Prevalence and correlates of regional pain and associated disability in Japanese workers
Prevalence and correlates of regional pain and associated disability in Japanese workers
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DOI：
10.1136/oem.2009.053645
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发表时间：
2011-03-01
影响因子：
4.9
通讯作者：
Coggon, David
中科院分区：
文献类型：
--
作者：
Matsudaira, Ko;Palmer, Keith T.;Coggon, David
目的 评估四组日本工人的区域疼痛和相关残疾的患病率和相关性。 方法 作为肌肉骨骼症状大型国际调查（CUPID 研究）的一部分，日本的护士、办公室工作人员、销售/营销人员和运输操作人员完成了一份自填问卷（答复率为 83%），涵盖六个解剖区域的疼痛经历、相关残疾和因病缺勤，以及导致这些结果的各种可能的职业和心理社会风险因素。通过逻辑回归评估与危险因素的关联。结果分析基于 2290 名受试者。局部疼痛的发生率普遍低于英国，办公室工作人员手腕/手部疼痛的发生率特别低（上个月为 6%）。过去一个月局部疼痛最强烈和最一致的危险因素是躯体化倾向（报告 >= 2 与 0 令人痛苦的躯体症状的 OR（95% CI）：腰痛为 3.1（2.4 至 4.0），肩痛为 2.8（2.1 至 3.8），腕/手疼痛为 2.5（1.6 至 4.1））。 5% 的参与者报告过去一年因局部疼痛原因缺勤，这一结果的主要风险因素是在同一时期因其他医疗原因缺勤（OR 3.7，95% CI 2.4 至 5.8）。 结论 日本办公室工作人员的手腕/手部疼痛发生率明显低于英国同事。在日本和西欧一样，躯体化倾向是局部疼痛的主要危险因素。与英国相比，日本因局部疼痛而缺勤的情况似乎要少得多，这主要是由于人们普遍倾向于因病缺勤。
Objectives To assess the prevalence and correlates of regional pain and associated disability in four groups of Japanese workers.Methods As part of a large international survey of musculoskeletal symptoms (the CUPID study), nurses, office workers, sales/marketing personnel and transportation operatives in Japan completed a self-administered questionnaire (response rate 83%) covering experience of pain in six anatomical regions, associated disability and sickness absence, and various possible occupational and psychosocial risk factors for these outcomes. Associations with risk factors were assessed by logistic regression.Results Analysis was based on 2290 subjects. Rates of regional pain were generally less than in the UK, with a particularly low prevalence of wrist/hand pain among office workers (6% in past month). The strongest and most consistent risk factor for regional pain in the past month was tendency to somatise (ORs (95% CIs) for report of >= 2 versus 0 distressing somatic symptoms 3.1 (2.4 to 4.0) for low back pain, 2.8 (2.1 to 3.8) for shoulder pain, and 2.5 (1.6 to 4.1) for wrist/hand pain). Sickness absence for regional pain complaints in the past year was reported by 5% of participants, the major risk factor for this outcome being absence during the same period for other medical reasons (OR 3.7, 95% CI 2.4 to 5.8).Conclusions Japanese office workers have markedly lower rates of wrist/hand pain than their UK counterparts. In Japan, as in Western Europe, somatising tendency is a major risk factor for regional pain. Sickness absence attributed to regional pain complaints appears to be much less common in Japan than in the UK, and to be driven principally by a general propensity to take sickness absence.