Chen S Q, Tang C, Yao Y, Lu B F, Mei Y, Chen Z L
Physical Examination Center of Wuhan Prevention and Treatment Center for Occupational Diseases, Wuhan 430015, China Hubei Province Key Laboratory of Occupational Hazard Identifcation and Control, Wuhan 430065, China.
Department of Nuclear Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China First School of Clinical Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2025 Jul 20;43(7):498-503. doi: 10.3760/cma.j.cn121094-20240305-00083.
To explore the effects of workload factors and social psychological factors on work-related musculoskeletal disorders (WMSDs) , construct a preventive decision-assisted ensemble learning model, and propose screening methods with clinical significance. In October 2022, 1071 workers from optoelectronic enterprises were selected as the research subjects by cluster sampling method. The general situation of workers, workload factors, social psychological factors and the occurrence of WMSDs were collected by using questionnaires. logistic regression, Extreme Gradient Boosting (XGBoost) , ensemble learning and classification chain model were adopted to explore the key factors influencing WMSDs, and the area under curve (AUC) was used to evaluate the model performance. The incidence of WMSDs among workers in optoelectronic enterprises in the past year was 47.7% (511/1071) , among which the incidence of multi-site WMSDs was 54.4% (278/511) . logistic regression analysis showed that prolonged sitting, personnel shortage and forward neck tilt were risk factors for the occurrence of WMSDs in workers (<0.05) . XGBoost identified the key social psychological factors influencing WMSDs as low mood, mental tension, perceived happiness level, psychological calmness and tranquility. The integrated classification chain model based on the ordered label order had certain efficacy (AUC>0.7) when analyzing WMSDs at the neck, waist, shoulder, back, elbow and hip positions. Workload factors are the main risk factors for the occurrence of WMSDs among workers in optoelectronic enterprises, and social psychological factors also have potential influences. The construction of a classification chain model can accurately identify the occurrence of WMSDs in multiple parts. The alternating prevention strategy of workload factors and social psychological factors has important public health significance.
为探讨工作量因素和社会心理因素对工作相关肌肉骨骼疾病(WMSDs)的影响,构建预防性决策辅助集成学习模型,并提出具有临床意义的筛查方法。2022年10月,采用整群抽样法选取1071名光电企业工人作为研究对象。通过问卷调查收集工人的一般情况、工作量因素、社会心理因素以及WMSDs的发生情况。采用逻辑回归、极端梯度提升(XGBoost)、集成学习和分类链模型探讨影响WMSDs的关键因素,并使用曲线下面积(AUC)评估模型性能。光电企业工人过去一年中WMSDs的发生率为47.7%(511/1071),其中多部位WMSDs的发生率为54.4%(278/511)。逻辑回归分析显示,长时间坐着、人员短缺和颈部前倾是工人发生WMSDs的危险因素(<0.05)。XGBoost确定影响WMSDs的关键社会心理因素为情绪低落、精神紧张、感知幸福水平、心理平静和安宁。基于有序标签顺序的集成分类链模型在分析颈部、腰部、肩部、背部、肘部和髋部位置的WMSDs时具有一定疗效(AUC>0.7)。工作量因素是光电企业工人发生WMSDs的主要危险因素,社会心理因素也有潜在影响。构建分类链模型可以准确识别多个部位WMSDs的发生情况。工作量因素和社会心理因素的交替预防策略具有重要的公共卫生意义。