与自我报告的健康和肌肉骨症状相关的体力工作需求的个体内变化:荷兰工人的队列研究
Bart Cillekens1,2, Emma van Eeghen1, Karen M Oude Hengel3
1Department of Public and Occupational Health, Amsterdam UMC, Location VU University Medical Center (VUmc), Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.
International archives of occupational and environmental health
|September 24, 2023
概括
增加的体力劳动需求与女性更多的肌肉骨症状有关,但减少需求并没有改善健康. 需要进一步的研究来证实这些关于体力劳动需求和工人健康的发现.
科学领域:
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 身体工作需求是职业健康的一个重要因素.
- 了解体力劳动需求的变化与工人健康之间的关系对于工作场所干预至关重要.
- 之前的研究已经探讨了体力工作量对健康结果的影响,但对不断变化的需求的纵向数据不太常见.
研究的目的:
- 调查体力劳动需求变化与自我评估健康之间的关联.
- 检查体力劳动要求的变化与肌肉骨症状之间的关系.
- 探索这些关联中的潜在的性别差异.
主要方法:
- 利用了荷兰劳动条件调查COVID-19 (2019-2021) 的数据.
- 包括7191名参与者 (年龄在19-64岁之间) 在至少两个波段在现场工作.
- 采用后勤通用估计方程 (GEE) 来分析体力劳动需求的变化和随后的健康结果,调整共变量.
主要成果:
- 增加体力工作需求与女性肌肉骨症状显著相关 (OR 1.39,95% CI 1.17-1.65).
- 减少体力劳动需求与女性肌肉骨症状没有显著关联.
- 类似的,虽然减弱的,趋势观察到男性和自我评价健康在两性.
结论:
- 越来越多的体力工作需求与自我报告的不良健康和肌肉骨症状有关.
- 在这项研究中,减少体力劳动的要求并没有显示出对工人健康的明显益处.
- 建议使用客观测量和更短的测量间隔进行进一步的研究,以验证这些发现.
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