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首页> 外文期刊>Occupational and environmental medicine >Time trends in the incidence of work-related mental ill-health and musculoskeletal disorders in the UK
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Time trends in the incidence of work-related mental ill-health and musculoskeletal disorders in the UK

机译：英国与工作有关的精神疾病和肌肉骨骼疾病的发生率的时间趋势

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Objectives: To determine UK trends (from 1996 to 2009) in incidence of work-related mental ill-health and musculoskeletal disorders, for all industry as well as for health and social care employees. Second, to investigate whether there may have been a recent shift from a physical to psychological perspective in how patients present their illness by comparing reporting trends for back pain and 'other work stress'. Methods: Multilevel models were used to investigate changes in incidence of work-related illness, as diagnosed by specialist physicians. The dependent variable comprised case reports to The Health and Occupation Research network. Comparisons were made between medical specialties, industry (health and social care vs all other employees), gender and diagnosis. Results: Trends for Occupational Physicians ' (OP) reporting mental ill-health (average annual increase +3.7% (95% CI +2.2% to +5.2%)) differed significantly (p<0.001) from psychiatrists' reporting over the same time period (-5.9% (95% CI -7.6% to -4.2%)). For OPs' reporting, the rate of increase was greater for females and for health and social care employees. A fall in incidence of musculoskeletal disorders for OPs of -5.8% (95% CI -7.3% to -4.3%) and rheumatologists' reporting -6.6% (95% CI -8.3% to -4.8%) was found, with little variation by gender or industry. Within health and social care, an increase in incidence of 'other work stress' was accompanied by a similar decrease in 'spine/back pain'. Conclusions: The evidence presented is consistent with a shift in the presentation of ill-health from a physical to psychological perspective, although changes in hazards, prevention measures and physician awareness should also be considered as explanations.
机译：目标：确定英国趋势（从1996年到2009年），涉及所有行业以及健康和社会护理从业人员与工作相关的精神疾病和肌肉骨骼疾病的发生率。第二，通过比较背部疼痛和“其他工作压力”的报告趋势，调查患者在最近的疾病表现方面是否从物理角度转向心理角度。方法：采用多级模型调查由专科医生诊断的与工作有关的疾病的发生率。因变量包括向健康与职业研究网络发送的病例报告。在医学专业，行业（健康和社会护理与所有其他雇员），性别和诊断之间进行了比较。结果：职业医师报告精神疾病的趋势（年均增长+ 3.7％（95％CI + 2.2％至+ 5.2％））与同期精神科医生的报告差异显着（p <0.001）期间（-5.9％（95％CI -7.6％至-4.2％））。对于OP的报告，女性以及卫生和社会护理从业人员的增长率更高。发现OP的肌肉骨骼疾病的发生率下降了-5.8％（95％CI -7.3％至-4.3％），风湿病医生的报告为-6.6％（95％CI -8.3％至-4.8％），变化很小。按性别或行业划分。在卫生和社会保健领域，“其他工作压力”的发生率增加，同时“脊柱/背部疼痛”的发生率也有类似的下降。结论：虽然危害，预防措施和医师意识的变化也应被视为解释，但所提供的证据与从身体角度向心理角度的不良健康状况转变是一致的。

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