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马哈拉施特拉邦潘韦尔分区认可的社会健康活动家(ASHA)中腰痛患病率及残疾情况的调查

A Survey on the Prevalence of Low Back Pain and the Disability in Accredited Social Health Activists (ASHA) in Panvel Division of Maharashtra.

作者信息

Rothe Trupti S, Dabholkar Tejashree A

机构信息

Intern, TMV's Lokmanya Tilak College of Physiotherapy, Kharghar, Navi Mumbai, Maharashtra, India.

Department of Kinesiotherapy and Physical Diagnosis, TMV's Lokmanya Tilak College of Physiotherapy, Kharghar, Navi Mumbai, Maharashtra, India.

出版信息

Indian J Occup Environ Med. 2025 Apr-Jun;29(2):151-153. doi: 10.4103/ijoem.ijoem_108_24. Epub 2025 Jun 13.

Abstract

BACKGROUND

People with low back pain (LBP) frequently experience diminished productivity. Long-term, poor physical health, mental health issues, repetitive lifting of heavy objects, and prolonged movement repetition are all thought to be contributing factors to low back pain. An Accredited Social Health Activist (ASHA) is a woman who serves as a vital liaison between public health and the local community. ASHA provides health, birth planning, safe childbirth, and breastfeeding counseling to rural women and conducts civil registration. The study seeks to determine the substantial occurrence of low back pain and its disability in ASHA, given their susceptibility to work-related musculoskeletal low back pain.

METHODOLOGY

This cross-sectional study was carried out in Maharashtra's Urban Public Health Centers (UPHCs). Interviews were conducted with 113 ASHA who had a normal Body Mass Index (BMI), at least a year of work experience, and no history of significant neurological or musculoskeletal disorders or injuries. We collected demographic information. To screen for LBP, the Nordic Musculoskeletal Questionnaire (NMQ) was used. The Oswestry Disability Index (ODI) was then used to assess disability. In addition, a self-structured questionnaire was administered. Descriptive analysis was done using Microsoft Excel.

RESULTS

Out of 113 participants, 88.5% had LBP. Mild disability was seen in 57% of participants and 42% had moderate disability, with 1% of no disability.

CONCLUSION

The responsibilities of the job put ASHA at higher risk of lower back pain. Mild disability is the most common type of disability, followed by moderate disability.

摘要

背景

腰痛患者经常出现生产力下降的情况。长期的身体健康不佳、心理健康问题、反复搬运重物以及长时间重复动作都被认为是导致腰痛的因素。经认可的社会健康活动家(ASHA)是一名女性,她是公共卫生与当地社区之间至关重要的联络人。ASHA为农村妇女提供健康、计划生育、安全分娩和母乳喂养咨询,并进行民事登记。鉴于她们易患与工作相关的肌肉骨骼性腰痛,该研究旨在确定ASHA中腰痛及其残疾的实际发生率。

方法

这项横断面研究在马哈拉施特拉邦的城市公共卫生中心(UPHCs)开展。对113名身体质量指数(BMI)正常、至少有一年工作经验且无重大神经或肌肉骨骼疾病或损伤史的ASHA进行了访谈。我们收集了人口统计学信息。使用北欧肌肉骨骼问卷(NMQ)筛查腰痛。然后使用奥斯威斯利残疾指数(ODI)评估残疾情况。此外,还发放了一份自行设计的问卷。使用微软Excel进行描述性分析。

结果

在113名参与者中,88.5%有腰痛。57%的参与者有轻度残疾,42%有中度残疾,1%无残疾。

结论

该工作的职责使ASHA面临更高的腰痛风险。轻度残疾是最常见的残疾类型,其次是中度残疾。

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