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How work organization Affects the prevalence of wmsds: A case-control study

Biomedical and Environmental Sciences 2015年第9期28卷 627-633页

作者： LIU Lu CHEN Song Gen TANG Shi Chuan WANG Sheng HE Li Hua GUO Ze Hua LI Jing Yun YU Shan Fa WANG Zhong Xu Department of Occupational and Environmental Health Science Peking University School of Public Health Foshan Institute of Occupational Disease Prevention and control Beijing Key Laboratory of Occupational Health and Safety Beijing Municipal Institute of Labour Protection Beijing Institute of Occupational Medicine for Chemical Industry Henan Provincial Institute for Occupational Health Department of Occupational Health Protection Institute for Occupational Health and Poison ControlChinese Center of Disease Control and Prevention

Objective In this study, we aimed at exploring the association between work-related musculoskeletal disorders（wmsds） and work organization based on a case-control study. Methods A total of 1938 workers who claimed to suffer from wmsds were selected from Beijing, Henan, Hubei, and the Guangdong province. The control group consisted of 2009 workers employed in similar industries without severe disease or musculoskeletal discomforts. We used a modified version of the questionnaire developed by the NMQ and the DMQ to investigate individual and work-related factors. Results A total of 13 variables（P〈0.1） were selected by the chi-square test and finally, 7 variables entered into the equation, with 6 variables reaching statistical significance（P〈0.05）. The odds ratios（OR） of ＇work changing with season＇ and ＇sufficient rest time＇ did not reach 1（0.749 and 0.441, respectively）. In addition, ＇sufficient rest time＇ seemed to be the stronger protective factor according to its higher standardized coefficient. And ＇repetitive work every minute＇, ＇constantly repetitive work＇（every day）, ＇shortage of site personnel＇, and ＇often switching shifts with others＇ seemed to be the risk factors. Conclusion work organization may have comprehensive effects on the occurrence of wmsds. This pattern of associations suggests that further investigation into the mechanism of how work organization affects the prevalence of wmsds is required.

关键词： wmsds work organization case-control study prevalence risk factors

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