Health status and health-related quality of life of municipal waste collection workers - a cross-sectional survey
Health status and health-related quality of life of municipal waste collection workers - a cross-sectional survey
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DOI：
10.1186/s12995-015-0065-6
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发表时间：
2015-07-08
影响因子：
3
通讯作者：
Preisser, Alexandra Marita
中科院分区：
文献类型：
--
作者：
Garrido, Marcial Velasco;Bittner, Cordula;Preisser, Alexandra Marita
背景：垃圾收集工人暴露于几种可能影响其生活质量的职业压力源。我们的目的是评估德国一个大城市的城市垃圾收集工人的健康状况和健康相关生活质量（HRQoL）。方法：采用横断面研究方法，对自愿参加研究的汉堡市卫生部门工作人员65人（男62人，女3人）进行非随机抽样。我们评估了报告的健康投诉和健康问题的流行程度。采用自填EQ-5D-5L问卷及其视觉模拟量表（VAS）评估HRQoL。结果：最常见的健康问题是肌肉骨骼疾病（背部疼痛占67.2%，其他肌肉骨骼疾病占15.4%）。15.4%的工人报告患有哮喘或慢性阻塞性肺疾病。所有被诊断为哮喘或慢性阻塞性肺病的参与者都曾经是或曾经是活跃的吸烟者。我们的研究结果表明，在被调查的职业群体中，HRQoL受损。关于EQ-5D， 68.3%的人报告在一个或多个维度上至少有“轻微”问题，几乎三分之一（31.7%）的人报告在任何维度上“没有问题”。最常见的问题是“疼痛/不适”（64.1%的工人）。平均VAS评分为80.9（13.2）。背部疼痛的存在与HRQoL的限制相关（RR 3.1; 95% -CI 1.5-6.1）。有腰痛的垃圾收集者的EQ5D VAS评分（77.9 SD 14.1）低于无腰痛的垃圾收集者（88.0 SD 7.6, p < 0.01）。结论：背部投诉在城市垃圾收集者中很常见，并与他们的HRQoL的相当大的损害有关。为了减少背部抱怨和提高这一职业群体的HRQoL，需要加强人体工程学工作的干预措施。
Background: Waste collection workers are exposed to several occupational stressors which may affect their quality of life. Our aim was to assess the health status and health-related quality of life (HRQoL) of municipal waste collection workers of a big German city.Methods: Cross-sectional study with a non-random sample of 65 (62 male, 3 female) workers of the Hamburg sanitation department, volunteering to participate in the study. We assessed the prevalence of reported health complaints and health problems. HRQoL was assessed with the self-administered EQ-5D-5L questionnaire and its visual analogue scale (VAS).Results: The most common health problems were musculoskeletal complaints (back pain reported by 67.2 %, other musculoskeletal complaints 15.4 %). Asthma or chronic obstructive pulmonary disease (COPD) was reported by 15.4 % of the workers. All participants reporting having a diagnosis of asthma or COPD had been or were active smokers. Our findings indicate an impaired HRQoL among the investigated occupational group. Regarding EQ-5D 68.3 % reported at least "slight" problems in one or more dimensions, and almost one third (31.7 %) reported "no problems" in any dimension. Problems were most frequently reported in the dimension "pain/discomfort" (64.1 % of the workers). The mean VAS value was 80.9 (13.2). The presence of back pain was associated with limitations in HRQoL (RR 3.1; 95 %-CI 1.5-6.1). The EQ5D VAS score was statistically significantly lower among waste collectors with back pain (77.9 SD 14.1) compared to those with no back complaints (88.0 SD 7.6, p < 0.01).Conclusions: Back complaints are common among municipal waste collectors and are associated with considerable impairments in their HRQoL. Interventions to enhance ergonomic work are needed in order to reduce back complaints and enhance HRQoL in this occupational group.