Cultural differences in musculoskeletal symptoms and disability.
Cultural differences in musculoskeletal symptoms and disability.
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肌肉骨骼症状和残疾的文化差异。
DOI：
10.1093/ije/dyn085
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发表时间：
2008-10
影响因子：
7.7
通讯作者：
Coggon D
中科院分区：
文献类型：
--
作者：
Madan I;Reading I;Palmer KT;Coggon D
比较在不同文化背景下从事类似体育活动的工人群体中常见肌肉骨骼症状和相关残疾的患病率。我们在印度孟买和英国的工厂和办公室进行了横断面调查。对三组经常使用电脑键盘的办公室工作人员（165名印度人、67名印度次大陆裔英国人和172名英国白人）和三组用手或手臂进行重复性体力劳动的工作人员（178名印度人、73名印度次大陆裔英国人和159名英国白人）进行了一份关于症状、残疾和风险因素的问卷调查。采用修正Cox回归计算职业组症状和残疾患病率的风险比（hr），并根据性别、年龄、心理健康和工作满意度的差异进行调整。报告的职业活动在三组办公室工作人员（频繁使用键盘）和三组体力劳动者（频繁运动手腕或手指，弯曲肘部，双手高于肩高和颈部扭曲）中相似。与印度体力劳动者相比，其他五个职业群体中背部、颈部和手臂疼痛的患病率要高得多。在过去一年中，英国白人体力劳动者（HR 17.8, 95%CI 5.4-59.1）和印度次大陆血统的英国体力劳动者（HR 20.5, 95%CI 5.7-73.1）的手臂疼痛持续50 - 30天，差异最大。印度办公室职员手腕和手部疼痛的发生率低于英国办公室职员。只有1%的印度体力劳动者和16%的印度办公室工作者听说过“重复性劳动”或类似的术语，而英国的这一比例为80%。我们的研究结果支持这样的假设，即文化因素，如健康信念和期望，可能对肌肉骨骼症状和残疾有重要影响。如果这是正确的，那么目前对工作场所有害身体活动的控制可能没有从观察流行病学中预测的好处。
To compare the prevalence of common musculoskeletal symptoms and associated disability in groups of workers carrying out similar physical activities in different cultural settings. We conducted a cross-sectional survey at factories and offices in Mumbai, India, and in the UK. A questionnaire about symptoms, disability and risk factors was administered at interview to three groups of office workers who regularly used computer keyboards (165 Indian, 67 UK of Indian sub-continental origin and 172 UK white), and three groups of workers carrying out repetitive manual tasks with the hands or arms (178 Indian, 73 UK of Indian sub-continental origin and 159 UK white). Modified Cox regression was used to calculate hazard ratios (HRs) for the prevalence of symptoms and disability by occupational group, adjusted for differences in sex, age, mental health and job satisfaction. Reported occupational activities were similar in the three groups of office workers (frequent use of keyboards) and in the three groups of manual workers (frequent movements of the wrist or fingers, bending of the elbow, work with the hands above shoulder height, and work with the neck twisted). In comparison with the Indian manual workers, the prevalence of back, neck and arm pain was substantially higher in all of the other five occupational groups. The difference was greatest for arm pain lasting >30 days in the past year in UK white manual workers (HR 17.8, 95%CI 5.4-59.1) and UK manual workers of Indian sub-continental origin (HR 20.5, 95%CI 5.7-73.1). Office workers in India had lower rates of pain in the wrist and hand than office workers in the UK. Only 1% the Indian manual workers and 16% of the Indian office workers had ever heard of “RSI” or similar terms, as compared with 80% of the UK workers. Our findings support the hypothesis that cultural factors such as health beliefs and expectations may have an important influence on musculoskeletal symptoms and disability. If this is correct, current controls on hazardous physical activities in the workplace may not have the benefits that would be predicted from observational epidemiology.
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影响因子：
5.5
作者：
Ryall, C.;Coggon, D.;Palmer, K. T.
通讯作者：
Palmer, K. T.
影响因子：
3.2
作者：
KUORINKA, I;JONSSON, B;JORGENSEN, K
通讯作者：
JORGENSEN, K
影响因子：
5.1
作者：
Palmer, KT;Calnan, M;Coggon, D
通讯作者：
Coggon, D
影响因子：
--
作者：
Buchbinder, R;Jolley, D;Wyatt, M
通讯作者：
Wyatt, M
影响因子：
5.1
作者：
Palmer, KT;Cooper, C;Coggon, D
通讯作者：
Coggon, D