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报社员工与工作相关的肌肉骨骼疾病的工作任务和社会心理风险因素

Job task and psychosocial risk factors for work-related musculoskeletal disorders among newspaper employees.

作者信息

Bernard B, Sauter S, Fine L, Petersen M, Hales T

机构信息

National Institute for Occupational Safety and Health, Division of Surveillance, Hazard Evaluations, and Field Studies, Cincinnati, Ohio 45226.

出版信息

Scand J Work Environ Health. 1994 Dec;20(6):417-26. doi: 10.5271/sjweh.1379.

Abstract

OBJECTIVES

A cross-sectional study was conducted to assess the association of upper extremity musculoskeletal disorders and work-related factors among employees using video display terminals at a large metropolitan newspaper.

METHODS

The study included 1050 randomly selected workers from four departments. The workers were asked to complete questionnaires on symptoms, job tasks, and psychosocial and work organization conditions. Musculoskeletal disorders of the upper extremities were defined by frequency, duration, and intensity of symptoms not attributable to acute injury. Data were analyzed with the use of logistic regression.

RESULTS

A total of 973 workers completed the survey. The one-year period prevalence rate for any musculoskeletal disorder of the upper extremities was 41%. Neck symptoms (26%) were the most frequently reported, followed by hand or wrist (22%), shoulder (17%), and elbow (10%) symptoms. Greater time working at the video display station was associated with increased hand or wrist symptoms in a dose-response relationship. In addition, variables corresponding to increased work-load demands (eg, increased time working under deadline and increased job pressure) were associated with increased neck, shoulder, and hand or wrist disorders. Women were more likely to report symptoms in several areas, but this finding may reflect the concentration of women in jobs involving more risk factors.

CONCLUSIONS

The results suggest a high prevalence of musculoskeletal disorders of the upper extremities among newspaper employees, and they provide additional evidence that increased work load, time pressure, and greater hours of computer use are related to the occurrence of work-related musculoskeletal disorders among these workers, particularly for disorders in the hand or wrist area.

摘要

目的

开展一项横断面研究,以评估一家大型都市报纸中使用视频显示终端的员工上肢肌肉骨骼疾病与工作相关因素之间的关联。

方法

该研究纳入了从四个部门随机选取的1050名员工。要求这些员工填写关于症状、工作任务以及心理社会和工作组织状况的问卷。上肢肌肉骨骼疾病由非急性损伤所致症状的频率、持续时间和强度来定义。使用逻辑回归分析数据。

结果

共有973名员工完成了调查。上肢任何肌肉骨骼疾病的一年期患病率为41%。颈部症状(26%)是最常报告的,其次是手部或腕部(22%)、肩部(17%)和肘部(10%)症状。在视频显示工位工作的时间越长,手部或腕部症状增加,呈剂量反应关系。此外,与工作负荷需求增加相关的变量(例如,在截止日期下工作时间增加和工作压力增大)与颈部、肩部以及手部或腕部疾病增加相关。女性在多个部位更有可能报告症状,但这一发现可能反映了女性集中在涉及更多风险因素的工作岗位上。

结论

结果表明报纸员工上肢肌肉骨骼疾病的患病率较高,并且提供了更多证据,即工作负荷增加、时间压力以及更长时间的计算机使用与这些员工中与工作相关的肌肉骨骼疾病的发生有关,尤其是手部或腕部区域的疾病。

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