郭琛, 李江平, 纪文武, 植小玉, 董立军, 薛敏, 朱玲勤, 杨惠芳. 银川市蔬菜温棚种植者工作相关肌肉骨骼疾患的患病情况及其影响因素[J]. 环境与职业医学, 2020, 37(10): 988-993. DOI: 10.13213/j.cnki.jeom.2020.20135
引用本文: 郭琛, 李江平, 纪文武, 植小玉, 董立军, 薛敏, 朱玲勤, 杨惠芳. 银川市蔬菜温棚种植者工作相关肌肉骨骼疾患的患病情况及其影响因素[J]. 环境与职业医学, 2020, 37(10): 988-993. DOI: 10.13213/j.cnki.jeom.2020.20135
GUO Chen, LI Jiang-ping, JI Wen-wu, ZHI Xiao-yu, DONG Lijun, XUE Min, ZHU Ling-qin, YANG Hui-fang. Prevalence of work-related musculoskeletal disorders and its influencing factors in vegetable greenhouse growers in Yinchuan[J]. Journal of Environmental and Occupational Medicine, 2020, 37(10): 988-993. DOI: 10.13213/j.cnki.jeom.2020.20135
Citation: GUO Chen, LI Jiang-ping, JI Wen-wu, ZHI Xiao-yu, DONG Lijun, XUE Min, ZHU Ling-qin, YANG Hui-fang. Prevalence of work-related musculoskeletal disorders and its influencing factors in vegetable greenhouse growers in Yinchuan[J]. Journal of Environmental and Occupational Medicine, 2020, 37(10): 988-993. DOI: 10.13213/j.cnki.jeom.2020.20135

银川市蔬菜温棚种植者工作相关肌肉骨骼疾患的患病情况及其影响因素

Prevalence of work-related musculoskeletal disorders and its influencing factors in vegetable greenhouse growers in Yinchuan

  • 摘要: 背景

    温棚种植者在潮湿、密闭、狭小的空间中作业,由于不良作业环境和劳动姿势造成其易患工作相关肌肉骨骼疾患(WMSDs),这越来越引起人们的关注。

    目的

    了解银川市蔬菜温棚种植者WMSDs的患病情况,并分析其影响因素。

    方法

    2015—2017年,采用随机整群抽样的方法对银川市4个大棚蔬菜种植村的1 303名种植者进行连续3年的问卷调查,收集温棚种植者一般人口学特征、生活习惯、温棚作业特征及是否患有WMSDs等信息,应用二元logistic回归模型筛选WMSDs的影响因素。

    结果

    银川市温棚种植者WMSDs总患病率为7.7%,三年患病率分别为9.2%、8.2%、5.4%,且三年间调查人群基本信息及患病率差异均无统计学意义(P>0.05)。在本次调查人群中,男性占53%(691/1 303)。不同年龄、文化程度的温棚种植者WMSDs患病率间差异有统计学意义(χ2=44.16、12.50,P < 0.05)。作业中经常弯腰、抬头的温棚种植者WMSDs患病率高于不弯腰、不抬头的温棚种植者(χ2=9.48、5.02,P < 0.05)。logistic回归分析发现,温棚种植者年龄越大(OR=1.188,95% CI:1.153~1.223)、作业中经常弯腰(OR=1.560,95% CI:1.122~2.168)和抬头(OR=1.110,95% CI:1.036~1.337)者的WMSDs患病率较高;而文化程度高者(OR=0.089,95% CI:0.023~0.345)的WMSDs患病率较低(P < 0.05)。

    结论

    温棚种植者的年龄、文化程度以及弯腰和抬头的劳作姿势是WMSDs的影响因素。

     

    Abstract: Background

    Greenhouse growers work in damp, confined, and small spaces, and their prevalence of work-related musculoskeletal disorders (WMSDs) caused by awkward working postures in such an awkward working environment is attracting more and more attention.

    Objective

    This study investigates the prevalence of WMSDs in vegetable greenhouse growers in Yinchuan City, and analyzes its influencing factors.

    Methods

    From 2015 to 2017, a random cluster sampling method was used to conduct a questionnaire survey of 1 303 growers from four greenhouse villages in Yinchuan City for three consecutive years. The general demographic variables, living habits, working characteristics, and WMSDs of greenhouse growers were collected. Binary logistic regression models were adopted to identify the influencing factors of WMSDs.

    Results

    The total prevalence rate of WMSDs among the greenhouse growers in Yinchuan City was 7.7%, and the prevalence rates of the three years were 9.2%, 8.2%, and 5.4%, respectively (P>0.05). Men accounted for 53% (691/1 303) of total participants. The prevalence rates of WMSDs were significantly different among the greenhouse growers of different ages and education levels (χ2=44.16, 12.50, P < 0.05). The prevalence rates of WMSDs in the greenhouse growers who often bent over and raised their heads were higher than the rates in those who did not (χ2=9.48, 5.02, P < 0.05). The logistic regression analysis results found that the greenhouse growers who were older (OR=1.188, 95% CI:1.153-1.223), often bent over (OR=1.560, 95% CI:1.122-2.168), and raised heads (OR=1.110, 95% CI:1.036-1.337) had a higher WMSDs prevalence rate, while those with a higher education level had a lower WMSDs prevalence rate (OR=0.089, 95%CI:0.023-0.345) (P < 0.05).

    Conclusion

    Age, education level, and working postures such as bending and raising heads are the influencing factors of WMSDs among the selected greenhouse growers.

     

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