预防医学2024,Vol.36Issue(6) :527-531.DOI:10.19485/j.cnki.issn2096-5087.2024.06.016

医药化工企业职工颈肩部职业性肌肉骨骼疾患调查

Prevalence of work-related musculoskeletal disorders in neck and shoulder among workers in pharmaceutical and chemical enterprises

郭震 朱斌斌 何晓庆 陈强
预防医学2024,Vol.36Issue(6) :527-531.DOI:10.19485/j.cnki.issn2096-5087.2024.06.016

医药化工企业职工颈肩部职业性肌肉骨骼疾患调查

Prevalence of work-related musculoskeletal disorders in neck and shoulder among workers in pharmaceutical and chemical enterprises

郭震 1朱斌斌 1何晓庆 1陈强1
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作者信息

  • 1. 金华市疾病预防控制中心环境与职业卫生科,浙江 金华 321000
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摘要

目的 了解医药化工企业职工颈部和肩部职业性肌肉骨骼疾患(WMSDs)的发生情况及其影响因素,为预防WMSDs提供依据.方法 于2023年7-10月,采用分层随机抽样方法抽取浙江省金华市8家医药化工企业的职工为调查对象,通过问卷调查收集人口学信息、工作情况和WMSDs发生情况,采用多因素logistic回归模型分析颈部和肩部WMSDs的影响因素.结果 调查1 343人,其中男性496人,占36.93%;女性847人,占63.07%.年龄M(QR)为38(15)岁;当前岗位工龄M(QR)为6(8)年.检出WMSDs 356例,检出率为26.51%,其中颈部WMSDs 206例,检出率为15.34%;肩部WMSDs 167例,检出率为12.43%.多因素logistic回归分析结果显示,性别(女,OR=1.692,95%CI:1.203~2.381)、休息时间充足(OR=0.660,95%CI:0.471~0.926)和颈部长时间保持同一姿势(OR=1.690,95%CI:1.148~2.510)是颈部WMSDs的影响因素;性别(女,OR=1.572,95%CI:1.060~2.311)、休息时间充足(OR=0.619,95%CI:0.422~0.906)、工作每天重复(OR=1.678,95%CI:1.064~2.647)、工作姿势不舒适(OR=3.791,95%CI:1.330~10.803)、每分钟多次重复动作(OR:1.988~2.413,95%CI:1.060~4.161)和颈部长时间保持同一姿势(OR=1.926,95%CI:1.218~3.043)是肩部WMSDs的影响因素.结论 金华市医药化工企业职工颈部和肩部WMSDs检出率较高,主要受性别、休息时间和不良工效学等因素的影响.

Abstract

Objective To investigate the prevalence and influencing factors of work-related musculoskeletal disorders(WMSDs)in neck and shoulder among workers in pharmaceutical and chemical enterprises,so as to provide the basis for prevention of WMSDs.Methods Workers in 8 pharmaceutical and chemical enterprises in Jinhua City,Zhejiang Province from July to October 2023 were sampled using a stratified random sampling method,and demography,work conditions and WMSDs prevalence were collected using questionnaire surveys.Factors affecting WMSDs in neck and shoulder were analyzed using a multivariable logistic regression model.Results A total of 1 343 workers were sur-veyed,including 496 males(36.93%)and 847 females(63.07%).The mean age of workers was 38(15)years,and the length of service in current posts was 6(8)years.There were 356 workers with WMSDs(26.51%),with 206 workers with neck WMSDs(15.34%)and 167 workers with shoulder WMSDs(12.43%).Multivariable logistic regression analysis showed that gender(female,OR=1.692,95%CI:1.203-2.381),sufficient rest time(OR=0.660,95%CI:0.471-0.926)and maintaining same neck posture for a long time(OR=1.690,95%CI:1.148-2.510)were factors affecting neck WMSDs;gender(female,OR=1.572,95%CI:1.060-2.311),sufficient rest time(OR=0.619,95%CI:0.422-0.906),repetitive daily work(OR=1.678,95%CI:1.064-2.647),uncomfortable work posture(OR=3.791,95%CI:1.330-10.803),multiple repeti-tive movements per minute(OR:1.988-2.413,95%CI:1.060-4.161)and maintaining same neck posture for a long time(OR=1.926,95%CI:1.218-3.043)were factors affecting shoulder WMSDs.Conclusion The prevalence of WMSDs in neck and shoulder are high among workers in pharmaceutical and chemical enterprises in Jinhua City,and mainly affect-ed by gender,rest time and adverse ergonomics.

关键词

职业性肌肉骨骼疾患/医药化工企业/影响因素

Key words

work-related musculoskeletal disorders/pharmaceutical and chemical enterprises/influencing factor

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基金项目

金华市科技计划(2023-4-172)

出版年

2024
预防医学
浙江省预防医学会

预防医学

CSTPCD
影响因子:1.002
ISSN:2096-5087
参考文献量14
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