Liu N, Ma W D, Ning Q
Shandong First Medical University (Shandong Academy of Medical Sciences), Shandong Academy of Occupational Health and Occupational Medicine, Jinan 250062, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2025 Jul 20;43(7):523-528. doi: 10.3760/cma.j.cn121094-20240403-00138.
To systematically evaluate the incidence of low back pain (LBP) and analyze its main influencing factors among automobile manufacturing workers in China. In March 2024, literatures related to LBP of workers in the automotive manufacturing industry were retrieved from China National Knowledge Infrastructure (CNKI) , VIP China Science and Technology Journal Database, Wanfang Database, PubMed, and Web of Science Database. The search time range was from the establishment of the database to March 2024, and the literature was screened according to the inclusion and exclusion criteria. After evaluating the quality of the article using the quality evaluation criteria recommended by the Agency for Healthcare Research and Quality in the United States, Stata 17.0 software was used for analysis. Random effects models or fixed effects models were selected based on the degree of heterogeneity to calculate the combined effect size, and subgroup analysis and analysis of influencing factors of LBP were conducted. A total of 16 articles were included, with a total sample size of 22245 people. The literature quality score ranged from 6 to 8 points. The results of the Meta-analysis showed that the incidence of LBP among automobile manufacturing workers in China was 32% (95%: 22%, 42%) . The results of subgroup analysis showed that the incidence of LBP among automotive manufacturing workers aged ≥30 years was 39% (95%: 22%, 57%) , which was higher than that among automotive manufacturing workers aged <30 years (24%, 95%: 17%, 32%) . The incidence of LBP among automotive manufacturing workers with a length of service of ≥5 years was 40% (95%: 23%, 56%) , which was higher than that among automotive manufacturing workers with a length of service of <5 years (24%, 95%: 16%, 33%) . The incidence of LBP reported from 2011 to 2017 (39%, 95%: 18%, 60%) was higher than that from 2018 to 2023 (28%, 95%: 20%, 36%) . Working in an uncomfortable posture (=3.72, 95%: 2.05, 6.77) , standing for a long time while working (=1.97, 95%: 1.61, 2.42) , carrying heavy objects (=1.93, 95%: 1.63, 2.30) , bending over while working (=1.86, 95%: 1.60, 2.17) and frequent overtime work (=2.38, 95%: 1.44, 3.92) were both risk factors for LBP among workers in the automotive manufacturing industry (<0.05) , while sufficient rest time (=0.55, 95%: 0.48, 0.63) was a protective factor (<0.05) . The incidence of LBP among workers in China's automotive manufacturing industry is relatively high. Working in an uncomfortable posture, standing for a long time, carrying heavy objects, bending over for work, frequent overtime work and sufficient rest time are the influencing factors of LBP among workers in the automotive manufacturing industry. Preventive measures should be actively taken in response to the above influencing factors to effectively reduce the incidence of LBP among workers in China's automotive manufacturing industry.
系统评价我国汽车制造工人中腰痛(LBP)的发生率,并分析其主要影响因素。2024年3月,从中国知网(CNKI)、维普中文科技期刊数据库、万方数据库、PubMed及Web of Science数据库检索汽车制造业工人LBP相关文献。检索时间范围为各数据库建库至2024年3月,按照纳入与排除标准对文献进行筛选。采用美国医疗保健研究与质量机构推荐的质量评价标准对文献质量进行评价后,使用Stata 17.0软件进行分析。根据异质性程度选择随机效应模型或固定效应模型计算合并效应量,并进行亚组分析及LBP影响因素分析。共纳入16篇文献,总样本量为22245人。文献质量得分在6至8分之间。Meta分析结果显示,我国汽车制造工人中LBP的发生率为32%(95%CI:22%,42%)。亚组分析结果显示,年龄≥30岁的汽车制造工人中LBP的发生率为39%(95%CI:22%,57%),高于年龄<30岁的汽车制造工人(24%,95%CI:17%,32%)。工龄≥5年的汽车制造工人中LBP的发生率为40%(95%CI:23%,56%),高于工龄<5年的汽车制造工人(24%,95%CI:16%,33%)。2011至2017年报告的LBP发生率(39%,95%CI:18%,60%)高于2018至2023年(28%,95%CI:20%,36%)。工作姿势不舒服(OR = 3.72,95%CI:2.05,6.77)、工作时长时间站立(OR = 1.97,95%CI:1.61,2.42)、搬运重物(OR = 1.93,95%CI:1.63,2.30)、工作时弯腰(OR = 1.86,95%CI:1.60,2.17)及频繁加班(OR = 2.38,95%CI:1.44,3.92)均为汽车制造业工人LBP的危险因素(P<0.05),而充足的休息时间(OR = 0.55,95%CI:0.48,0.63)为保护因素(P<0.05)。我国汽车制造业工人中LBP的发生率较高。工作姿势不舒服、长时间站立、搬运重物、弯腰工作、频繁加班及充足的休息时间是汽车制造业工人LBP的影响因素。应针对上述影响因素积极采取预防措施,以有效降低我国汽车制造业工人中LBP的发生率。