PSYCHOSOCIAL FACTORS AT WORK IN RELATION TO BACK AND LIMB DISORDERS
PSYCHOSOCIAL FACTORS AT WORK IN RELATION TO BACK AND LIMB DISORDERS
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DOI：
10.5271/sjweh.20
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发表时间：
1995-04-01
影响因子：
6.3
通讯作者：
HANNINEN, V
中科院分区：
文献类型：
--
作者：
LEINO, PI;HANNINEN, V
目的：本研究对金属工业工人的工作内容、工作控制、工作中的社会关系、精神过度紧张、体力劳动负荷与颈部、肩部和上肢区域、下背和下肢肌肉骨骼发病率之间的关系进行了为期10年的随访。方法对902名蓝领员工进行抽样调查。通过问卷调查和临床检查每10年进行两次测量。结果在研究开始时，精神过度紧张与症状和结果都有一些联系。在中年男性中，其他社会心理因素与颈部、肩部和上肢以及下肢区域的症状最一致。社会关系和工作内容得分预测了多项发病率得分的变化。这种关联与体力劳动负荷无关。结论在控制年龄、性别、社会阶层和体力劳动负荷的情况下，与工作相关的社会心理因素与肌肉骨骼疾病发生的变化有关，并预测了这些因素的变化。
Objectives This study was a 10-year follow-up of the associations between work content, work control, social relationships at work, mental overstrain, physical work load, and musculoskeletal morbidity in the neck, shoulder and upper limb region, the low back, and the lower limbs among workers in the metal industry.Methods A sample of 902 blue- and white-collar employees were studied. Measurements were made twice at a 10-year interval by questionnaire and clinical examination.Results At the beginning of the study, mental overstrain showed several associations with both the symptoms and the findings. The other psychosocial factors were the most consistently associated with the symptoms in the region of the neck, shoulder, and upper limbs and also in the lower-limb region among the middle-aged men. Prospectively, the social relations and the work content scores predicted the change in several morbidity scores. The associations were independent of physical work load.Conclusions Work-related psychosocial factors were associated with, and predicted, the change in the occurrence of musculoskeletal disorders when age, gender, social class, and physical work load were controlled for.