Iqbal Ahmed Asif, Hasan Shahriar, Shahjalal Md, Shaha Rony, Hawlader Mohammad Delwer Hossain, Alam Mohammad Morshad
Department of Public Health, North South University, Dhaka, Bangladesh.
Research Rats, Dhaka, Bangladesh.
PLOS Glob Public Health. 2023 Apr 19;3(4):e0001689. doi: 10.1371/journal.pgph.0001689. eCollection 2023.
Musculoskeletal (MS) pain is widely prevalent and is an important health issue for desk-based employees which has a negative impact on both personal and work life. This study aimed to determine the MS pain status and its association with mental health and other individual factors among desk-based officials of Dhaka, Bangladesh. This cross-sectional study comprised a sample of 526 desk-based officials from Dhaka, Bangladesh. Data were collected between November 2020 to March 2021. MS pain was determined by the visual analog scale (VAS) and depression and anxiety were screened by Hospital Anxiety and Depression Scale (HADS). Logistic regression analyses were employed to estimate the adjusted effect of independent factors on MS pain. The overall prevalence of MS pain was 64% among desk-based officials. The corresponding prevalence were 19% severe, 21% moderate and 24% mild MS pain. In the adjusted model, gender (AOR: 0.19, 95% CI: 0.07-0.46), BMI (AOR: 0.28, 95% CI: 0.14-0.59), monthly income (AOR: 5.17, 95% CI: 2.18-12.25), organization type (AOR: 4.3, 95% CI:1.8-10.1), floor living (AOR: 4.7, 95% CI:2.1-10.8), physical activity (AOR: 0.16, 95% CI: 0.06-0.45), and lift facility in the house (AOR: 4.11, 95% CI: 2.06-8.23) were associated with MS pain. In addition, the prevalence of anxiety and depression was 17.7% and 16.4%, respectively. Depression was identified as a significant predictor for severe MS pain (AOR: 2.44, 95%CI:1.29-4.63). This study has revealed a relatively high prevalence of MS pain and mental health problems among Bangladeshi desk-based officials. Preventive measures need to be taken from both organizational and personal sides to delimitate MS pain and mental health problems.
肌肉骨骼（MS）疼痛广泛存在，对于伏案工作的员工来说是一个重要的健康问题，对个人和工作生活都会产生负面影响。本研究旨在确定孟加拉国达卡伏案工作的官员的MS疼痛状况及其与心理健康和其他个体因素之间的关联。这项横断面研究对来自孟加拉国达卡的526名伏案工作的官员进行了抽样。数据收集于2020年11月至2021年3月期间。通过视觉模拟量表（VAS）确定MS疼痛情况，并用医院焦虑抑郁量表（HADS）筛查抑郁和焦虑情况。采用逻辑回归分析来估计独立因素对MS疼痛的调整效应。伏案工作的官员中MS疼痛的总体患病率为64%。相应的患病率分别为重度19%、中度21%和轻度24%。在调整模型中，性别（比值比：0.19，95%置信区间：0.07 - 0.46）、体重指数（比值比：0.28，95%置信区间：0.14 - 0.59）、月收入（比值比：5.17，95%置信区间：2.18 - 12.25）、组织类型（比值比：4.3，95%置信区间：1.8 - 10.1）、居住楼层（比值比：4.7，95%置信区间：2.1 - 10.8）、体育活动（比值比：0.16，95%置信区间：0.06 - 0.45）以及家中有无电梯设施（比值比：4.11，95%置信区间：2.06 - 8.23）均与MS疼痛有关。此外，焦虑和抑郁的患病率分别为17.7%和16.4%。抑郁被确定为重度MS疼痛的一个重要预测因素（比值比：2.44，95%置信区间：1.29 - 4.63）。本研究揭示了孟加拉国伏案工作的官员中MS疼痛和心理健康问题的患病率相对较高。需要从组织和个人两方面采取预防措施来界定MS疼痛和心理健康问题。
