Musculoskeletal pain in four occupational populations in Sri Lanka.
Musculoskeletal pain in four occupational populations in Sri Lanka.
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斯里兰卡四个职业人群的肌肉骨骼疼痛。
DOI：
10.1093/occmed/kqs057
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发表时间：
2012
期刊：
影响因子：
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通讯作者：
Wickremasinghe,AR
中科院分区：
文献类型：
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作者：
Warnakulasuriya,SSP;Peiris-John,RJ;Coggon,D;Ntani,G;Sathiakumar,N;Wickremasinghe,AR
背景 影响工作相关肌肉骨骼疾病的因素在发展中国家和发达国家可能有所不同。目的 评估斯里兰卡四个职业人群肌肉骨骼疼痛的患病率和决定因素。方法作为国际文化和心理社会对残疾影响研究的一部分，对邮政工人、缝纫机工、护士和计算机操作员样本进行了采访，了解过去一个月六个解剖部位的疼痛情况，以及可能的身体和心理社会风险因素。 通过二项式回归评估与普遍疼痛的关联。结果分析基于 852 名参与者（86% 的响应率）。总体而言，下背部是最常见的疼痛部位，1 个月的患病率从计算机操作员的 12% 到护士的 30% 不等。邮政工作人员的肩部疼痛患病率最高 (23%)，但手腕/手部疼痛在所有四个职业群体中相对不常见（患病率范围为 8% 至 9%）。情绪低落和躯体化倾向始终与所有六个部位的疼痛相关。调整心理社会危险因素后，护士和邮政工作人员的腰痛发生率高于计算机操作员，邮政工作人员的肩痛发生率高于其他职业人群，而计算机操作员的膝盖疼痛发生率相对较低。 结论 局部疼痛，特别是手腕/手部疼痛的发生率低于西方国家的报告。与其他地方一样，疼痛与情绪低落和躯体化倾向密切相关。不同职业的疼痛模式差异可能反映了身体活动的差异。
Background Factors influencing work-related musculoskeletal disorders might differ in developing and developed countries.Aims To assess the prevalence and determinants of musculoskeletal pain in four occupational populations in Sri Lanka.Methods As part of the international Cultural and Psychosocial Influences on Disability study, samples of postal workers, sewing machinists, nurses and computer operators were interviewed about pain at each of six anatomical sites in the past month, and about possible physical and psychosocial risk factors. Associations with prevalent pain were assessed by binomial regression.Results Analysis was based on 852 participants (86% response rate). Overall, the lower back was the most common site of pain, with 1-month prevalence ranging from 12% in computer operators to 30% in nurses. Postal workers had the highest prevalence of shoulder pain (23%), but pain in the wrist/hand was relatively uncommon in all four occupational groups (prevalence rates ranged from 8% to 9%). Low mood and tendency to somatize were consistently associated with pain at all six sites. After adjustment for psychosocial risk factors, there was a higher rate of low back pain in nurses and postal workers than in computer operators, a higher rate of shoulder pain in postal workers than in the other occupational populations, and a relatively low rate of knee pain in computer operators.Conclusions Rates of regional pain, especially at the wrist/hand, were lower than have been reported in Western countries. As elsewhere, pain was strongly associated with low mood and somatizing tendency. Differences in patterns of pain by occupation may reflect differences in physical activities.