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ABSTRACT Introduction: Low back pain is a prevalent condition with health, social and occupational impact. The aim of this study is to assess the influence of social and occupational factors on worker patients with low back pain. Method: A descriptive study was conducted on 349 subjects with low back pain. The main independent variable was being a manual or non-manual worker. Other social-occupational and lifestyle variables were also considered. The level of disability was established according to the Oswestry low back pain disability questionnaire, and the association between the type of job and the test was evaluated using multiple linear regressions. Results: Manual workers are heavier smokers (47%), experience more pain (74.3%), have a lower economic status (89.3%), use more drugs (57.7%), have limitations in walking (17.5%) and standing (25.6%), used carrying protocols (85.5%), make repetitive movements (77.4%). They made trunk (52.6%) and upper limb movements (24.8%), and received less prevention training (51.7%), but used low back protection (19.6%). The non-manual workers had greater limitation in handling loads (37.4%) and sitting (43.5%), and computer screen user protocols were applied (94.8%), and had a lower social class classification (57.1 low-middle class). Performing manual tasks at work is significantly associated with an increase of 2 points in the Oswestry test compared to non-manual workers, when adjusted for age and gender (coefficient β: 2, 95% CI: 0.6-3.36). Conclusion: Low back pain is a prevalent condition, with an unfavorable prognosis that has an individual, social, and occupational impact. Performing manual tasks is associated with an increase in the disability scale, regardless of age and gender.
RESUMEN Introducción: El dolor lumbar es una dolencia prevalente con repercusión sanitaria, social y laboral. Es objetivo de este trabajo valorar la influencia de las variables sociolaborales en pacientes con lumbalgia que trabajan. Método: Estudio descriptivo en 349 sujetos con lumbalgia. Es variable independiente principal ser trabajador manual y no manual; también son recogidas otras variables sociolaborales y de estilo de vida. La incapacidad se obtuvo mediante la escala del cuestionario de Oswestry y la asociación entre el tipo de tarea y el test se evaluó con regresión lineal múltiple. Resultados: Los trabajadores manuales consumen más tabaco (47%), tienen más dolor (74,3%), peor situación económica (89,3%), consumen más fármacos (57,7%), tienen limitación en deambulación (17,5%) y bipedestación (25,6%), se les aplican protocolos de cargas (85,5%) y movimientos repetidos (77,4%), realizan movimientos de tronco (52,6%) y miembros superiores (24,8%) y reciben menor formación preventiva (51,7%), pero utilizan protección lumbar (19,6%). Los trabajadores no manuales tienen mayor limitación en cargas (37,4%) y sedestación (43,5%) se les aplican protocolos de usuarios de pantallas (94,8%) y tienen peor tipificación en clase social (57,1 clase media-baja). Realizar tareas manuales en el trabajo se asocia significativamente con un aumento de 2 puntos en el test de Oswestry respecto a los no manuales, ajustado por edad y género (coeficiente β: 2, IC 95%: 0,65-3,36). Conclusión: La lumbalgia es una dolencia prevalente, de curso desfavorable, que implica impacto individual, social y laboral. Realizar tareas manuales se asocia con un aumento en la escala de incapacidad, independientemente de la edad y el género.
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Humanos , Adulto , Pessoa de Meia-Idade , Riscos Ocupacionais , Dor Lombar , Qualidade de Vida , Categorias de TrabalhadoresRESUMO
Abstract Introduction: Data regarding the incidence of MetS and the relationship with some body composition measurements in blue-collar workers from Soledad were obtained, as part of a wider research. Methods: Data on weight (W), height (H), BMI, waist, hip, WHR, percentage of body fat (%BF), fat mass, blood pressure (BP), fasting blood glucose (FBG), total cholesterol (TC), high density lipoprotein HDL), low density lipoprotein (LDL), very-low density lipoprotein (VLDL) and triglycerides (TG) were obtained from 236 male blue-collar workers in a metal-mechanic factory at Soledad, a municipality of Departamento del Atlántico in the Caribbean coast of Colombia. The Adult Treatment Panel III (2001) definition for metabolic syndrome was used. Metabolic Syndrome components (MetS) and correlations with body composition measurements were calculated. Results: The overall prevalence of metabolic syndrome was 20.7% (95%CI=15%, 26%). Waist circumference above 102 cm. was found in 11.8% (95%CI=7.5%, 16.2%); 43.2% (95%CI=36.6%, 49.7%) had triglycerides levels greater than 150 mg/dl., blood pressure > 130/85 was found in 10.2% (95%CI=6.1%, 14.2%) and FBG >100 mg/dl in 10.5% (95%CI=6.4%, 14.7%). BMI and %BF correlates well with waist, BP, FBG and TG. Conclusions: Prevalence of MetS in this blue-collar workers' sample at Soledad is in agreement with other papers published in Colombia, as well as in other countries. Abdominal obesity was below the national data. In this population, BMI and %BF could be a good proxy to evaluate MetS.
Resumen Introducción: Se obtuvo un conjunto de datos, como parte de una investigación más amplia, en relación a la incidencia de Síndrome Metabólico (SM) y su relación con algunas mediciones de composición corporal en trabajadores en Soledad. Métodos: Se registraron los datos del peso (P), talla (T), Indice de Masa Corporal (IMC), cintura, cadera, Indice Cintura-Cadera (ICC), porcentaje de grasa corporal (%GC), masa grasa, presión arterial (PA), glucosa sanguínea en ayunas (GSA), colesterol total (CT), lipoproteínas de alta densidad (LAD), lipoproteínas de baja densidad (LBD), lipoproteínas de muy baja densidad (LMBD) y triglicéridos (TG) en 236 obreros de una fábrica metalmecánica en Soledad, municipio del Departamento del Atlántico en la costa caribe Colombiana. Se utilizó para definir el Síndrome Metabólico (SM) los criterios del Adult Treatment Panel III (2001). Se calcularon los componentes del SM y las correlaciones con las mediciones de la composición corporal. Resultados: La prevalencia global del Síndrome Metabólico fue de 20.7% (95%CI=15%, 26%). La circunferencia de la cintura por encima de 102cm. se encontró en 11.8% (95%CI=7.5%, 16.2%); 43.2% (95%CI=36.6%, 49.7%) tenían niveles de triglicéridos mayores a 150mg/dl; la presión sanguínea > 130/85 se encontró en 10.2% de los casos (95%CI=6.1%, 14.2%) y la GSA >100 mg/dl en 10.5% (95%CI=6.4%, 14.7%). El IMC y el %GC se correlacionaron bien con la cintura, la presión arterial, la glucosa sanguínea en ayunas y los triglicéridos. Conclusiones: La prevalencia de SM entre los obreros en esta muestra en Soledad, está de acuerdo con otros trabajos publicados en Colombia, así como en otros países. La obesidad abdominal estuvo por debajo de los datos nacionales. En esta población, el IMC y el %GC pudieran ser un buen aproximado para evaluar el SM.
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Transit workers constitute a blue-collar occupational group that have elevated smoking rates relative to other sectors of employed adults in the United States. This study analyzed cross-sectional tobacco survey data from 935 workers (60% African American; 37% female) employed at an urban public transit agency in California. Prevalence of current and former smoking was 20.3% and 20.6%, respectively. Younger workers were less likely than older workers to be current or former smokers. Having a complete home smoking ban was associated with decreased likelihood of being a smoker [odds ratio (OR) = 0.04, 95% confidence interval (CI) = 0.01–0.17], as were neutral views about whether it is easy for a smoker to take a smoking break during their shift (OR = 0.50, 95% CI 0.28–0.88). Current smoking among the sample is > 50% higher than the adult statewide prevalence. Potential points of intervention identified in this study include perceived ease of worksite smoking breaks and establishing home smoking bans. Tailored cessation efforts focusing on older transit workers more likely to smoke are needed to reduce tobacco-related disparities in this workforce.
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Adulto , Humanos , California , Categorias de Trabalhadores , Prevalência , Fumaça , Fumar , Nicotiana , Estados Unidos , Local de TrabalhoRESUMO
PURPOSE: This study analyzed the degree of job stress and caffeine intake in workers in industrial positions in order to determine the relationships between job stress and caffeine intake. METHODS: For this purpose, this study conducted a survey targeting 361 blue collar workers working for K manufacturing company, Gwangju. RESULTS: The total score for job stress in subjects was 72.7 ± 6.8 points/100 points. According to job stress, subjects were categorized as follows: Q1 for the group who had the least stress; Q2 for the group who had little stress; Q3 for the group who had a lot of stress, and Q4 for the group who had the most stress. As for the effects of caffeine on health, 57.1% thought that caffeine is helpful and not harmful if taken properly while 17.3% responded that less caffeine consumption is better. Daily intake of caffeine according to stress was presented as: 172.0 ± 85.3 mg in Q1, 179.0 ± 83.7 mg in Q2, 187.9 ± 81.4 mg in Q3, and 214.2 ± 147.3 mg in Q4 (p < 0.05). The percentages of caffeine consumption compared to the daily safe limit in subjects were: 43.0 ± 21.3, 44.8 ± 20.9, 47.1 ± 20.4, and 53.6 ± 36.8% in Q1, Q2, Q3, and Q4, respectively (p < 0.05). Adverse effects such as nausea or vomiting from caffeine were most common in Q4 (p < 0.05) CONCLUSION: As a result, higher stress in blue collar workers working for K manufacturing company was associated with more caffeine consumption. Groups with a lot of stress (Q4) consumed approximately 50% of daily safe limit of caffeine. Considering the results above, this study suggests that further research on more precise caffeine intake and its effects is needed.
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Cafeína , Náusea , VômitoRESUMO
PURPOSE: The purpose of this study was to investigate Korean blue-collar workers' Health-related Quality of Life (HRQoL) and influencing factors in Korean blue-collar workers. METHODS: Participants in this study were 109 Korean blue-collar workers. The survey included health-related, work-related, and psycho-social factors. SF-36 was used to measure HRQoL. The data were analyzed using Pearson's correlation, and hierarchical multiple regression analysis. RESULTS: In the hierarchical linear regression model, when subjects' psycho-social variables were included in the regression model, R2 change was statistically significant. The significant predictors for HRQoL were education level (beta=.26, p=.023), depression (beta=-.38, p<.001), and self-efficacy (beta=.23, p<.001). CONCLUSION: The results of this study indicate that health care providers must have priority to consider psycho-social variables, especially depression and self-efficacy to improve HRQoL in Korean blue-collar workers.
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Humanos , Depressão , Educação , Pessoal de Saúde , Modelos Lineares , Qualidade de VidaRESUMO
PURPOSE: The purpose of this study was to investigate the contribution of actual cardiovascular disease (CVD) risk, as well as, individual, psychosocial, and work-related factors as predictors of CVD risk perception among Korean blue-collar workers. METHODS: The participants were 238 Korean blue-collar workers who worked in small companies. Data were collected through a survey; anthropometric and blood pressure measures; and blood sampling for lipid levels. RESULTS: Blue-collar workers had high actual CVD risk and low CVD risk perception. The significant predictors of risk perception included perceived health status, alcohol consumption, knowledge of CVD risk, actual CVD risk, decision latitude, and shift work. The model explained 26% of the variance in CVD risk perception. CONCLUSION: The result suggests when occupational health nurses are giving routine health examination in small companies, they can enhance CVD risk perception in blue-collar workers by providing essential information about CVD risk factors and personal counseling on the individual worker's CVD risk status.