印度坎普尔市男性制革厂工人腰背疾病风险评估

Gyan Ch, Rajeev Kashyap, S. Singh, Praveen Chokh
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摘要

背景:腰背问题(LBT)在制革工人中非常常见,它是由于在物料传递过程中腰背弯曲的姿势引起的。目的:分析印度坎普尔制革厂男性工人自我报告性行为的流行程度、强度及潜在危险因素。方法:研究数据来源于2015年1 - 6月进行的横断面入户调查。本研究在坎普尔的Jajmau地区进行,采用科学开发的研究设计,采用概率抽样方法,采访了284名制革厂工人。采用单因素和双因素分析来评估LBT的患病率和强度。采用Logistic回归分析确定感染LBT的潜在危险因素。结果:35岁及以上皮革厂工人LBT患病率较高(57%)。长时间工作11-12小时与LBT患病率(68%)之间存在显著关联。在35岁以上的工人中,约六分之一(16%)报告每天疼痛复发,约五分之一(19%)在过去12个月内疼痛超过10次。在模型ii和模型III中,过去12个月内工伤的制革厂工人患LBT的可能性分别是前者的2.09倍和2.42倍。在有严重精神健康障碍的制革工人中,LBT的调整效应高出1.8倍。结论:LBT与制革工人年龄、文化程度、劳动合同类型、工种、每日工作时数、手工装卸、近12个月工伤、心理健康障碍等因素有统计学意义。
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Risk Assessment of Low-back Trouble among Male Tannery Workers: A Study of Kanpur City, India
Background: Low Back Trouble (LBT) is very common among tannery workers, it occurs due to the bend posture of low back during the material transfer. Aim: This paper analyzes the prevalence of the self-reported LBT, its intensity and the potential risk factors among male tannery workers in Kanpur, India. Methods: Data for the study were obtained from a cross-sectional household survey conducted during the period January-June, 2015. The study was conducted in the Jajmau area of Kanpur and interviewed 284 tannery workers selected using scientifically developed study design using probability sampling approach. Univariate and bivariate analyses were used to assess the prevalence and intensity of LBT. Logistic regression analysis was used to identify the potential risk factors for contracting LBT. Results: Tannery workers aged 35 years and above had higher prevalence of LBT (57%). A significant association was observed between long working 11-12 h and the prevalence was (68%) of LBT. Among the workers aged 35+years, about a sixth (16%) reported daily recurrence of pain, and about a fifth (19%) experienced pain more than 10 times in the last 12 months. Tannery workers who were injured at work in the last 12 months was 2.09 and 2.42 times more likely to get LBT in Model-II and III. The adjusted effect of LBT was 1.8 times higher among tannery workers had severe mental health disorders. Conclusions: The results reveal statistically significant association of LBT with age of tannery workers, educational attainments, type of job contract, type of work, daily working hours, manual loading and unloading, workplace injury in last 12 months and mental health disorders.
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