179min、180-359min 和超过 360min 的受试者中，高 TRS 的患病率显著高于 VDT 使用时间为 0-59min 的受试者（OR=1.52，95%CI 1.18-1.94；OR=1.27，95%CI 1.00-1.62；OR=1.44，95%CI 1.10-1.88）。然而，工作外 VDT 使用时间与高 TRS 患病率之间无显著差异。