建筑工人背痛发生率的重新分析：对繁重体力劳动、早期背部事故和衰老的相互依存效应进行建模
Reanalysis of the occurrence of back pain among construction workers: modelling for the interdependent effects of heavy physical work, earlier back accidents, and aging.
作者信息
Nurminen M
机构信息
Department of Epidemiology and Biostatistics, Finnish Institute of Occupational Health, Helsinki, Finland.
出版信息
Occup Environ Med. 1997 Nov;54(11):807-11. doi: 10.1136/oem.54.11.807.
OBJECTIVES
To re-examine the relation between heavy physical work and the occurrence of sciatic pain among construction workers reported previously to be absent in an epidemiological study. METHODS-Poisson log linear regression was used to model for the frequency of sciatic pain among concrete reinforcement workers and maintenance house painters with adjustment for the interactive effects of earlier back accidents and aging that modified the relation.
RESULTS
Concrete reinforcement work not only had a direct effect on the frequency of sciatic pain, but it also contributed significantly to the risk indirectly through earlier back accidents. The risk of sciatic pain increased from age 25 to 54 in a different manner for a worker depending on his occupational group and record of back accidents.
CONCLUSIONS
Epidemiological studies on low back pain need to be analysed with sound methodology. This is important in view of future meta-analyses that will be performed for the purpose of providing guidelines on the prevention of back disorders in heavy physical work.
目的
重新审视繁重体力劳动与建筑工人坐骨神经痛发生之间的关系，此前一项流行病学研究报告称二者不存在关联。方法——采用泊松对数线性回归模型，对混凝土钢筋工和房屋维修油漆工的坐骨神经痛发生频率进行建模，并对早期背部事故和年龄的交互作用进行调整，这些因素改变了二者之间的关系。
结果
混凝土钢筋工作不仅对坐骨神经痛的发生频率有直接影响，还通过早期背部事故间接显著增加了患病风险。根据职业群体和背部事故记录，25岁至54岁的工人患坐骨神经痛的风险增长方式各不相同。
结论
对腰痛的流行病学研究需要采用合理的方法进行分析。鉴于未来将进行荟萃分析以提供繁重体力劳动中背部疾病预防指南，这一点很重要。
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