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首页> 外文期刊>Occupational and environmental medicine >Risk factors for new onset and persistence of multi-site musculoskeletal pain in a longitudinal study of workers in Crete
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Risk factors for new onset and persistence of multi-site musculoskeletal pain in a longitudinal study of workers in Crete

机译：在克里特岛工人的纵向研究中，多部位肌肉骨骼疼痛的新发和持续存在的危险因素

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Objectives: To explore occupational and psychological risk factors for the incidence and persistence of multi-site musculoskeletal pain. Methods: We conducted a longitudinal investigation of three occupational groups in Crete, Greece. Baseline information was obtained at interview about pain in the past year at each of six anatomical sites, and about possible risk factors for subsequent symptoms. Twelve months later, subjects were re-interviewed about pain at the same anatomical sites in the past month. Pain at two or more sites was classed as multi-site. Associations with new development and persistence of multi-site pain at follow-up were assessed by logistic regression. Results: Analysis was based on 518 subjects (87% of those originally selected for study). At follow-up, multi-site pain persisted in 217 (62%) of those who had experienced it in the year before baseline, and was newly developed in 27 (17%) of those who had not. Persistence of multi-site pain was significantly related to physical loading at work, somatising tendency and beliefs about work as a cause of musculoskeletal pain, with OR (95% CI) for the highest relative to the lowest exposure categories of 2.3 (1.0 to 5.6), 2.6 (1.5 to 4.6) and 1.9 (1.1 to 3.3) respectively. Development of new multi-site pain was most strongly associated with working for ≥40 h per week (OR 5.0, 95% CI 1.1 to 24.0). Conclusions: Our findings confirm the importance of both physical loading at work and somatising tendency as risk factors for multi-site pain, and suggest that persistence of pain is also influenced by adverse beliefs about work causation.
机译：目的：探讨多部位肌肉骨骼疼痛的发生和持续的职业和心理危险因素。方法：我们对希腊克里特岛的三个职业群体进行了纵向调查。在访谈中获得了有关过去一年中六个解剖部位疼痛的基线信息，以及有关随后症状的可能危险因素的基线信息。十二个月后，在过去一个月中，对受试者在相同解剖部位的疼痛进行了重新访谈。在两个或多个站点的疼痛被分类为多站点。通过逻辑回归评估与随访中新发展和多部位疼痛持续存在的相关性。结果：分析基于518个受试者（占最初研究的87％）。在随访中，基线之前的一年中，有217例（62％）经历过多部位疼痛持续，而没有疼痛的27例（17％）再次出现多部位疼痛。多部位疼痛的持久性与工作中的身体负荷，躯体化趋势和对导致骨骼肌肉疼痛的工作信念密切相关，相对于最低暴露水平2.3（1.0至5.6），OR（95％CI）最高），2.6（1.5至4.6）和1.9（1.1至3.3）。新的多部位疼痛的发生与每周工作≥40小时密切相关（OR 5.0，95％CI 1.1至24.0）。结论：我们的研究结果证实了工作中的身体负荷和躯体化趋势均是多部位疼痛的危险因素的重要性，并表明疼痛的持久性还受到有关工作因果关系的不良信念的影响。

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