首页|民航客舱乘务员多部位肌肉骨骼疾患的流行病学研究

民航客舱乘务员多部位肌肉骨骼疾患的流行病学研究

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目的 了解民航客舱乘务员多部位工作相关肌肉骨骼疾患(WMSDs)的发生情况及其影响因素,为预防民航客舱乘务人员WMSDs的发生提供科学指导依据.方法 采用流行病学横断面调查的方法,应用中文版肌肉骨骼疾患调查问卷对3家航空公司客舱乘务员进行调查.结果 共调查1 036名民航乘务员,WMSDs总发生率为59.17%,从发生部位来看,发生率由高到低前五位依次是颈部(占43.24%)、肩部(占34.17.%)、下背部(占23.46%)、上背部(占17.86%)、足/踝部(占13.71%);多部位WMSDs发生率为42.08%,单部位WMSDs的发生率为17.08%,同时发生2个部位WMSDs的发生率为13.03%,是所有多部位WMSDs中发生率最高的.多部位WMSDs多因素logistic回归分析结果显示,性别、不可以自主决定何时开始和结束工作、不和同事轮流完成工作、休息时间不充足和以不舒服的姿势工作是发生多部位WMSDs的危险因素,工作部门人员充足和工作中没有长时间保持低头姿势可能成为其保护性因素.结论 客舱乘务员WMSDs的发生部位主要集中在颈部、肩部、下背部、上背部和足/踝部等,多部位WMSDs的发生率较高,与个体因素、不良工作姿势、工作组织等因素均有关,建议有关部门加以重视,合理排班,加强员工健康教育,使民航客舱乘务员在工作中减少不良姿势,有效避免WMSDs的发生.
Epidemiological study on multisite musculoskeletal disorders among civil aviation cabin crew members
Objective To understand the occurrence and influencing factors of work-related musculoskeletal disorders(WMSDs)in multiple parts of civil aviation cabin crew members.Methods Using an epidemiological cross-sectional survey method,the Chinese version of the Musculoskeletal Disease Survey Questionnaire was used to investigate cabin crew members of three airlines.Results A total of 1 036 civil aviation cabin crew members were surveyed,and the incidence of WMSDs was 59.17%.Regarding the location of the occurrence,the top five incidence rates are neck(43.24%),shoulder(34.17%),lower back(23.46%),upper back(17.86%),and foot/ankle(13.71%).The incidence of multisite WMSDs among cabin crew members is 42.08%,and the incidence of single body site WMSDs is 17.08%.The incidence of WMSDs occurring simultaneously in two body sites is 13.03%,which is the highest all multisite WMSDs.Logistic regression analysis shows that gender,unable to discretionarily decide the start and end time of work,not taking turns with colleagues to complete work,working in an uncomfortable position and insufficient rest time are risk factors for the occurrence of multisite WMSDs.Keeping staff sufficient and avoiding headdown posture for long time may be its protective factors.Conclusion The occurrence of WMSDs among cabin crew members is mainly concentrated in the neck,shoulders,lower back,upper back,and feet/ankles.The incidence of multisite WMSDs is relatively high,which is related to individual factors,poor work posture,work organization,and other factors.It is recommended that relevant departments should pay attention to it,arrange shifts reasonably,strengthen employee health education,and reduce bad posture for civil aviation cabin crew members in work,effectively avoiding the occurrence of WMSDs.

Civil aviation cabin crew membersWork-related musculoskeletal disordersMultisite

张曦、王忠旭、李玉力、祁妍敏、刘铁兵、邱兵、贾宁

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中国民用航空局民用航空医学中心(民航总医院),北京 100123

中国疾病预防控制中心职业卫生与中毒控制所,北京 100050

中国南方航空股份有限公司湖北分公司

民航客舱乘务员 工作相关肌肉骨骼疾患 多部位

国家重点研发计划(十四五)中国疾病预防控制中心职业卫生与中毒控制所职业健康风险评估与国家职业卫生标准制定项目民航安全能力建设资金民航应对突发公共卫生事件能力体系建设项目

2022YFC2503205131031109000160004[2021]129

2024

工业卫生与职业病
鞍山钢铁集团公司

工业卫生与职业病

CSTPCD
影响因子:0.486
ISSN:1000-7164
年,卷(期):2024.50(2)
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