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首页> 外文期刊>Occupational and environmental medicine >Work environment and neck and shoulder pain: the influence of exposure time. Results from a population based case-control study.
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Work environment and neck and shoulder pain: the influence of exposure time. Results from a population based case-control study.

机译：工作环境和脖子和肩膀的疼痛：暴露时间的影响。基于人群的病例对照研究的结果。

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OBJECTIVES: To study associations between long term and short term exposure to different work environmental conditions and the incidence of neck or shoulder pain. The results were obtained as part of the MUSIC-Norrtalje study, which is a population based case-control study conducted in Sweden in 1993-7. METHODS: The cases were people from the study base who sought medical care or treatment for neck or shoulder pain. Information on physical and psychosocial conditions in the work environment, currently and 5 years ago, and lifestyle factors, was obtained by self administered questionnaires from 310 cases and 1277 randomly selected referents. RESULTS: Associations between both physical and psychosocial exposures in the work environment and seeking care for neck or shoulder pain were found. The risk patterns differed for the sexes, and risk ratios exceeding 1.5 were more often found among women than among men. Generally, subjects who had experienced a recent increase of exposure were more likely (relative risk (RR) 2.1-3.7) to seek care than those who had been exposed long term (RR 1.5-1.8). Among women, an increased amount of visual display terminal (VDT) work, work above shoulder level, and reduced opportunities to acquire new knowledge, and among men, an increased amount of seated work were associated with neck or shoulder pain. This might indicate short induction periods for neck or shoulder pain for these exposures. However, for repetitive work with the hands and hindrance at work among women, and possibly also local vibrations among men, the induction periods seem to be longer. Interactive effects between factors, both at work and in the family, were found, but only among women. CONCLUSIONS: Associations between some exposures in the work environment and seeking care for neck or shoulder pain were found. The high RRs for short term exposure might indicate that for many factors the induction period for neck or shoulder pain is short.
机译：目的：研究长期和短期暴露于不同工作环境条件与颈部或肩部疼痛发生率之间的关联。这些结果是作为MUSIC-Norrtalje研究的一部分获得的，该研究是1993年7月在瑞典进行的基于人群的病例对照研究。方法：病例来自研究基地，他们寻求医疗或颈部或肩部疼痛的治疗。通过自测问卷从310例患者和1277名随机选择的对象中获得了有关当前和5年前工作环境中的身体和心理状况以及生活方式因素的信息。结果：发现工作环境中的身体和心理接触与寻求颈部或肩部疼痛的护理之间存在关联。性别的风险模式有所不同，女性的风险比超过男性的比例超过1.5。一般而言，近期暴露水平增加的受试者比长期暴露水平的受试者（相对危险度（RR）2.1-3.7）要高得多（RR 1.5-1.8）。在女性中，视觉显示终端（VDT）工作量增加，肩部以上水平的工作以及获得新知识的机会减少，而男性中，坐姿工作量增加与颈部或肩部疼痛相关。这可能表明这些暴露会导致脖子或肩膀疼痛的诱导期短。但是，对于女性来说，用手重复劳动和工作障碍，以及男性之间可能还有局部振动，诱导期似乎更长。发现在工作和家庭中因素之间的相互作用，但仅在女性中。结论：发现工作环境中的某些暴露与寻求颈部或肩部疼痛之间存在关联。短期暴露的高RRs可能表明，在许多因素下，颈部或肩部疼痛的诱发期很短。

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