Associations between Distal Upper Extremity Job Physical Factors and Psychosocial Measures in a Pooled Study.
Associations between Distal Upper Extremity Job Physical Factors and Psychosocial Measures in a Pooled Study.
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一项汇总研究中远端上肢工作物理因素与心理社会测量之间的关联。
DOI：
10.1155/2015/643192
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发表时间：
2015
影响因子：
--
通讯作者：
Garg,Arun
中科院分区：
文献类型：
--
作者：
Thiese,MatthewS;Hegmann,KurtT;Kapellusch,Jay;Merryweather,Andrew;Bao,Stephen;Silverstein,Barbara;Garg,Arun
导论.越来越多的文献将肌肉骨骼疾病与工作身体暴露和心理社会结果联系起来。工作身体接触措施和心理社会因素之间的关系还没有得到很好的审查或量化。这些探索性分析评估了量化暴露和心理社会结果之间的关系。个体化量化的持续时间，重复，和力量和综合评分的应变指数（SI）和阈值限制值的手活动水平（TLV HAL）进行了比较，10个心理社会措施。使用有序逻辑回归评估关系和预测概率。对年龄、体重指数和性别进行了校正。在1834名研究参与者中，有多个统计学显著的关系。一般来说，随着持续时间，重复和力量的增加，心理社会因素恶化。然而，随着工作暴露的增加，一般健康状况和精神疲惫状况有所改善。抑郁症与重复次数增加的关系最密切，而身体疲惫与力量增加的关系最密切。HAL的SI和TLV与多种心理社会因素显著相关。这些关系持续调整后的强混淆。结论。本研究量化了工作物理暴露与职业和非职业心理社会因素之间的多重关联。需要进一步的研究来量化对职业健康结果的影响。
Introduction. There is an increasing body of literature relating musculoskeletal diseases to both job physical exposures and psychosocial outcomes. Relationships between job physical exposure measures and psychosocial factors have not been well examined or quantified. These exploratory analyses evaluate relationships between quantified exposures and psychosocial outcomes.Methods. Individualized quantification of duration, repetition, and force and composite scores of the Strain Index (SI) and the Threshold Limit Value for Hand Activity Level (TLV for HAL) were compared to 10 psychosocial measures. Relationships and predicted probabilities were assessed using ordered logistic regression. Analyses were adjusted for age, BMI, and gender.Results and Discussion. Among 1834 study participants there were multiple statistically significant relationships. In general, as duration, repetition, and force increased, psychosocial factors worsened. However, general health and mental exhaustion improved with increasing job exposures. Depression was most strongly associated with increased repetition, while physical exhaustion was most strongly associated with increased force. SI and TLV for HAL were significantly related to multiple psychosocial factors. These relationships persisted after adjustment for strong confounders.Conclusion. This study quantified multiple associations between job physical exposures and occupational and nonoccupational psychosocial factors. Further research is needed to quantify the impacts on occupational health outcomes.