摘要
目的了解新疆地区生物安全实验室(biosafety laboratory,BSL)工作人员职业紧张现况,分析其可能的影响因素及其与工作相关肌肉骨骼疾患(work-related musculoskeletal disorders,WMSDs)的关系。方法2021年5月,采用整群抽样方法,对新疆各地区BSL工作人员进行调查。采用付出回报-失衡调查表(effort-reward imbalance,ERI)调查职业紧张情况,《中国肌肉骨骼疾患调查问卷》调查WMSDs情况。采用多因素logistic回归模型分析职业紧张的影响因素;采用倾向性匹配法对是否患WMSDs员工的人口学变量和工作相关因素进行匹配后,再以多因素logistic回归模型分析职业紧张与BSL工作人员WMSDs发生风险的关系。结果纳入BSL工作人员7924人,职业紧张检出率为83.38%(6607人),WMSDs患病率为69.16%(5480人)。多因素logistic回归分析结果显示:BSL等级为二级的实验室工作人员发生职业紧张的风险是BSL等级为一级的工作人员的1.219倍(P<0.05);30~44岁组、≥50岁组发生职业紧张的风险分别是20~25岁组的1.221倍、1.375倍(均P<0.05);大专、大学本科及以上学历BSL工作人员发生职业紧张的风险分别是中专及以下的1.527倍、2.379倍(均P<0.05);管理人员、实验技术人员发生职业紧张的风险分别是其他岗位(后勤人员,工程人员等)的1.772倍、1.840倍(均P<0.05);月均收入≥4000元的实验室工作人员发生职业紧张的风险是<4000元的1.374倍(P<0.05)。倾向性评分结果显示:匹配前,大部分变量在两组员工(是否患WMSDs)间差异有统计学意义(P<0.05);匹配后,得到BSL工作人员2223对,两组所有人口统计学变量和工作相关变量(性别、BSL等级、年龄、文化程度、工龄、职称、岗位类别、婚姻状况、月均收入)差异均无统计学意义(均P>0.05)。匹配后的多因素logistic回归分析显示:ERI量表中付出维度、回报维度和超负荷维度得分与BSL工作人员出现WMSDs的风险为正相关关系(OR=1.06�
Objective To understand the current status of occupational stress among biosafety laboratory(BSL)staff in Xinjiang and to analyze its possible influencing factors and its association with work-related musculoskeletal disorders(WMSDs).Methods A cluster sampling method was used to survey BSL staff across various regions in Xinjiang in May 2021.The effort-reward imbalance(ERI)questionnaire was used to assess occupational stress,and the Chinese Musculoskeletal Disorders Questionnaire was used to assess WMSDs.Multivariate logistic regression was used to analyze the influencing factors of occupational stress.Propensity score matching was used to match demographic variables and work-related factors of employees with and without WMSDs,followed by multivariate logistic regression to analyze the association of occupational stress and the risk of WMSDs in BSL staff.Results A total of 7924 staff were included in the study,with an occupational stress detection rate of 83.38%(6607 individuals)and a WMSDs detection rate of 69.16%(5480 individuals).The results of the multivariate logistic regression analysis revealed that the occupational stress of laboratory personnel working in BSL-2 facilities was 1.219 times(P<0.05)higher than that in BSL-1 facilities.The staff in the 30 to 44 age group and the≥50 age group exhibited 1.221-fold and 1.375-fold(both P<0.05)higher risks of occupational stress,respectively,compared to the staff in the 20 to 25 age group.Laboratory workers with associate degrees and bachelor's degrees or higher had 1.527-fold and 2.379-fold(both P<0.05)increased risks of occupational stress,respectively,compared to those with vocational education or below.Management personnel and laboratory technicians showed 1.772-fold and 1.840-fold(both P<0.05)higher risks of occupational stress,respectively,compared to other positions(e.g.,logistics staff,engineers).Laboratory personnel with monthly incomes≥4000 yuan had a 1.374-fold increased risk of occupational stress compared to those earning<4000 yuan(P<0.05).Propens
作者
巨珂珂
吴瑞凯
余婧
吴丽
刘继文
卢耀勤
JU Keke;WU Ruikai;YU Jing;WU Li;LIU Jiwen;LU Yaoqin(Shaanxi Provincial People’s Hospital,Xi’an,Shaanxi 710086,China;The First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang 830011,China;Nursing School of Xinjiang Medical University,Urumqi,Xinjiang 830011,China;Urumqi Center for Disease Control and Prevention,Urumqi,Xinjiang 830000,China)
出处
《职业卫生与应急救援》
2024年第4期421-426,共6页
Occupational Health and Emergency Rescue
基金
新疆维吾尔自治区科学技术厅科技创新团队(天山创新团队)项目(2022TSYCTD0015)。
