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制造业油漆工多部位工作相关肌肉骨骼疾患影响因素分析
引用本文:彭志恒,陈培仙,杨燕,张海,刘移民,霍少雪,尹强兵,贾宁,王忠旭,王致. 制造业油漆工多部位工作相关肌肉骨骼疾患影响因素分析[J]. 职业卫生与应急救援, 2021, 39(6): 696-701. DOI: 10.16369/j.oher.issn.1007-1326.2021.06.020
作者姓名:彭志恒  陈培仙  杨燕  张海  刘移民  霍少雪  尹强兵  贾宁  王忠旭  王致
作者单位:1.广州市职业病防治院, 广东 广州 510620
基金项目:中国疾病预防控制中心职业卫生与中毒控制所职业健康风险评估与国家职业卫生标准制定项目131031109000150003;广州市卫生健康科技项目20221A010034;广州市卫生健康科技重大项目2021A031003;广州市高水平临床重点专科建设项目穗卫函[2019]1555号
摘    要:目的 调查制造业油漆工工作相关肌肉骨骼疾患(WMSDs)的现状,探讨其多部位WMSDs的影响因素.方法 采用方便抽样方法,选择广东省内1家汽车制造厂、3家木质家具制造厂和1家船舶制造厂的639名油漆工人为研究对象,采用《肌肉骨骼疾患调查问卷》调查研究对象WMSDs的患病情况,运用多因素非条件logistic回归方法分析...

关 键 词:工作相关肌肉骨骼疾患  多部位  制造业  油漆工  影响因素
收稿时间:2021-05-31

Analysis risks of multi-site work-related musculoskeletal disorders of painters in manufacturing industry
Abstract:  Objective  To investigate the status quo of work-related musculoskeletal disorders (WMSDs) among painters in manufacturing industry, and to explore the influencing factors of multi-site WMSDs.  Methods  A total of 639 painters in an automobile factory, 3 wood furniture factories and 1 shipbuilding factory in Guangdong Province were studied by convenient sampling. Musculoskeletal Disorders Questionnaire was used to investigate the prevalence of WMSDs, and multivariate logistic regression was used to analyze the influencing factors of multi-site WMSDs.  Results  The total prevalence of WMSDs was 37.4%, and the highest prevalence was in the neck(20.7%), followed by ankle(19.2%), shoulder(17.4%) and low back(15.8%). The prevalence of WMSDs in single site was 10.3%, and that in multi-site was 27.1%. The prevalence of multiple sites was higher than that in single site. After controlling confounding factors, the risk factors of multi-site WMSDs in workers were longer service years(3-6 years vs. less than 3 years, OR=1.68, P < 0.05), working in an uncomfortable position(OR=2.41, P < 0.05), repeating the same movement in the ankle(OR=1.94, P < 0.05). The protective factors of multi-site WMSDs were having enough rest time(OR=0.63, P < 0.05), being able to stretch or change the leg position(OR=0.57, P < 0.05).  Conclusions  Multi-site WMSDs were more common than single site among painters in the manufacturing industry, and the risk of WMSDs was higher. The employers can reduce the risk of WMSDs of painters by formulating and improving appropriate production plan, increasing the frequency and duration of break, identifying and reducing bad working posture, etc.
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