Work-related risk factors for the incidence and recurrence of shoulder and neck complaints among nursing-home and elderly-care workers
Work-related risk factors for the incidence and recurrence of shoulder and neck complaints among nursing-home and elderly-care workers
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DOI：
10.5271/sjweh.795
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发表时间：
2004-08-01
影响因子：
6.3
通讯作者：
Burdorf, A
中科院分区：
文献类型：
--
作者：
Luime, JJ;Kuiper, JI;Burdorf, A
目的比较与工作相关的生理、心理和个人危险因素在肩颈疾病发生率和复发方面的异同。方法对769名养老院和养老院工作人员进行前瞻性队列研究。在基线时，使用问卷收集关于个人特征、身体工作量、心理社会工作量以及肩颈主诉的数据。1年和2年后，收集肩和颈主诉的随访数据。结果在调整了年龄和性别的多变量模型中，肥胖[优势比(OR)2.12，95%可信区间(95%CI)1.23~3.65]与肩部主诉的发生率有关。肥胖(OR 1.81，95%CI 1.07~3.05)、工作姿势笨拙(OR 1.76，95%CI 1.11~2.78)、一般健康状况差或一般(OR 1.53，95%CI 1.02~2.31)是颈部疾病的高发因素。肩颈主诉复发与基线慢性主诉(肩部：或1.91，95%1.36~2.67；颈部：或1.71，95%1.14~2.55)有关，与工作相关危险因素无关。
Objectives This study assessed the differences and similarities in the incidence and recurrence of shoulder and neck complaints with respect to work-related physical, psychosocial, and personal risk factors.Methods A prospective cohort study was carried out among 769 workers of nursing homes and homes for the elderly. At baseline, a questionnaire was used to collect data on personal characteristics, physical workload, psychosocial workload, and the presence of shoulder and neck complaints. After I and 2 years, follow-up data were collected on shoulder and neck complaints. Generalized estimation equations were used for analyzing risk factors for the participants with at least one follow-up measurement available (N=556, 72%).Results In the multivariate model, adjusted for age and gender, obesity [odds ratio (OR) 2.12, 95% confidence interval (95%Cl) 1.23-3.65] was related to the incidence of shoulder complaints. The incidence of neck complaints was increased for obesity (OR 1.81, 95% Cl 1.07-3.05), work in awkward postures (OR 1.76, 95% CI 1.11-2.78), and poor or fair general health (OR 1.53, 95% Cl 1.02-2.31). The recurrence of both shoulder and neck complaints was associated with chronic complaints at baseline (shoulder: OR 1.91, 95% 1.36-2.67; neck: OR 1.71, 95% 1.14-2.55) but not with work-related risk factors.Conclusions The results suggest that there are differences in risk factors for the incidence and recurrence of shoulder and neck complaints.