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埃塞俄比亚店主工作相关肌肉骨骼疾病的患病率和危险因素:来自工作场所横断面研究的证据。

Prevalence and risk factors of work-related musculoskeletal disorders among shopkeepers in Ethiopia: Evidence from a workplace cross-sectional study.

机构信息

Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

PLoS One. 2024 Mar 21;19(3):e0300934. doi: 10.1371/journal.pone.0300934. eCollection 2024.

Abstract

INTRODUCTION

Work-related musculoskeletal disorders (WRMSDs) are the leading cause of disability worldwide. Shopkeepers are prone to developing work-related musculoskeletal disorders, but they are largely overlooked in research and policy actions, particularly in developing countries. So far, there is a lack of data on the magnitude and factors influencing work-related musculoskeletal disorders among shopkeepers in Ethiopia. Therefore, the current study aimed to explore the prevalence and risk factors of work-related musculoskeletal disorders among shopkeepers in Gondar City, Ethiopia.

METHODS

A workplace-based cross-sectional study was conducted from July to August 2022, in Gondar city, Northwest Ethiopia. A multistage sampling technique was used to select 625 shopkeepers. The data were collected using an interviewer-administered standardized Nordic Musculoskeletal Questionnaire. Analysis was made using Stata version 14. Factors associated with the prevalence of work-related musculoskeletal disorders were identified using the multivariable Poisson regression model. The adjusted prevalence ratio with 95% confidence intervals (CIs) and p-value < 0.05 were applied to establish the significance of associations.

RESULTS

The overall prevalence of work-related musculoskeletal disorders among shopkeepers in the past 12 months was found to be 81.1% (N = 507). The most frequently affected body part was the lower back (46.6%), followed by the upper back (43.8%) and shoulder (35.4%). Being female (p = 0.043), being in the age group of ≥40 years (p = 0.028), being overweight (p = 0.035), experiencing job stress (p = 0.006) and prolonged sitting (p = 0.045) were significant factors for the prevalence of work-related musculoskeletal disorders among shopkeepers.

CONCLUSION

This study revealed that shopkeepers face an alarmingly high prevalence of work-related musculoskeletal disorders. Female, older, overweight, stressed and shopkeepers who sit in the same position for long periods of time were identified as particularly vulnerable groups. These findings call for the urgent development and implementation of preventive measures, including ergonomic adjustments, education and training programs, stress management techniques and the promotion of physical activity, to protect this vulnerable workforce from the debilitating effects of work-related musculoskeletal disorders and to ensure their long-term health and well-being.

摘要

简介

工作相关肌肉骨骼疾病(WRMSD)是全球残疾的主要原因。店主容易患上工作相关肌肉骨骼疾病,但在研究和政策行动中,特别是在发展中国家,他们在很大程度上被忽视了。迄今为止,关于埃塞俄比亚店主工作相关肌肉骨骼疾病的严重程度和影响因素的数据还很缺乏。因此,本研究旨在探讨埃塞俄比亚贡德尔市店主工作相关肌肉骨骼疾病的患病率和危险因素。

方法

本项基于工作场所的横断面研究于 2022 年 7 月至 8 月在埃塞俄比亚西北部贡德尔市进行。采用多阶段抽样技术选择了 625 名店主。使用经过访谈者管理的标准化北欧肌肉骨骼问卷收集数据。采用 Stata 版本 14 进行分析。使用多变量泊松回归模型确定与工作相关肌肉骨骼疾病患病率相关的因素。应用调整后的患病率比和 95%置信区间(CI)和 p 值<0.05 来确定关联的显著性。

结果

在过去 12 个月中,店主工作相关肌肉骨骼疾病的总患病率为 81.1%(N=507)。受影响最严重的身体部位是下背部(46.6%),其次是上背部(43.8%)和肩部(35.4%)。女性(p=0.043)、年龄在 40 岁及以上(p=0.028)、超重(p=0.035)、经历工作压力(p=0.006)和长时间坐着(p=0.045)是店主工作相关肌肉骨骼疾病患病率的显著因素。

结论

本研究表明,店主面临着令人震惊的高工作相关肌肉骨骼疾病患病率。女性、年龄较大、超重、有压力和长时间保持同一坐姿的店主被确定为特别脆弱的群体。这些发现呼吁紧急制定和实施预防措施,包括人体工程学调整、教育和培训计划、压力管理技术以及促进身体活动,以保护这一脆弱的劳动力免受工作相关肌肉骨骼疾病的致残影响,并确保他们的长期健康和福祉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/321e/10956884/e7d2ea05d3ca/pone.0300934.g001.jpg

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