环境与职业医学2024，Vol.41Issue(7)：780-788,9.DOI:10.11836/JEOM23441
某超大城市男性公交司机工作相关肌肉骨骼疾患发生情况及其影响因素
Prevalence and risk factors of work-related musculoskeletal disorders among male bus drivers in a mega-city
摘要
Abstract
[Background]Bus drivers are a high-risk group for work-related musculoskeletal disorders(WMSDs).There are a large number of bus drivers in mega-cities.High volumes of passenger traffic and complexity of road conditions may elevate their risk of WMSDs,but there are few studies related to this group. [Objective]To investigate the prevalence of WMSDs among bus drivers in a mega-city and to an-alyze potential influencing factors. [Methods]Based on cross-sectional study design and self-administered questionnaire,the pre-valence of WMSDs in past 12 months were estimated by stratified cluster sampling among bus drivers in a mega-city.Pearson χ2 and logistic regression models were used to analyze the influencing factors for the body regions with a high prevalence. [Results]The overall prevalence of WMSDs in past 12 months among bus drivers in a mega-city was 49.5%(551/1113).The prevalence of WMSDs by body regions ranged from 4.0%to 38.5%,and led by neck pain(38.5%),lower back pain(25.5%),and shoulder pain(20.8%).The results of logistic regression showed that the risk factors for neck pain were age(＞50 years),smoking,tiredness after work(moder-ate,severe),long sitting(frequently),awkward postures(sometimes,often,frequently),overtime(occasionally,often),workplace tem-perature(uncomfortable),and noise(severe)(OR=2.014、1.577、2.793、3.025、2.708、2.032、3.406、2.746、1.442、2.998、1.456、3.506;P＜0.05);the lower back pain risk factors were current work experience(6-10 years,11-15 years,and 16-20 years),smoking,tiredness after work(moderate,severe),and awkward postures(sometimes,often,frequently)(OR=1.777、2.130、2.400、1.503、2.951、3.364、1.836、4.569、2.786,P＜0.05);and the shoulder pain risk factors were age(46-50 years,and＞50 years),smoking,tiredness after work(moder-ate,severe),vehicle type(hybrid power,diesel oil),awkward postures(often,frequently),overtime(often),and workplace temperature(uncomfortable)(OR=1.737、2.357、1.553、2.259、2.489、1.659、3.295、2.777、3.320、2.266、1.426,P＜0.05).Identified protective fac-tors for neck and lower back pain were off-duty physical activity(1-2 times per week,and≥3 times per week)(OR=0.553、0.470、0.586、0.485,P＜0.05). [Conclusion]Nearly half of the bus drivers in the mega-city report symptoms of WMSDs,mainly in the neck,lower back,and shoulders.The prevalence is related to individual and occupational factors,and prevention and intervention measures should be actively taken.关键词
工作相关肌肉骨骼疾患/超大城市/公交司机/影响因素Key words
work-related musculoskeletal disorder/mega-city/bus driver/risk factor分类
医药卫生引用本文复制引用
毕明丽,朱雨秋,丁晓文,王会宁,阎腾龙,李珏..某超大城市男性公交司机工作相关肌肉骨骼疾患发生情况及其影响因素[J].环境与职业医学,2024,41(7):780-788,9.基金项目
首都卫生发展科研专项项目(首发2024-1G-3101) （首发2024-1G-3101）
