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首页> 外文期刊>Occupational and environmental medicine >Work correlates of back problems and activity restriction due to musculoskeletal disorders in the Canadian national population health survey (NPHS) 1994-5 data.
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Work correlates of back problems and activity restriction due to musculoskeletal disorders in the Canadian national population health survey (NPHS) 1994-5 data.

机译：在加拿大国家人口健康调查（NPHS）1994-5数据中，由于肌肉骨骼疾病导致的背部问题和活动受限与工作相关。

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OBJECTIVES: To describe the prevalence of musculoskeletal problems in the Canadian working population and to determine cross sectional associations between such problems and work factors, particularly job strain and physical demand variables. METHODS: The Canadian 1994 national population health survey (NPHS) sampled 4230 working men and 4043 working women (ages 18-64) who answered an abbreviated version of the job content questionnaire. Workers were classified into four strain categories: high, passive, active, and low. Outcomes were restricted activity due to musculoskeletal disorders and the diagnosis of a back problem (both yes or no). Survey weights were incorporated to allow for different probabilities of selection. Logistic regression analyses were carried out separately for women and men, controlling for sociodemographic factors. RESULTS: Prevalence of chronic back problems diagnosed by a health practitioner was 14.5% among men and 12.5% among women. Men had a 6.6% prevalence of restricted activity due to musculoskeletal disorders, whereas the corresponding figure for women was 5.3%. Women, but not men, in high strain jobs were more likely to report both back problems (odds ratio (OR) 1.60, 95% confidence interval (95% CI) 1.14 to 2.28) and restricted activity (OR 1.98, 95% CI 1.16 to 3.48) compared with those in low strain jobs. High physical exertion was an independent predictor of back problems in both sexes. For both men and women, low social support at work and high job insecurity were independent predictors of restricted activity due to musculoskeletal disorders. Conversely, chronic back problems contributed to explanation of high job strain among women (OR 1.76, 95% CI 1.30 to 2.39) and high physical exertion among men (OR 1.39, 95% CI 1.09 to 1.77), whereas restricted activity due to musculoskeletal disorders contributed to explanation of high job insecurity in both sexes. CONCLUSIONS: Associations of interest between work stressors and musculoskeletal problems in this cross sectional study provide evidence for physical and psychosocial factors both affecting disability and being affected by disability in a working population.
机译：目的：描述加拿大工作人口中肌肉骨骼问题的普遍性，并确定此类问题与工作因素之间的横断面关联，特别是工作压力和身体需求变量。方法：1994年加拿大全国人口健康调查（NPHS）对4230名在职男性和4043名在职女性（18-64岁）进行了抽样调查，回答了工作内容调查表的缩写形式。工人分为四个类别：高，被动，主动和低。结果由于肌肉骨骼疾病和背部问题的诊断（是或否）而限制了活动。纳入调查权重以考虑不同的选择概率。分别对男女进行逻辑回归分析，以控制社会人口统计学因素。结果：由健康医生诊断出的慢性背部问题在男性中为14.5％，在女性中为12.5％。男性因肌肉骨骼疾病而限制活动的患病率为6.6％，而女性的相应数字为5.3％。女性，而不是男性，在高强度工作中更有可能报告背部问题（赔率（OR）1.60，95％置信区间（95％CI）1.14至2.28）和活动受限（OR 1.98，95％CI 1.16）到3.48）与低应变工作相比。高运动强度是男女背部问题的独立预测因子。对于男人和女人来说，工作中的低社会支持率和高工作不安全感是肌肉骨骼疾病导致活动受限的独立预测因素。相反，慢性背部问题有助于解释女性的高工作压力（OR 1.76，95％CI 1.30至2.39）和男性的高体力活动（OR 1.39，95％CI 1.09至1.77），而肌肉骨骼疾病引起的活动受限有助于解释两性的高度工作不安全感。结论：在这项横断面研究中，工作压力源与肌肉骨骼问题之间的关联性为身体和心理社会因素既影响残疾又受工作人群的残疾影响提供了证据。

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