The current systematic review aimed to summarize prevalence rates of work-related musculoskeletal disorders (WRMSDs) and quantify the associations between physical or psychosocial risk factors and WRMSDs in construction workers. Literature searches were conducted in Web of Science, PubMed, Medline, CINAHL, and EMBASE from January 1, 2000 to September 30, 2020. The methodological quality of the included studies was assessed by a validated risk of bias assessment tool used in population-based prevalence studies. Nineteen cross-sectional studies and one cohort study involving 194,863 participants were included. Eleven, five, and four included studies were classified as having high, moderate, and low quality, respectively. The 12-month prevalence rates of WRMSDs in construction workers were high (ranging from 25% to 96%). There was strong evidence to support the relationships between awkward postures (e.g., twisting, bending, or cramping positions) [odd ratio (OR) = 2.4], manual material handling (MMH) (OR = 2.2), prolonged works (OR = 4.0), high job demands (OR =1.6) or mental stress (OR =1.8) and WRMSDs in construction workers. Additionally, there was moderate evidence for the associations between overhead works (OR = 3.1), use of vibration (OR = 3.2), or low job satisfaction (OR = 1.5) and WRMSDs in construction workers. Furthermore, there was very limited evidence for the associations between repetitive works, low job control, or high job insecurity and WRMSDs in construction workers. Although many physical and psychosocial risk factors were associated with WRMSDs in construction workers, the causal relationships between these factors and the prevalence of WRMSDs remain unclear. Future prospective studies should determine whether these factors can predict future WRMSDs and whether the modification of these factors can reduce the incidence and/or prevalence of WRMSDs in construction workers.

Review registration PROSPERO 2019

CRD42019135027.

中文翻译：

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根据过去20年的文献，建筑工人的身体或心理社会危险因素与工作相关的肌肉骨骼疾病之间的关联：系统评价

当前的系统评价旨在总结与工作有关的肌肉骨骼疾病（WRMSD）的患病率，并量化建筑工人中身体或心理社会风险因素与WRMSD之间的关联。从2000年1月1日至2020年9月30日在Web of Science，PubMed，Medline，CINAHL和EMBASE中进行文献检索。纳入研究的方法学质量通过基于人群的偏倚评估工具的经过验证的风险进行评估患病率研究。其中包括19项横断面研究和一项涉及194,863名参与者的队列研究。纳入研究的11项，5项和4项分别被归类为高，中和低质量。建筑工人中WRMSD的12个月患病率很高（从25％到96％不等）。有强有力的证据支持笨拙的姿势（例如，扭曲，弯曲或抽筋的位置）[奇数比（OR）= 2.4]，人工搬运（MMH）（OR = 2.2），长时间工作（OR = 4.0）之间的关系），高工作要求（OR = 1.6）或精神压力（OR = 1.8）和建筑工人的WRMSD。此外，有中等证据表明建筑工人的间接费用工程（OR = 3.1），使用振动（OR = 3.2）或低工作满意度（OR = 1.5）与WRMSD之间存在关联。此外，关于建筑工人的重复性工作，低工作控制或高工作不安全感与WRMSD之间的关联的证据非常有限。尽管许多物理和心理社会风险因素与建筑工人的WRMSD相关，这些因素与WRMSD患病率之间的因果关系仍不清楚。未来的前瞻性研究应确定这些因素是否可以预测未来的WRMSD，以及对这些因素的修改是否可以减少建筑工人中WRMSD的发生率和/或患病率。

审查注册PROSPERO 2019

CRD42019135027。