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Interactions between physical and psychosocial risk factors at work increase the risk of back disorders: an epidemiological approach.

机译:工作中身体和社会心理风险因素之间的相互作用增加了背部疾病的风险:一种流行病学方法。

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OBJECTIVES: To investigate the possible interactions between physical and psychosocial risk factors at work that may be associated with self reported back disorders. METHODS: 891 of 1514 manual workers, delivery drivers, technicians, customer services computer operators, and general office staff reported risk factors at work and back disorders with a self administered questionnaire (59% return rate). Of the 869 respondents with a valid questionnaire, 638 workers were classified in to one of four exposure groups: high physical and high psychosocial; high physical and low psychosocial; low physical and high psychosocial; and low physical and low psychosocial. Low physical and low psychosocial was used as an internal reference group. The exposure criteria were derived from existing epidemiological publications and models for physical and psychosocial work factors. The frequency and amplitude of lifting and the duration spent sitting while experiencing vibration were used as physical exposure criteria. Ordinal values of mental demands, job control, and social support from managers and coworkers were used as psychosocial exposure criteria. RESULTS: The highest increase in risk was found in the high physical and high psychosocial exposure group for symptoms of back disorders. In the crude and multivariate analyses, a departure from an additive risk model was found for the 7 day prevalence of symptoms of a low back disorder and also for a recurrent back disorder not present before the current job but also experienced in the past 7 days. CONCLUSION: This study suggests that an interaction between physical and psychosocial risk factors at work may exist to increase the risk of self reported back disorders. Ergonomic prevention strategies that aim to minimise the risks of symptoms of work related back disorders should not only focus on physical but also on psychosocial risk factors at work. The greatest benefits are likely to be realised when both physical and psychosocial factors are put right.
机译:目的:调查在工作中可能与自我报告的背部疾病相关的身体和心理社会危险因素之间的可能相互作用。方法:1514名体力劳动者,送货司机,技术人员,客户服务计算机操作员和一般办公室工作人员中的891名通过自我管理的问卷报告了工作和背部疾病的风险因素(59%的回报率)。在拥有有效问卷的869名受访者中,有638名工人被归类为以下四个暴露类别之一:高身体素质和高社会心理素质;高身体素质和低社会心理;低体力和高社会心理;低体力和低社会心理。低体力和低社会心理被用作内部参考组。接触标准来自现有的流行病学出版物以及有关身体和社会心理工作因素的模型。举起的频率和幅度以及在经历振动时坐着花费的时间被用作身体暴露标准。心理需求,工作控制以及经理和同事的社会支持的有序价值被用作社会心理暴露标准。结果:高身体和高社会心理暴露组患上背部疾病的症状发生风险最高。在粗略和多变量分析中,发现存在下背部疾病症状的7天患病率以及当前工作之前不存在但在过去7天中也经历过的复发性背部疾病,偏离了附加风险模型。结论:这项研究表明,工作中身体和心理社会危险因素之间可能存在相互作用,以增加自我报告的背部疾病的风险。旨在使与工作相关的背部疾病的症状风险最小化的人体工程学预防策略,不仅应侧重于身体上的因素,而且还应着重于工作中的社会心理风险因素。正确解决身体和社会心理因素,可能会实现最大的收益。

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