ABSTRACT
BACKGROUND: Work-related musculoskeletal disorder is one of the most important public health problems throughout the world. However, there is a paucity of knowledge on work-related musculoskeletal disorders among bank staff in Ethiopia. Therefore, this study aimed to assess the prevalence of work-related musculoskeletal disorders and associated factors among bank staff in Jimma city, Ethiopia. METHODS: Institution-based cross-sectional study was conducted from July 20 to August 20, 2019. A simple random sampling technique was used. Data were collected by pre-tested interviewer-administered standardized Nordic musculoskeletal questionnaires. Data were entered into Epi Data version 3.1 and exported to SPSS version 20 for analysis. A logistic regression analysis was done. A variable having a p-value <0.25 in a bivariate analysis was taken into multivariate analysis to avoid the potential effects of confounders. Adjusted odds ratios (AOR) were calculated at a 95% confidence interval to see the strength of association. A significant association was set at a p-value <0.05. RESULTS: Data were collected from 335 study participants. The overall prevalence of work-related musculoskeletal disorders during the last 12-months was 245 (73.1%). The most affected body parts were lower back 181 (54%), neck 152 (45.4%), upper back 143 (42.7%), and shoulder 127 (37.9%). Work experience [AOR: 2.16, 95% CI: 1.05-4.43], alcohol consumption [AOR: 3.44, 95% CI: 1.29-9.18], awkward posture [AOR: 4.09, 95% CI: 2.20-7.61], working in the same position for two or more hours [AOR: 2.02, 95% CI: 1.05-3.89] and job stress [AOR: 3.20, 95% CI: 1.67-6.15] were factors associated with work-related musculoskeletal disorders. CONCLUSION: The prevalence of work-related musculoskeletal disorders was common among bank staff. Preventive strategies such as using ergonomic guidelines and giving awareness on the effect of bad posture, avoiding prolonged working in the same position were recommended. Using ergonomic guideline is helpful to create a suitable working environment that fit employee's physical capability.
ABSTRACT
BACKGROUND: Diabetes chronic complications are major causes of morbidity and mortality, among which diabetic peripheral neuropathy (DPN) stands out. One of the tools to screen DPN is the Michigan neuropathy screening instrument. However, there is no data compiled using this tool to assess the prevalence and its determinants in Jimma. So, the aim of this study was to assess the prevalence of DPN and its determinants among patients with diabetes mellitus at Jimma University Medical Center. Methods. A hospital-based cross-sectional study was conducted at Jimma University Medical Center on 366 type 2diabetic patients. Data were collected using pretested structured questionnaire and entered into EpiData 3.1 and exported to SPSS version 20 for analysis. Both bivariate and multivariate binary logistic regressions were employed to identify factors associated with DPN. A variable having a p value of < 0.25 in the bivariate model was subjected to multivariate analysis to avoid confounding variable's effect. Adjusted odds ratios were calculated at 95% confidence interval and considered significant with a p value of ≤ 0.05. RESULTS: The mean age of participants was 50.1 ± 14.28 years. The study finding showed that the prevalence of DPN was 53.6% among study participants. According to the multivariate logistic regression age above 40 years (AOR = 4.57; 95% CI: 1.50, 13.9), above 50 years (AOR = 6.5; 95% CI: 2.24, 18.79), duration of diabetes above 5 years (AOR = 3.06; 95% CI: 1.63, 5.77), duration above 10 years (AOR = 7.1; 95% CI: 2.99, 17.28), physical inactivity (AOR = 2.02; 95% CI: 1.14, 3.55), and smoking (current smoker AOR = 7.96, 95% CI: 3.22, 19.64; former smoker (AOR = 2.65; 95% CI: 1.22, 5.77) were independent predictors of DPN among study participants. CONCLUSION: Almost half of the study participants had DPN. Age above 40 years, diabetes duration of above 5 years, physical inactivity, and smoking were significantly associated with DPN. Early detection and appropriate interventions are important among patients with age above 40 years, physically inactive, smokers, and diabetes duration of above 5 years.
