女医师自诉颈肩痛及其影响因素
Self-Reported Neck and Shoulder Pain and Its Influencing Factors among Chinese Female Medical Professionals
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摘要:
目的 了解女医师颈肩痛自报患病情况及其影响因素。 方法 采用多阶段分层整群抽样方法抽取全国医疗和疾病预防控制机构的女医师共5 468 名,以自填式问卷了解其一般人口学特征、工作相关情况、个人生活习惯及颈肩痛自报患病情况等。 结果 女医师的颈肩痛自报患病率为46.1%(95% CI:44.7%~47.4%)。不同年龄、地区和机构类别间的颈肩痛自报患病率差异均有统计学意义(P<0.05)。不同年龄组间,年龄越大自报患病率越高(P<0.05);不同地区间,西部自报患病率最高,东部次之,中部最低(P<0.05);不同机构间,医疗机构自报患病率高于疾控机构(P<0.05)。多因素非条件logistic 回归分析显示,教育程度高、工作年限长、加班、值夜班、静态行为时间长、饮酒和入睡困难是颈肩痛的危险因素。 结论 我国女医师颈肩痛自报患病率较高,其危险因素来自人口学特征、工作相关情况和个人生活习惯等多个方面。 Abstract:Objective To estimate the prevalence of neck and shoulder pain (NSP) and its influential factors among Chinese female medical professionals. Methods A multistage, stratified cluster sampling strategy was employed to select 5 468 female medical professionals from medical institutions and centers for disease control and prevention (CDC) in China. A selfadministered questionnaire survey was conducted to collect information on demographic characteristics, work-related conditions, lifestyle, and self-reported prevalence of NSP. Results The self-reported NSP prevalence was 46.1% (95% CI: 44.7%-47.4%), and significantly different among different age groups, regions, and institutions (P<0.05). The older age group showed a higher selfreported NSP prevalence (P<0.05). The highest self-reported prevalence was found in western area, followed by eastern area and middle area (P<0.05). Female medical professionals in medical institutions reported a higher prevalence than those in CDC (P<0.05). The results of multivariate logistic regression analysis showed that better educated, longer years of working, overtime working, night shift, sedentary lifestyle, drinking, and insomnia were the risk factors of NSP. Conclusion The self-reported prevalence of NSP is high among Chinese female medical professionals and affected by various factors such as demographic characteristics, work-related conditions, and lifestyles.
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