Bjerkedal T, Wergeland E
Institutt for forebyggende medisin, Universitetet i Oslo.
Tidsskr Nor Laegeforen. 1995 Nov 20;115(28):3522-7.
Altogether 9,516 women, 16-67 years of age, were granted a disability pension in Norway in 1993. Musculoskeletal disease was registered as the main diagnosis for 3,730. Employment status is known for 3,125 of these 3,730 women. Analyses, based on age standardized incidence rates--SIR's, pointed to shop assistants, practical nurses and charladies as the three major occupational groups with high risk of being disability pensioned because of musculoskeletal disease. These three occupations accounted for more than one third of all women in paid employment who were granted a disability pension for musculoskeletal disease 1993. Compensation will amount to about NOK 600 million before these women reach the normal retirement age of 67 years. Prevention of musculoskeletal diseases in the labour force would appear to be potentially cost-effective. So far, prevention of work-related musculoskeletal diseases has focused mainly on the technical ergonomic aspects of the working conditions. It is recommended that more attention be given to organizational aspects, such as daily hours of work, the timing and duration of breaks, work pace and potential to influence one's own work situation.
1993年,挪威共有9516名年龄在16至67岁之间的女性获得了残疾抚恤金。肌肉骨骼疾病被登记为3730人的主要诊断疾病。在这3730名女性中,有3125人的就业状况已知。基于年龄标准化发病率(SIR)的分析指出,商店售货员、实习护士和女清洁工是因肌肉骨骼疾病而有高残疾抚恤金风险的三大职业群体。这三种职业占1993年因肌肉骨骼疾病获得残疾抚恤金的所有在职女性的三分之一以上。在这些女性达到67岁的正常退休年龄之前,赔偿金额将达到约6亿挪威克朗。预防劳动力中的肌肉骨骼疾病似乎具有潜在的成本效益。到目前为止,与工作相关的肌肉骨骼疾病的预防主要集中在工作条件的技术人体工程学方面。建议更多地关注组织方面,如每日工作时间、休息时间和时长、工作节奏以及影响自身工作状况的可能性。