Musculoskeletal disorders and quality of life of artisanal fishermen from riverside localities in the Brazilian Amazon.

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Archives of Occupational and Environmental Health Pub Date : 2024-11-01 DOI:10.1007/s00420-024-02106-7

Messias de Lima Macedo, Fernando José Herkrath, Silas Nery de Oliveira, Jansen Atier Estrázulas

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引用次数: 0

Abstract

Background: Artisanal fishing is widely practiced in the Amazon region. However, the exhaustive labor demand impacts on the health of fishermen. Thus, this study aimed to evaluate the prevalence of musculoskeletal disorders (MSDs) and the relationship with the quality of life (QoL) of artisanal fishermen.

Methods: A cross-sectional study was carried out, evaluating male fishermen from two rural communities bordering Janauacá lake, Amazonas. Data were collected through interviews, using REDCap installed on smartphones. The Nordic Musculoskeletal Questionnaire was utilized to identify the body regions with the greatest pain complaints, and QoL was assessed using the mental and physical components of the SF-12. After the descriptive analysis, linear regression analysis was performed to evaluate the association between the occurrence of MSDs and the components of QoL. The analyses were performed using Stata SE software, version 17.

Results: In total, 115 fishermen were evaluated. MSDs were reported in all of the body regions assessed, with a higher prevalence in the lower (80.0%) and upper (43.5%) back, and knee (40.9%). Lower QoL scores were observed in emotional performance (20.7 ± 4.0), physical performance (25.1 ± 4.3), and mental health (29.0 ± 13.6). It was observed that individuals with any MSD presented worse QoL in the physical component (β_adj=-5.0; 95%CI=-9.7; -0.3).

Conclusion: The findings showed a high prevalence of MSDs in the study population, as well as its impact on the QoL of artisanal fishermen. This highlights the need to reorganize health services to prevent the occurrence of MSDs, as well as for their treatment and rehabilitation.

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巴西亚马逊河流域个体渔民的肌肉骨骼疾病和生活质量。

背景：亚马逊地区的手工捕鱼十分普遍。然而，高强度的劳动需求对渔民的健康造成了影响。因此，本研究旨在评估个体渔民肌肉骨骼疾病（MSDs）的发病率及其与生活质量（QoL）的关系：开展了一项横断面研究，对亚马孙州 Janauacá 湖沿岸两个农村社区的男性渔民进行了评估。数据是通过使用安装在智能手机上的 REDCap 进行访谈收集的。北欧肌肉骨骼调查问卷用于确定疼痛感最强烈的身体部位，而 QoL 则使用 SF-12 的精神和身体部分进行评估。描述性分析之后，进行了线性回归分析，以评估 MSDs 发生率与 QoL 各组成部分之间的关联。分析使用 17.0 版 Stata SE 软件进行：共有 115 名渔民接受了评估。所有被评估的身体部位都出现了 MSDs，其中腰部（80.0%）、上背部（43.5%）和膝部（40.9%）的发病率较高。情绪表现（20.7 ± 4.0）、身体表现（25.1 ± 4.3）和心理健康（29.0 ± 13.6）的 QoL 分数较低。据观察，患有任何 MSD 的个体在身体方面的 QoL 表现较差（βadj=-5.0；95%CI=-9.7；-0.3）：研究结果表明，MSD 在研究人群中的发病率很高，对个体渔民的 QoL 也有影响。这突出表明，有必要重新组织医疗服务，以预防 MSDs 的发生，并对其进行治疗和康复。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Archives of Occupational and Environmental Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

6.70%

发文量

127

审稿时长

3 months

期刊介绍： International Archives of Occupational and Environmental Health publishes Editorials, Review Articles, Original Articles, and Letters to the Editor. It welcomes any manuscripts dealing with occupational or ambient environmental problems, with a special interest in research at the interface of occupational health and clinical medicine. The scope ranges from Biological Monitoring to Dermatology, from Fibers and Dust to Human Toxicology, from Nanomaterials and Ultra-fine Dust to Night- and Shift Work, from Psycho-mental Distress and Burnout to Vibrations. A complete list of topics can be found on the right-hand side under For authors and editors. In addition, all papers should be based on present-day standards and relate to: -Clinical and epidemiological studies on morbidity and mortality -Clinical epidemiological studies on the parameters relevant to the estimation of health risks -Human experimental studies on environmental health effects. Animal experiments are only acceptable if relevant to pathogenic aspects. -Methods for studying the topics mentioned above.