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Factors Associated with Musculoskeletal Discomfort in Farmers and Ranchers in the U.S. Central States
Journal of Agromedicine ( IF 2.4 ) Pub Date : 2021-04-29 , DOI: 10.1080/1059924x.2021.1893880
Yi Du 1 , Lorena Baccaglini 1 , Anthony Johnson 2 , Jagadeesh Puvvula 2 , Risto H Rautiainen 2
Affiliation  

ABSTRACT

Agricultural work involves ergonomic and psychosocial strain, which contribute to musculoskeletal conditions. The aim of this study was to assess if specific ergonomic, psychosocial, and preventive factors are linked to musculoskeletal pain or discomfort symptoms (MSS) in farmers and ranchers. We analyzed data from the Central States Center for Agricultural Safety and Health survey that was conducted in 2018 in a seven-state region of the central United States. MSS were assessed with questions from the Standardized Nordic Questionnaire. The survey included questions on demographic, ergonomic, psychosocial and preventive factors. Farm production variables were added from the Farm Market iD database. We analyzed the data using Generalized Estimating Equations. The overall prevalence of MSS for all body sites combined was 59% among 4,354 farmers and ranchers who responded (19% response rate). After controlling for age, sex, and operator status, three factors (high stress level, sleep deprivation, and exhaustion/fatigue) showed the strongest associations with MSS in any body site, with adjusted odds ratios (OR) ranging from 4.8 to 5.6. Forceful exertions, repetitive tasks, awkward postures, frequent manual labor, and vibration were also significantly associated with MSS, with adjusted ORs ranging from 1.8 to 3.3. Recommended preventive techniques were not protective for MSS. New effective strategies are needed to reduce the high burden of musculoskeletal outcomes among farmers and agricultural workers.



中文翻译:

美国中部各州农民和牧场主肌肉骨骼不适的相关因素

摘要

农业工作涉及人体工程学和社会心理压力,这会导致肌肉骨骼疾病。本研究的目的是评估特定的人体工程学、社会心理和预防因素是否与农民和牧场主的肌肉骨骼疼痛或不适症状 (MSS) 相关。我们分析了中央国家农业安全与健康中心调查的数据,该调查于 2018 年在美国中部的一个七州地区进行。MSS 通过标准化北欧问卷中的问题进行评估。该调查包括有关人口统计、人体工程学、社会心理和预防因素的问题。农场生产变量是从 Farm Market iD 数据库中添加的。我们使用广义估计方程分析数据。所有身体部位的 MSS 总患病率为 59%,其中 4 个,354 名农民和牧场主做出了回应(回应率为 19%)。在控制了年龄、性别和操作员状态后,三个因素(高压力水平、睡眠剥夺和疲惫/疲劳)显示与任何身体部位的 MSS 关联最强,调整后的比值比 (OR) 范围为 4.8 至 5.6。剧烈运动、重复性任务、笨拙的姿势、频繁的体力劳动和振动也与 MSS 显着相关,调整后的 OR 范围为 1.8 至 3.3。推荐的预防技术对 MSS 没有保护作用。需要新的有效策略来减轻农民和农业工人肌肉骨骼后果的沉重负担。和疲惫/疲劳)在任何身体部位显示出与 MSS 的最强关联,调整后的比值比 (OR) 范围为 4.8 至 5.6。剧烈运动、重复性任务、笨拙的姿势、频繁的体力劳动和振动也与 MSS 显着相关,调整后的 OR 范围为 1.8 至 3.3。推荐的预防技术对 MSS 没有保护作用。需要新的有效策略来减轻农民和农业工人肌肉骨骼后果的沉重负担。和疲惫/疲劳)在任何身体部位显示出与 MSS 的最强关联,调整后的比值比 (OR) 范围为 4.8 至 5.6。剧烈运动、重复性任务、笨拙的姿势、频繁的体力劳动和振动也与 MSS 显着相关,调整后的 OR 范围为 1.8 至 3.3。推荐的预防技术对 MSS 没有保护作用。需要新的有效策略来减轻农民和农业工人肌肉骨骼后果的沉重负担。推荐的预防技术对 MSS 没有保护作用。需要新的有效策略来减轻农民和农业工人肌肉骨骼后果的沉重负担。推荐的预防技术对 MSS 没有保护作用。需要新的有效策略来减轻农民和农业工人肌肉骨骼后果的沉重负担。

更新日期:2021-04-29
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