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巴西的社会决定因素与与工作相关的肌肉骨骼疾病。

Social determinants and work-related musculoskeletal disorders in Brazil.

机构信息

Federal University of Rio Grande do Norte, Rio Grande do Norte, Brazil.

Public Health Program, Federal University of Rio Grande do Norte, Rio Grande do Norte, Brazil.

出版信息

PLoS One. 2024 Jul 15;19(7):e0306840. doi: 10.1371/journal.pone.0306840. eCollection 2024.

Abstract

This study aimed to analyze the prevalence of work-related musculoskeletal disorders (WMSD) and their association with individual and contextual factors in the Brazilian population. This quantitative cross-sectional study used secondary data from the Brazilian National Health Survey from August 2013 to February 2014. The dependent variable included WMSD, and independent variables were analyzed as individual and contextual factors. WMSD was mostly prevalent in females, individuals aged 43 to 59 years, with chronic physical or mental disorders, reporting frequent sleep disorders, and performing integrative and complementary health practices, physical exercise or sports, and heavy physical activity or housework. Regarding contextual factors, high social classes and proportion of individuals with formal work were associated with a high prevalence of WMSD, whereas a high Gini index was associated with a low prevalence. Thus, a high prevalence of WMSD in the Brazilian population was associated with individual and contextual factors, which should be the target of health professionals for actions of promotion, prevention, and intervention at individual or collective care levels.

摘要

本研究旨在分析与巴西人群中与工作相关的肌肉骨骼疾病(WMSD)的患病率及其与个体和环境因素的关联。这项定量的横断面研究使用了 2013 年 8 月至 2014 年 2 月巴西国家健康调查的二级数据。因变量包括 WMSD,自变量分析为个体和环境因素。WMSD 主要在女性、43 至 59 岁的人群、患有慢性身体或精神障碍、经常报告睡眠障碍、以及进行综合和补充健康实践、体育锻炼或运动以及繁重体力活动或家务劳动的人群中更为普遍。关于环境因素,高社会阶层和有正规工作的人群比例与 WMSD 的高患病率相关,而基尼指数高则与低患病率相关。因此,巴西人群中 WMSD 的高患病率与个体和环境因素相关,这应成为卫生专业人员在个体或集体护理层面开展促进、预防和干预措施的目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd5c/11249243/36c3b6f9a23d/pone.0306840.g001.jpg

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