Gopika P M, Sasi Silpa T, Olickal Jeby J, Thankappan Kavumpurathu R
Public Health, Amrita Institute of Medical Sciences, Kochi, IND.
Community Medicine, Amrita Institute of Medical Sciences, Kochi, IND.
Cureus. 2024 Sep 26;16(9):e70254. doi: 10.7759/cureus.70254. eCollection 2024 Sep.
Literature on the prevalence of musculoskeletal disorders (MSD), work ability, and associated factors among dentists is limited. Therefore, this study aimed to determine the prevalence of MSD, work ability, and associated factors among dentists in Kerala, India.
This cross-sectional study was conducted among 290 dentists (median age: 34 years, 47% male), selected from a list of dentists in a district of Kerala. Information on MSD and work ability were collected using a structured, pre-tested questionnaire administered both online and through direct interviews. Factors associated with MSD were analyzed using multivariable regression analysis.
The prevalence of MSD in the past 12 months was 86.9% (95% CI: 83.1 - 90.9), and in the past seven days was 42.4% (95% CI: 36.7 - 48.08). Among those reporting MSD in the last 12 months, 21.4% experienced it in two sites. Of the nine regions assessed, the neck was the most affected over the past 12 months, with 57.6% reporting discomfort, while the lower back was the most affected in the last seven days (21.4%). Work ability was rated as excellent by 24.5% of participants and good by 51.7%. In the regression analysis, no significant association was found between socioeconomic factors and MSD during either time period. However, bivariate analysis showed that dentists who were overweight and those aged 34 years or older reported significantly more knee-related MSD in the past seven days (p=0.033 and p=0.037, respectively).
Despite the high prevalence of MSD among dentists, more than three-fourths reported good or excellent work ability. Implementing mandatory ergonomic assessments and interventions in dental workplaces may help reduce MSD among dentists.
关于牙科医生肌肉骨骼疾病(MSD)的患病率、工作能力及相关因素的文献有限。因此,本研究旨在确定印度喀拉拉邦牙科医生中MSD的患病率、工作能力及相关因素。
本横断面研究对从喀拉拉邦一个地区的牙科医生名单中选取的290名牙科医生(中位年龄:34岁,47%为男性)进行。使用经过预测试的结构化问卷通过在线和直接访谈收集有关MSD和工作能力的信息。采用多变量回归分析来分析与MSD相关的因素。
过去12个月MSD的患病率为86.9%(95%置信区间:83.1 - 90.9),过去七天的患病率为42.4%(95%置信区间:36.7 - 48.08)。在过去12个月报告有MSD的人中,21.4%在两个部位出现该疾病。在评估的九个区域中,过去12个月颈部受影响最大,57.6%报告有不适,而过去七天下背部受影响最大(21.4%)。24.5%的参与者将工作能力评为优秀,51.7%评为良好。在回归分析中,两个时间段内社会经济因素与MSD之间均未发现显著关联。然而,双变量分析显示,超重的牙科医生和34岁及以上的牙科医生在过去七天报告的与膝盖相关的MSD显著更多(分别为p = 0.033和p = 0.037)。
尽管牙科医生中MSD的患病率很高,但超过四分之三的人报告工作能力良好或优秀。在牙科工作场所实施强制性的人体工程学评估和干预措施可能有助于减少牙科医生中的MSD。