Low back pain among textile workers: a cross-sectional study
Low back pain among textile workers: a cross-sectional study
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DOI：
10.1093/occmed/kqs231
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发表时间：
2013-03-01
影响因子：
5.1
通讯作者：
Macfarlane, G. J.
中科院分区：
文献类型：
--
作者：
Paudyal, P.;Ayres, J. G.;Macfarlane, G. J.
背景下背痛（LBP）是工业化国家最普遍的职业健康问题之一。鲜为人知的是LBP在发展中国家的流行病学，目的是确定LBP的患病率在尼泊尔纺织工人和调查的影响，暴露于机械和其他因素对LBP reporting.Methods访谈完成了调查问卷与研究对象，和工作相关的机械暴露进行了测量，通过自我完成的问卷。采用Logistic回归分析LBP与机械因素和躯体症状的相关性，并以OR值和95%可信区间（CI）表示。结果938名工人参加了调查，参与率为92%。1个月内LBP患病率为35%（n = 324），女性高于男性（45%比28%; P < 0.001）。一些与工作相关的机械因素与报告LBP的几率增加相关：单手举重物（OR 1.7; 95% CI 1.1-2.8），推重物（OR 1.6; 95% CI 1.2-2.3）和拉重物（OR 1.6; 95% CI 1.1-2.1）。没有发现与工作姿势的关联。报告一种（OR 2.4; 95% CI 1.7-3.4）或两种躯体症状（OR 2.7; 95% CI 1.4-5.1）存在强相关性。在多变量分析中，报告躯体症状（OR 2.8; 95% CI 1.5-5.4），女性（OR 2.2; 95%CI 1.5-3.1）和年龄的增加与报告LBP的风险增加显著相关（或1.7; 95% CI 1.2-2.5），结论机械负荷可能不是LBP的主要原因，以证明心理因素在非工业化国家的LBP中起着重要作用。
Background Low back pain (LBP) is one of the most prevalent occupational health problems in industrialized countries. Little is known about the epidemiology of LBP in developing countries.Aims To determine the prevalence of LBP among Nepalese textile workers and to investigate the influence of exposure to mechanical and other factors on LBP reporting.Methods Interviewers completed questionnaires with study subjects, and work-related mechanical exposures were measured by self-completed questionnaires. Associations of LBP with mechanical factors and somatic symptoms were determined by logistic regression and reported as odds ratios (ORs) with 95% confidence intervals (CI).Results Nine hundred and thirty-eight workers took part, a participation rate of 92%. The 1 month period prevalence of LBP was 35% (n = 324), being higher in females than males (45% versus 28%; P < 0.001). Several work-related mechanical factors were associated with increased odds of reporting LBP: lifting heavy weights with one hand (OR 1.7; 95% CI 1.1-2.8), pushing weights (OR 1.6; 95% CI 1.2-2.3 and pulling weights (OR 1.6; 95% CI 1.1-2.1). No association was found with working posture. Strong associations were found for reporting one (OR 2.4; 95% CI 1.7-3.4) or two somatic symptoms (OR 2.7; 95% CI 1.4-5.1). On multivariable analysis, reporting of somatic symptoms (OR 2.8; 95% CI 1.5-5.4), female gender (OR 2.2; 95% CI 1.5-3.1) and increasing age were significantly associated with increased risk of reporting LBP (OR 1.7; 95% CI 1.2-2.5), but no associations were found with mechanical factors.Conclusions This study suggests that mechanical load may not be the leading cause of LBP and adds to evidence that psychological factors play an important role in LBP in non-industrialized countries.