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2 "Bohyun Sim"
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Original Article
Population attributable fraction of indicators for musculoskeletal diseases: a cross-sectional study of fishers in Korea
Jaehoo Lee, Bohyun Sim, Bonggyun Ju, Chul Gab Lee, Ki-Soo Park, Mi-Ji Kim, Jeong Ho Kim, Kunhyung Kim, Hansoo Song
Ann Occup Environ Med 2022;34:e23.   Published online September 7, 2022
DOI: https://doi.org/10.35371/aoem.2022.34.e23
AbstractAbstract AbstractAbstract in Korean PDFSupplementary MaterialPubReaderePub
Background

The musculoskeletal disease (MSD) burden is an important health problem among Korean fishers. We aimed to investigate the indicators of the prevalence of MSD and contributions of significant indicators to MSD in Korean fishers.

Methods

This cross-section study included 927 fishers (male, 371; female, 556) aged 40 to 79 years who were enrolled from 3 fishery safety and health centers. The outcome variable was one-year prevalence of MSD in 5 body parts (the neck, shoulder, hand, back, and knee). Independent variables were sex, age, educational attainment, household income, job classification, employment xlink:type, hazardous working environment (cold, heat, and noise), ergonomic risk by the 5 body parts, anxiety disorder, depression, hypertension, diabetes, and hyperlipidemia. The adjusted odds ratio of MSDs by the 5 body parts were calculated using multiple logistic regression analysis. We computed the population attributable fraction (PAF) for each indicators of MSDs using binary regression models.

Results

The one-year prevalence of MSD in the neck, shoulder, hand, back, and knee was 7.8%, 17.8%, 7.8%, 27.2%, and 16.2% in males vs. 16.4%, 28.1%, 23.0%, 38.7%, and 30.0% in females, respectively. The ergonomic risk PAF according to the body parts ranged from 22.8%–59.6% in males and 22.8%–50.3% in female. Mental diseases showed a significant PAF for all body parts only among female (PAF 9.1%–21.4%). Cold exposure showed a significant PAF for the neck, shoulder, and hand MSD only among female (25.6%–26.8%). Age was not a significant indicator except for the knee MSD among female.

Conclusions

Ergonomic risk contributed majorly as indicators of MSDs in both sexes of fishers. Mental disease and cold exposure were indicators of MSDs only among female fishers. This information may be important for determining priority risk groups for the prevention of work-related MSD among Korean fishers.

어업인의 근골격계질환 관련인자의 인구집단 기여위험분율에 관한 단면연구
목적
한국 어업인들의 근골격계질환 유병률에 대한 관련인자의 인구집단 기여위험도를 조사하는 것이다.
방법
본 연구의 대상은 3개 어업안전보건센터에 소속된 40-79세 어업인 927명(남성 371명, 여성 556명)이다. 결과 변수는 구조화된 설문지에 따른 5개 신체 부위(목, 어깨, 손, 허리, 무릎)의 근골격계질환 1년 유병률이다. 독립변수는 성별, 연령, 최종학력, 가구소득, 고용형태, 세부업종, 유해 작업환경(추위, 더위, 소음), 신체부담작업수준, 불안장애, 우울증, 고혈압, 당뇨, 고지혈증이다. 다중 로지스틱 회귀분석을 사용하여5개 신체부위별 근골격계질환의 오즈비를 산출하였다. 이를 이용하여 근골격계질환에 대한 각 변수별로 인구집단 기여위험분율(PAF)를 계산하였다.
결과
남성에서 근골격계질환 1년 유병률은 목7.8%, 어깨17.8%, 손7.8%, 허리27.2%, 무릎16.2% 이다. 여성의 1년 근골격계질환 1년유병률은 목 16.4%, 어깨 28.1%, 손 23.0%, 등 38.7%, 무릎 30.0% 이다. 신체 부위에 따른 신체부담작업의 기여위험분율은 남성 22.8-59.6%, 여성 22.8-50.3%이다. 정신질환은 여성에서만 모든 신체부위에서 유의한 기여위험분율을 보였다(9.1%-21.4%). 추위 노출은 여성에서만 목, 어깨, 손 근골격계질환에 대해 유의미한 기여위험분율을 보였다(25.6%-26.8%). 나이는 여성에서 무릎을 제외하고는 유의한 인자가 아니다.
결론
신체부담작업은 남성, 여성 모두에서 근골격계질환에 대한 주요 기여 변수이다. 정신 질환과 추위 노출은 여성 어업인에서만 근골격계질환에 기여를 한다. 본 연구는 어업인들의 업무관련성 근골격계질환 예방을 위한 우선순위 판단에 정보를 제공할 것이다.
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Original Article
Radiographic hand osteoarthritis in women farmers: characteristics and risk factors
Bohyun Sim, Jaehoo Lee, Chul Gab Lee, Hansoo Song
Ann Occup Environ Med 2022;34:e10.   Published online May 16, 2022
DOI: https://doi.org/10.35371/aoem.2022.34.e10
AbstractAbstract AbstractAbstract in Korean PDFSupplementary MaterialPubReaderePub
Background

Repetitive hand use increases the risk of hand osteoarthritis (OA). This study aimed to investigate characteristics of and risk factors for hand OA in Korean women farmers.

Methods

This cross-sectional study included women farmers resident in Jeollanam-do, Korea. The participants were interviewed, and radiographs were taken of both hands. Radiological hand OA was defined based on the Osteoarthritis Research Society International imaging criteria of joint space narrowing or the presence of osteophytes. The participants were divided into age groups of < 60 and ≥ 60 years. Obesity was defined as body mass index of > 25 kg/m2. Annual working time was divided into < 2,000, 2,000–2,999, and ≥ 3,000 hours. Agricultural working type was divided into rice farming and field farming. Robust Poisson regression was used to identify factors associated with radiographic hand OA, with adjustment for age, obesity, annual working time, and agricultural classification.

Results

A total of 310 participants with a mean age of 58.1 ± 7.6 years, were enrolled. The prevalence of radiologically confirmed OA was 49.0%, with an OA prevalence of 39.4% the interphalangeal joint in the thumb (IP1). The prevalence of OA was higher in the distal interphalangeal joint than in the proximal interphalangeal, metacarpophalangeal, and carpometacarpal joints. The prevalence of OA varied by age, annual working time, and agriculture type.

Conclusions

Korean women farmers have a high prevalence of OA, particularly in the IP1 joints. OA is associated with age, working hours, and agriculture type.

여성농업인에서 영상학적 손관절염의 특징과 관련인자
목적
본 연구에서는 반복적인 손사용이 많아 손관절염 위험이 높은 여성농업인에서 손관절염의 특징과 위험인자에 대하여 알아보고자 한다.
방법
본 연구에서는 반복적인 손사용이 많아 손관절염 위험이 높은 여성농업인에서 손관절염의 특징과 위험인자에 대하여 알아보고자 한다.
결과
대상자의 평균연령은 58.1세, 표준편차 7.6세 였다. 방사선학적 손관절염의 유병률은 개인수준에서 49.0%였으며, 관절별로는 엄지손가락의 지절간관절이 39.4%로 가장 높은 유병률을 나타냈다. 본 연구에서 개인수준의 방사선학적 손관절염과 관련성을 보인 요인은 나이와 작업시간이었다. 특히 엄지손가락 지절간관절의 관절염은 나이와 연간작업시간이외에도 농작업종류와도 관련성을 보여, 밭작업에서 높은 오즈비를 보였다.
결론
엄지손가락의 지절간관절이 가장 높은 유병률을 보였고, 연령이외에도 연간농작업시간, 농작업 종류와 같은 직업적 요인과의 관련성이 확인되었다.

Citations

Citations to this article as recorded by  
  • Identification of susceptibility modules and hub genes of osteoarthritis by WGCNA analysis
    Yanchao Wang, Wenjun Zhou, Yan Chen, Dong He, Zhen Qin, Zhao Wang, Song Liu, Lei Zhou, Jianwen Su, Chi Zhang
    Frontiers in Genetics.2022;[Epub]     CrossRef
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