| 寿光市大棚劳动者膝关节肌肉骨骼疾患患病情况及其影响因素研究 |
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| 引用本文： | 郑文静, 么鸿雁, 刘剑君, 郭孟杰, 王凯, 方素娟. 寿光市大棚劳动者膝关节肌肉骨骼疾患患病情况及其影响因素研究[J]. 中华疾病控制杂志, 2017, 21(6): 618-621. doi: 10.16462/j.cnki.zhjbkz.2017.06.019 |
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| 作者姓名： | 郑文静 么鸿雁 刘剑君 郭孟杰 王凯 方素娟 |
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| 作者单位： | 1. 中国疾病预防控制中心流行病学办公室, 北京 102206;;;2. 中国疾病预防控制中心, 北京 102206;;;3. 佛罗里达大学公共卫生与健康专业学院流行病学系, 佛罗里达州 32610;;;4. 寿光市卫生学校学生科, 山东 寿光 262700 |
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| 摘 要： | 目的 了解寿光市大棚劳动者膝关节肌肉骨骼疾患的患病情况，分析肌肉骨骼疾患相关影响因素。方法 选择山东省寿光市五个蔬菜大棚种植区15个村庄至少从事一年劳动的蔬菜大棚劳动者进行面对面调查，分析膝关节肌肉骨骼疾患的发生和影响因素。结果 共纳入研究对象1 780人，大棚劳动者膝关节肌肉骨骼疾患的患病率为41.9%。单因素Logistic回归分析发现共48个因素与大棚劳动者膝关节疾病的发生有关；多因素Logistic回归分析提示，女性（OR=1.795，95% CI：1.433~2.249）、年龄≥50岁（OR=1.635，95% CI：1.271~2.105）、BMI≥24 kg/m2（OR=1.445，95% CI：1.151~1.814）、种植年数≥20年（OR=1.767，95% CI：1.368~2.282）、长时间跪着工作（OR=1.616，95% CI：1.207~2.165）、长时间走动工作（OR=1.967，95% CI：1.290~3.000）、以不舒服的姿势搬举重物 （OR=1.421,95% CI：1.116~1.809）、稍微弯腰（OR=2.084,95% CI：1.427~3.045）、大幅度转身（OR=1.291,95% CI：1.002~1.663）、头部重复弯曲扭转（OR=1.565,95% CI：1.187~2.063）、常被迫弯腰（OR=1.245,95% CI：0.979~1.584）会增加膝关节疾病发生的风险。结论 大棚劳动者膝关节肌肉骨骼疾患的患病率较高，亟待采取合理的预防和控制措施来减少大棚劳动者膝关节肌肉骨骼疾患的发生。
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| 关 键 词： | 膝关节 肌肉骨骼系统 回归分析 |
| 收稿时间： | 2016-12-20 |
| 修稿时间： | 2017-03-11 |
Prevalence of musculoskeletal diseases in knee and its influencing factors among greenhouse farmers in Shouguang |
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| ZHENG Wen-jing, YAO Hong-yan, LIU Jian-jun, GUO Meng-jie, WANG Kai, FANG Su-juan. Prevalence of musculoskeletal diseases in knee and its influencing factors among greenhouse farmers in Shouguang[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2017, 21(6): 618-621. doi: 10.16462/j.cnki.zhjbkz.2017.06.019 |
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| Authors: | ZHENG Wen-jing YAO Hong-yan LIU Jian-jun GUO Meng-jie WANG Kai Fang Su-juan |
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| Affiliation: | 1. Office of Epidemiology, Chinese Center for Disease Control and Prevention, Beijing 102206, China;;;2. Chinese Center for Disease Control and Prevention, Beijing 102206, China;;;3. Department of Epidemiology, College of Public Health and Health Profession, University of Florida, Florida 32610, USA;;;4. Shouguang Health School of Students Management, Shouguang 262700, China |
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| Abstract: | Objective To assess the prevalence of musculoskeletal diseases in knee as well as the influencing factors among greenhouse farmers in Shouguang.Methods A cross-sectional household survey was conducted in the greenhouse farmers who had been working for at least a year.The greenhouse farmers were chosen from five main vegetable cultivating areas in Shouguang,Shandong Province.Results A total of 1 780 subjects were surveyed.The annual prevalence of knee musculoskeletal diseases among greenhouse farmers was 41.9％.48 variables were found significantly associated with knee musculoskeletal diseases through univariate Logistic regression analysis.Multivariate Logistic regression analysis showed that the female gender (OR =1.795,95 ％ CI:1.433-2.249),age ≥ 50years old (OR =1.635,95 ％ CI:1.271-2.105),BMI≥24 kg/m2 (OR =1.445,95％ CI:1.151-1.814),working years≥20years (OR =1.767,95％ CI:1.368-2.282),keep working on knees(OR =1.616;95％ CI:1.207-2.165),keep walking while working(OR =1.967;95％ CI:1.290-3.000),lifting heavy objects in awkward posture (OR =1.421,95％ CI:1.116-1.809),bending slightly (OR =2.084,95％ CI:1.427-3.045),turning over significantly (OR =1.291,95％ CI:1.002-1.663),bending or turning around the head repetitively (OR =1.565,95％ CI:1.187-2.063) and forced bending (OR =1.245,95％ CI:0.979-1.584) were the main risk factors of musculoskeletal diseases in knees.Conclusions The findings showed a relatively higher prevalence of musculoskeletal diseases of knees among greenhouse farmers.Proper measures to prevent and control the prevalence of musculoskeletal diseases of knees are strongly recommended. |
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| Keywords: | Knee Musculoskeletal Regression analysis |
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