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首页> 外文期刊>Occupational and environmental medicine >Physical and psychosocial work exposures as risk factors for disability retirement due to a shoulder lesion
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Physical and psychosocial work exposures as risk factors for disability retirement due to a shoulder lesion

机译：由于肩部病变，身体和心理社会工作暴露为残疾退休的危险因素

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To assess the longitudinal associations of physical and psychosocial exposures with disability retirement due to a shoulder lesion.In a nationwide register-based study, we followed 1?135?654 wage earners aged 30–59 years for the occurrence of disability retirement due to a shoulder lesion. The occupational exposures were assessed with job exposure matrices. We used a competing risk regression model to estimate HRs and their 95% CIs and to test for the association between the exposures and the outcome. We also calculated the attributable fraction of disability retirement due to occupational exposures.A total of 2472 persons had full disability retirement due to a shoulder lesion during the follow-up. Physically heavy work showed the strongest association with the outcome in both genders, in men with an HR of 2.90 (95% CI 2.37 to 3.55) and in women with an HR of 3.21 (95% CI 2.80 to 3.90). Of the specific physical exposures, working with hands above shoulder level was statistically significantly associated with disability retirement in men. When all physical exposures were taken into consideration, 46% and 41% of disability retirement due to a shoulder lesion were attributed to physical work load factors in men and women, respectively. In addition, 49% (men) and 35% (women) of disability retirement were attributed to psychosocial work-related factors.Our findings suggest that a considerable proportion of disability retirement due to a shoulder lesion could be prevented by reducing physical and psychosocial exposures at work to a low level.
机译：根据肩部病变，评估身体和心理社会暴露与残疾退休的纵向关联。在全国范围的注册研究中，我们随访1？135？654岁以下的工资收入，因a而发生残疾退休肩部病变。用工作暴露矩阵评估职业暴露。我们使用竞争风险回归模型来估算HRS及其95％的CIS，并测试暴露与结果之间的关联。我们还计算出由于职业暴露导致的残疾退休费用。在随访期间肩部病变，共有2472人的共有残疾退休。身体繁重的工作表现出最强烈的与两种性别的结果相结合，在人力资源的人中为2.90（95％CI 2.37至3.55）和3.21的妇女（95％CI 2.80至3.90）。在具体的身体曝光中，与肩膀水平上方的手合作，与男性残疾退休有统计学显着相关。当考虑所有身体暴露时，由于肩部病变引起的46％和41％的残疾退休分别归因于男性和女性的身体工作载荷因子。此外，49％（男性）和35％（女性）残疾退休归因于心理社会工作相关的因素。调查结果表明，通过减少身体和心理社会暴露，可以防止由于肩部病变引起的相当大比例的残疾退休在工作到低水平。

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