Geto Abebe Kassa, Berhanu Leykun, Berihun Gete, Daba Chala, Desye Belay
Department of Public Health, College of Health Sciences, Woldia University, Woldia, Ethiopia.
Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
BMC Musculoskelet Disord. 2025 Aug 2;26(1):744. doi: 10.1186/s12891-025-08967-4.
Low back pain, one of the musculoskeletal disorders is among the major global public health problems and contributors to disability and workers' absence in occupational areas which certainly disrupts work productivity and the expected results. Though various studies investigated low back pain, the results were inconsistent and inconclusive enough, and there is no representative data in low- and middle-income countries on this public health concern. This in turn hinders the efforts of various intervention activities. Therefore, this systematic review and meta-analysis was conducted to determine the pooled prevalence of low back pain and its associated factors among weavers of low- and middle-income countries.
All the relevant articles were retrieved from databases such as PubMed/MEDLINE, CINAHL, LIVIVO, African Journals Online, African Index Medicus (AIM), HINARI, Science Direct, Web of Science, Cochrane Library, Google Scholar, Semantic Scholar, and Google. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guideline was followed for this study. The extracted data were analyzed using STATA 17 software. With a 95% confidence interval, this meta-analysis with the random-effects model was conducted to determine the pooled prevalence. RESULT: A total of twenty articles with 7211 study participants were included in this meta-analysis. The pooled prevalence of low back pain was 55.81%. Age, working in a chair with no back support, working in an uncomfortable posture, work experience, and job stress were the factors significantly associated with low back pain.
A high prevalence of low back pain among weavers in low-and middle-income countries was registered. This indicates the need to take effective intervention measures. Rigorous provision of ergonomic training, providing lengthy breaks, improving workplace ergonomic design, and increasing job satisfaction are recommended.
腰背痛是肌肉骨骼疾病之一，是全球主要的公共卫生问题，也是职业领域导致残疾和员工缺勤的原因，这无疑会扰乱工作效率和预期成果。尽管多项研究对腰背痛进行了调查，但结果并不一致且缺乏定论，而且中低收入国家在这一公共卫生问题上没有代表性数据。这反过来又阻碍了各种干预活动的开展。因此，开展了这项系统评价和荟萃分析，以确定中低收入国家织工中腰背痛的合并患病率及其相关因素。
从PubMed/MEDLINE、CINAHL、LIVIVO、非洲在线期刊、非洲医学索引（AIM）、HINARI、Science Direct、科学网、考克兰图书馆、谷歌学术、语义学者和谷歌等数据库中检索所有相关文章。本研究遵循系统评价和荟萃分析的首选报告项目（PRISMA）指南。使用STATA 17软件对提取的数据进行分析。采用随机效应模型进行这项荟萃分析，以95%置信区间确定合并患病率。
本荟萃分析共纳入20篇文章，涉及7211名研究参与者。腰背痛的合并患病率为55.81%。年龄、在没有靠背的椅子上工作、以不舒服的姿势工作、工作经验和工作压力是与腰背痛显著相关的因素。
中低收入国家织工中腰背痛的患病率较高。这表明需要采取有效的干预措施。建议严格提供人体工程学培训、提供较长的休息时间、改善工作场所的人体工程学设计以及提高工作满意度。
