Prevalence and associated factors of musculoskeletal disorders among public primary care physicians in a regional healthcare cluster in Singapore: a cross-sectional study.

Jia Yi Chee, Hui Li Koh, Shu Yun Tan
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Abstract

Introduction: Musculoskeletal disorders (MSDs) commonly affect workers across many industries. This includes healthcare workers, where the prevalence of MSDs ranges from 20% to 91.2% globally. As there is a lack of studies looking at the burden of MSDs among primary care physicians (PCPs), our study aimed to understand the prevalence of MSDs and explore their associated risk factors among PCPs working in the public sector in Singapore.

Methods: This was a cross-sectional study, where PCPs in a primary healthcare cluster were invited to complete a self-administered web-based questionnaire, which consisted of demographic information and the Nordic Musculoskeletal Questionnaire (NMQ). Descriptive statistics were used to describe the demographic information and prevalence of MSDs. Multivariable logistic regression was used to explore the factors associated with the presence of MSDs.

Results: A total of 193 PCPs completed the study, of whom 174 (90.2%) reported the presence of MSDs in at least one body region in the last 12 months. The most common sites of trouble were the neck (72.5%), lower back (61.1%) and shoulder (50.3%). We also found that females had a higher risk of MSDs (odds ratio 5.66; 95% confidence interval 1.29-24.90) than males.

Conclusion: Our study demonstrated a high prevalence of MSDs among our local PCPs. Female gender was associated with a higher risk of MSDs. As such, further research can be conducted to explore the risk factors for MSDs and their impact on productivity and quality of care. This would help in the development of preventive measures with the goal of reducing MSDs among PCPs.

改变认知健康的指针:在新加坡对可改变的风险因素采取紧急行动以预防痴呆症。
肌肉骨骼疾病(MSDs)通常影响许多行业的工人。这包括卫生保健工作者,全球msd患病率在20%至91.2%之间。由于缺乏关于初级保健医生(pcp)的MSDs负担的研究,我们的研究旨在了解新加坡公共部门pcp中MSDs的患病率并探索其相关风险因素。方法:这是一项横断面研究,邀请初级卫生保健集群中的pcp完成一份自我管理的基于网络的问卷,其中包括人口统计信息和北欧肌肉骨骼问卷(NMQ)。描述性统计用于描述MSDs的人口统计信息和患病率。采用多变量logistic回归探讨与MSDs存在相关的因素。结果:共有193名pcp完成了研究,其中174名(90.2%)报告在过去12个月内至少有一个身体区域存在MSDs。最常见的发病部位是颈部(72.5%)、下背部(61.1%)和肩部(50.3%)。我们还发现,女性患MSDs的风险更高(优势比5.66;95%可信区间1.29-24.90)高于男性。结论:我们的研究表明MSDs在我们当地的pcp中有很高的患病率。女性患MSDs的风险更高。因此,可以进行进一步的研究,以探索MSDs的风险因素及其对生产力和护理质量的影响。这将有助于制定预防措施,以减少pcp之间的MSDs。
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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