Risk factors for generally reduced productivity -: a prospective cohort study of young adults with neck or upper-extremity musculoskeletal symptoms
Risk factors for generally reduced productivity -: a prospective cohort study of young adults with neck or upper-extremity musculoskeletal symptoms
复制标题
DOI：
10.5271/sjweh.1218
复制
发表时间：
2008-04-01
影响因子：
6.3
通讯作者：
Hagberg, Mats
中科院分区：
文献类型：
--
作者：
Bostrom, Maria;Dellve, Lotta;Hagberg, Mats
目的前瞻性评估青少年颈部或上肢肌肉骨骼症状的个体状况和在工作和休闲时间使用电脑的重要性，作为自我报告的一般生产力下降的危险因素。方法对2914名年轻人(18-25岁、职业学校和大学生)进行网上问卷调查，内容涉及可能影响一般生产力的个人状况和在学校或工作和休闲时间使用电脑。结果入选研究样本(N=1051)有颈部或上肢症状。在基准线上，其中280人报告生产率下降。一年后，对771名报告生产率没有下降的人进行了跟踪调查。那些随访者自我报告的生产力普遍下降的危险因素是上背部或颈部以及肩部、手臂、手腕或手的两个或三个位置或维度的症状[PR 2.30，95%可信区间(95%CI)1.40-3.78]，肩膀、手臂、手腕或手持续超过90天的症状(PR 2.50，95%CI 1.12-5.58)，肩膀、手臂、手腕或手的当前症状(PR 1.78，95%可信区间1.10~2.90)，闲暇时间使用电脑8~14小时(PR 2.32，95%可信区间1.20~4.47)。如果存在三个或四个风险因素，则发现更强的相关性。在女性中，普遍的生产力降低与上肢普遍和当前的症状之间存在关系。结论本研究中，青壮年由于肌肉骨骼症状导致生产力普遍降低的主要危险因素是上肢的慢性症状和颈部和上肢的广泛症状。
Objectives This study prospectively assessed the importance of individual conditions and computer use during school or work and leisure time as risk factors for self-reported generally reduced productivity due to musculoskeletal complaints among young adults with musculoskeletal symptoms in the neck or upper extremities.Methods A cohort of 2914 young adults (18-25 years, vocational school and college or university students) responded to an internet-based questionnaire concerning musculoskeletal symptoms related to individual conditions and computer use during school or work and leisure time that possibly affected general productivity. Prevalence ratios (PR) were used to assess prospective risk factors for generally reduced productivity.Results The selected study sample (N=1051) had reported neck or upper-extremity symptoms. At baseline, 280 of them reported reduced productivity. A follow-up of the 771 who reported no reduced productivity was carried out after I year. Risk factors for self-reported generally reduced productivity for those followed-up were symptoms in two or three locations or dimensions for the upper back or neck and the shoulders, arms, wrists, or hands [PR 2.30, 95% confidence interval (95% CI) 1.40-3.78], symptoms persisting longer than 90 days in the shoulders, arms, wrists, or hands (PR 2.50, 95% CI 1.12-5.58), current symptoms in the shoulders, arms, wrists, or hands (PR 1.78, 95% CI 1.10-2.90) and computer use 8-14 hours/week during leisure time (PR 2.32, 95% CI 1.20-4.47). A stronger relationship was found if three or four risk factors were present. For women, a relationship was found between generally reduced productivity and widespread and current symptoms in the upper extremities.Conclusions The main risk factors for generally reduced productivity due to musculoskeletal symptoms among young adults in this study were chronic symptoms in the upper extremities and widespread symptoms in the neck and upper extremities.