印度各种职业工人中与工作相关的肌肉骨疾病:系统性审查和元分析
SukhDev Mishra1, G Avinash1, Madan G Kundu2
1Department of Biostatistics, Division of Health Sciences, ICMR-National Institute of Occupational Health, Ahmedabad, Gujarat, India.
Journal of occupational health
|December 17, 2024
概括
与工作相关的肌肉骨疾病 (WMSDs) 在印度各个行业都非常普遍,影响农业,医疗保健和采矿的工人. 有针对性的干预措施对于减轻经济损失和改善工人福祉至关重要.
科学领域:
- 职业健康 职业健康 职业健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 与工作相关的肌肉骨疾病 (WMSDs) 是全球和印度的重大职业健康问题.
- 这些障碍是过度劳动和重复运动造成的,导致各种部门的缺勤和经济损失.
- 主要受影响的部门包括农业,小规模工业,手工艺,建筑和银行业.
研究的目的:
- 确定印度不同职业群体中WMSDs的流行率和程度.
- 通过元分析,综合现有关于WMSD患病率的数据.
主要方法:
- 在SCOPUS,PubMed Central和Google Scholar中对2005年至2023年间发表的研究进行了系统的文献搜索.
- 北欧肌肉骨问卷被用于在选定的研究中识别WMSD.
- 使用随机效应模型对流行率估计进行了元分析,使用漏斗图形评估出版偏差.
主要成果:
- 据估计,WMSD的12个月综合患病率为76% (95% CI,70%至82%),表明存在相当大的变化.
- 具体的元发病率包括腰部疼痛 (60%),部疼痛 (40%) 和肩部疼痛 (36%).
- 发现出版偏差很低,偏差风险在统计学上不显著.
结论:
- 在印度,WMSDs是一个重要的公共卫生问题,在农业,医疗保健和采矿等行业的流行率很高.
- 患病率的巨大差异强调了针对特定部门的干预和政策的必要性.
- 综合的人体工程学策略和政策措施对于有效解决和减轻WMSDs的影响至关重要.
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