肌肉骨疼痛与特定性别,非性别的工作暴露矩阵和自我报告的暴露在CONSTANCES中的比较
Francesca Wuytack1, Bradley A Evanoff2, Ann Marie Dale2
1UMR_S 1085, IRSET-ESTER, SFR ICAT, CAPTV CDC, Univ Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail), Angers, France.
Journal of occupational rehabilitation
|November 6, 2023
概括
性别特定的工作暴露矩阵 (JEMs) 在预测肌肉骨疼痛方面显示了与非性别特定的结果相似的结果. 然而,为了准确的预测,仍然建议根据性别进行分层分析.
科学领域:
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 肌肉骨系统疾病 (MSDs) 是一个重要的全球健康问题,导致大量的病假和残疾.
- 现有研究表明,MSD流行率和影响方面存在性别差异,特别是在体力劳动暴露方面.
研究的目的:
- 评估身体工作暴露之间的关联,使用性别特定的CONSTANCES工作暴露矩阵 (JEM) 和在六个身体区域自我报告的肌肉骨疼痛.
- 将这些发现与非性别的CONSTANCES JEM和个人自我报告的暴露进行比较.
- 调查这些协会中的性别特异性差异.
主要方法:
- 从CONSTANCES队列 (法国) 中分析了48736名男性和63326名女性.
- 逻辑回归用于评估27个物理暴露和部,肩膀,肘部/手臂,手/手腕,腰部和膝盖/腿部自我报告的疼痛之间的关联.
- 在性别特定的JEM,非性别的JEM和自我报告的暴露之间进行了比较,调整为年龄和BMI,并根据性别分层分析.
主要成果:
- 来自性别特异性和非性别JEM的关联在很大程度上是相似的.
- 自我报告的风险曝光率通常与基于JEM的发现保持一致,除了"改变任务"",休息眼睛"和"落后"等风险曝光.
- 无论JEM类型如何,在性别之间的影响方向和意义上都观察到一些差异.
结论:
- 针对体力劳动暴露的性别特异性JEM的开发可能不是必不可少的,因为性别特异性和非性别特异性JEM产生了可比的结果.
- 按性别分层分析对于准确预测肌肉骨疼痛至关重要.
- 进一步的研究可能会探索职业暴露和MSD的细微的基于性别的差异.
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