Thelin A, Jansson B, Jacobsson B, Ström H
Karolinska Institute, Department of Stress Research, Stockholm, Sweden.
Am J Ind Med. 1997 Nov;32(5):497-501. doi: 10.1002/(sici)1097-0274(199711)32:5<497::aid-ajim9>3.0.co;2-p.
The purpose of this case-referent study was to analyze the association between coxarthrosis and occupation. The study was performed in a Swedish agricultural county and comprised 269 cases of radiologically verified arthrosis of osteoarthritis (< 3 mm joint space) that were compared to 538 randomly selected controls in the same region, matched for age, sex, and place of residence. Farmers and agricultural workers showed an increased risk of coxarthrosis and the observed risk increased with increasing number of years of farming. Tractor driving and milking were associated with coxarthrosis, whereas no association with other types of machine work could be demonstrated. An association between coxarthrosis and heavy physical work before the age of 16 years was also observed. The results give only limited information on the external causes of coxarthrosis, however. More detailed studies of groups of individuals with coxarthrosis in order to obtain more information about contributing and underlying factors would therefore be valuable.
这项病例对照研究的目的是分析髋关节病与职业之间的关联。该研究在瑞典一个农业县进行，纳入了269例经放射学证实的骨关节炎性关节病（关节间隙<3毫米）患者，并与同一地区随机选取的538名对照进行比较，这些对照在年龄、性别和居住地点上进行了匹配。农民和农业工人患髋关节病的风险增加，且观察到的风险随着务农年限的增加而增加。驾驶拖拉机和挤奶与髋关节病有关，而未发现与其他类型的机械工作有关联。还观察到16岁之前从事重体力劳动与髋关节病之间存在关联。然而，这些结果仅提供了关于髋关节病外部病因的有限信息。因此，对髋关节病患者群体进行更详细的研究以获取更多关于促成因素和潜在因素的信息将是有价值的。
