Child labor and musculoskeletal disorders: The pelotas (Brazil) epidemiological survey
Child labor and musculoskeletal disorders: The pelotas (Brazil) epidemiological survey
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DOI：
10.1177/003335490512000615
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发表时间：
2005-11-01
影响因子：
3.3
通讯作者：
Christiani, DC
中科院分区：
文献类型：
--
作者：
Fassa, AG;Facchini, LA;Christiani, DC
目标.本文描述了儿童和青少年几个解剖部位肌肉骨骼疼痛的患病率，并在调整潜在混杂因素的同时，调查了肌肉骨骼疼痛和背痛之间的关联，以及以下内容：年龄、性别、体育锻炼、使用电脑/视频游戏/电视、上学、参与家务活动的强度、照顾其他儿童、照顾生病/年老的家庭成员，工作活动和工作量。我们进行了一项横断面研究，采访了3,269名10-17岁的儿童在低收入地区的佩尔蒂，巴西。颈部、膝关节、手腕或手部以及上背部疼痛的患病率超过15%。制造业工人的肌肉骨骼疼痛（患病率[PR] = 1.31）和背痛（PR = 1.69）的风险显著增加，而家政服务工人的肌肉骨骼疼痛和背痛比非工人多17%和23%。肌肉骨骼疼痛与不良姿势（PR = 1.15）和重体力劳动（PR = 1.07）有关，而背痛与单调工作（PR = 1.34）、不良姿势（PR = 1.31）和噪音（PR = 1.25）有关。肌肉骨骼疼痛在工作的儿童和青少年中很常见。了解职业风险因素有助于采取行动调整工作条件，以减少或消除儿童接触危险条件的机会。我们的研究结果表明，应制定预防童工肌肉骨骼疾病的策略。
Objectives. This article describes the prevalence of musculoskeletal pain in several anatomic sites in children and teens, and investigates, while adjusting for potential confounders, the association between musculoskeletal pain and back pain and the following: age, gender, sports practice, use of computer/video games/television, school attendance, intensity of involvement in household domestic activities, care of other children, care of sick/elderly family members, work activities, and workloads.Methods. We conducted a cross-sectional study interviewing 3,269 children aged 10-17 years in the low-income areas of Pelotas, Brazil.Results. The prevalence of pain in the neck, knee, wrist or hands, and upper back exceeded 15%. Workers in manufacturing had a significantly increased risk for musculoskeletal pain (prevalence ratio [PR] = 1.31) and for back pain (PR = 1.69), while workers in domestic service had 17% more musculoskeletal pain and 23% more back pain than nonworkers. Awkward posture (PR = 1.15) and heavy physical work (PR = 1.07) were associated with musculoskeletal pain, while monotonous work (PR = 1.34), awkward posture (PR = 1.31), and noise (PR = 1.25) were associated with back pain.Conclusions. Musculoskeletal pain is common among working children and teens. Knowledge of occupational risk factors can support actions to restructure work conditions to reduce or eliminate childhood exposure to hazardous conditions. Our results suggest that strategies to prevent musculoskeletal disorders in child workers should be developed.