环境与职业医学2025，Vol.42Issue(3)：278-285,8.DOI:10.11836/JEOM24372
某集团煤矿工人工作相关肌肉骨骼疾患现况及影响因素
Prevalence and influencing factors of work-related musculoskeletal disorders of coal miners in a coal mine group
摘要
Abstract
[Background]The positive rate of work-related musculoskeletal disorders(WMSDs)among coal mine workers remains high,which seriously affects the quality of life of the workers. [Objective]To estimate the prevalence of WMSDs among coal miners in Shanxi Province and an-alyze their influencing factors. [Methods]From May to December 2023,2 315 coal miners from a coal mine enterprise in Shanxi Province were selected by convenience sampling,and the self-administered Basic Situation Survey Scale,Musculoskeletal Disorders Questionnaire,Effort-Reward Imbalance Questionnaire,and Pittsburgh Sleep Quality Scale were used to evaluate general demographic characteristics,work organization characteristics,living habits,sleep quality,occupational stress,and occurrence of WMSDs symptoms and the corresponding absences(sickness absence)in past 1 year.The positive rate and absenteeism rate of WMSDs were caculated,and Pearson's chi-square test was used for identify influencing factors of WMSDs,and finally a binary logistic regression method was used to further studying the factors. [Results]A total of 2577 questionnaires were distributed in this survey,and 2315 valid questionnaires were recovered,with an effective recovery rate of 89.9％.The positive rate of WMSDs symptoms was 48.7％(1127/2 315),the absenteeism rate due to WMSDs was 22.6％(523/2315),and the waist(17.5％),neck(11.7％),and knee(9.0％)were the most common areas presenting WMSDs symptoms.The results of logistic regression showed that compared with ≤10 years of service,the risk of WMSDs was higher for those with＞20 years of service(OR=2.167,95％CI:1.419,3.311).Compared with the daily working time of ≤8 h,the risk of WMSDs was higher for those＞8 h daily working time(OR=1.463,95％CI:1.211,1.767).A higher risk of WMSDs was reported in workers with moderate labor intensity(OR=1.247,95％CI:1.009,1.542)or heavy labor intensity(OR=1.570,95％CI:1.215,2.027)than those with light labor intensity.The higher the education level(ORhigh school and technical secondary school=1.866,95％CI:1.435,2.425;ORjunior college/bachelor degree or above=1.953,95％CI:1.445,2.639),the higher the risk of WMSDs.The risk of WMSDs was higher in workers reporting smoking(OR=1.225,95％CI:1.021,1.470)or alcohol consumption(OR=1.345,95％CI:1.122,1.612).The risk of WMSDs in coal miners with high occupational stress(OR=1.229,95％CI:1.030,1.466)or those with sleep disorders(OR=3.616,95％CI:2.824,4.629)was higher than that in workers with low occupational stress or no sleep dis-orders respectively. [Conclusion]The positive rate of WMSDs among coal mine personnel in Shanxi Province is high,and education level,length of service,daily working hours,smoking,alcohol consumption,labor intensity,sleep disorders,and occupational stress are influencing factors for WMSDs.关键词
煤矿工人/肌肉骨骼疾患/付出-回报失衡/睡眠障碍/职业紧张Key words
coal miner/musculoskeletal disorder/effort-reward imbalance/sleep disorder/occupational stress分类
预防医学引用本文复制引用
郑晓兰,刘改生,蒋柳权,赵英,赵宏霞,杨帆,李强,李黎,陈颖君,陈青松..某集团煤矿工人工作相关肌肉骨骼疾患现况及影响因素[J].环境与职业医学,2025,42(3):278-285,8.基金项目
广东省自然科学基金面上项目(2022A1515011357) （2022A1515011357）
煤炭环境致病与防治教育部重点实验室(山西医科大学)开放基金重点项目(MEKLCEPP/SXMU-202306) （山西医科大学）
