丹麦渔民新发和复发性背部疾病的职业和健康相关危险因素：一项基于登记的研究。
Occupational and Health-Related Risk Factors for Incident and Recurrent Back Disorders in Danish Fishers-A Register-Based Study.
机构信息
From the Department of Public Health, Research Unit for Health Promotion, University of Southern Denmark, Esbjerg, Denmark (L.N.R., G.B.-B.); Department of Occupational Therapy, University College South Denmark (UC SYD), Esbjerg, Denmark (L.N.R.); Research Unit of Epidemiology, Biostatistics and Biodemography, Department of Public Health, University of Southern Denmark, Odense, Denmark (U.H.); Department of Occupational Medicine, University Research Clinic, Danish Ramazzini Centre Goedstrup Hospital, Herning, Denmark (D.H.C.); Department of Clinical Medicine, Health, Aarhus University, Aarhus, Denmark (D.H.C.); Center for Health and Nursing Research, Research, Regional Hospital Central Jutland, Viborg, Denmark (D.H.C.); Department of Public Health, Center for Maritime Health and Society, University of Southern Demark. Esbjerg, Denmark (K.H.); University research Clinic, Elective Surgery Centre, Silkeborg Regional Hospital, Silkeborg, Denmark (H.K.); Research Unit for Exercise Epidemiology (EXE), Department of Sports Science and Clinical Biomechanics (IOB), University of Southern Denmark, Odense M, Denmark (H.K.); and Hospital South West Jutland, University Hospital of Southern Denmark, Esbjerg, Denmark (G.B.-B.).
出版信息
J Occup Environ Med. 2024 Sep 1;66(9):772-778. doi: 10.1097/JOM.0000000000003157. Epub 2024 May 28.
BACKGROUND
Fishers are at risk of back disorders due to their physically demanding work. The aim was to investigate risk factors for back disorders in fishers in Denmark.
METHODS
All male Danish registered fishers between 1994 and 2017 were included. ICD-10 codes classified back disorders (M40-M54* and DM99.1-4*). A multistate model on a cause-specific cox regression model was conducted.
RESULTS
Of 13,165 fishers included, 16% had a hospital contact with an incident back disorder, and 52% at least had 1 recurrent episode. Having worked in another occupation (HR 1.14; 95% CI: 1.02, 1.27) and another musculoskeletal disorder (HR 1.84; 95% CI: 1.69, 2.01) were significant risk factors for the incident back disorder. No risk factors were seen for recurrent episodes.
CONCLUSIONS
Risk factors for incident and recurrent back disorders were different; thus, episode-specific initiatives are needed to reduce back disorders among fishers.
背景
渔民由于工作性质对体力要求较高，因此面临腰背疾病的风险。本研究旨在探讨丹麦渔民腰背疾病的危险因素。
方法
纳入 1994 年至 2017 年间所有丹麦注册男性渔民。ICD-10 编码分类腰背疾病（M40-M54* 和 DM99.1-4*）。采用多状态模型进行基于特定病因的 Cox 回归模型分析。
结果
共纳入 13165 名渔民，16%的渔民曾因腰背疾病住院治疗，52%的渔民至少有一次复发。从事其他职业（HR 1.14；95%CI：1.02，1.27）和其他肌肉骨骼疾病（HR 1.84；95%CI：1.69，2.01）是腰背疾病发生的显著危险因素。复发与任何危险因素无关。
结论
腰背疾病发生和复发的危险因素不同，因此需要针对不同的发病情况采取相应的措施来降低渔民腰背疾病的发生率。
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