Prevalence and Factors Associated with Low Back Pain among Health Personnel in Khon Kaen Provincial Health Office

Authors

  • Teerasak Phajan Sirindhorn College of Public Health, Khon kaen Province
  • Petcharat Sooksalung Hua Khao Health Promoting Hospital, Maha Phot Sub-District, Sa Bot District, Lopburi Province

Keywords:

Low Back Pain, Ergonomics Risks, Health Personnel

Abstract

This cross sectional analytical research aimed to identify the prevalence of low back pain (LBP) and factors associated with low back pain among health personnel in Khon Kaen Provincial Health Office. Samples were 135 health personnel selected by applying stratified random sampling. Data were collected by questionnaire and ergonomics risk assessment in terms of rapid office strain assessment (ROSA) and analyzed by descriptive statistics and multiple logistic regression at 0.05 level of significance, the adjusted odds ratio presented, 95 % confidence interval and p-value. The results indicated that most of the samples were females (75.56%) with the average age of 43.30 years olds (S.D.=10.12), finished bachelor's degree (53.33%) and had working experience more than 10 years (55.56%).  The prevalence of low back pain among health personnel was 54.07% (95 %CI=45.52–62.39). The factors significantly associated with low back pain (p–value<0.05) were: (1) working with computer for more than 6 hours per day (Adjusted OR=2.45, 95%CI:1.10-5.95;                 p-value=0.047); (2) sitting with a rounded back (Adjusted OR=2.87, 95%CI:1.24-6.58;     p-value=0.013); (3)working environment (ergonomics risk) (Adjusted OR=3.88, 95%CI: 1.10-13.97; p-value=0.038); and (4) having stress (Adjusted OR=3.10, 95%CI: 1.27-7.35; p-value=0.012). This study showed that most of health personnel had low back pain. Therefore, recommendations are made for the prevention of LBP of health personnel including adjusting working behaviors and working stations to be proper based on the principles of ergonomics.

References

1. Deyo RA, Dworkin SF, Amtmann D, et al. Report of the National Institutes of Health Task Force on research standards for chronic low back pain. J Manipulative Physiol Ther. 2014; 37(7): 449–467.
2. Occupational Safety & Health Administration [OSHA]. Sewing and related procedures ergonomics. Retrieved February, 15, 2018, from http://www.osha.gov/SLTC/etools/sewing/pdf/ sewinggandrelateprocedurestask.pdf.
3. Occupational Health Clinics for Ontario Workers [OHCOW]. Work-related Musculoskeletal Disorders (WMSDs). Retrieved February, 1, 2018, from http://www.ohcow.on.ca/resoures/hand books/wrmd/WRMD htm.
4. ชนนท์ กองกมล. โรคระบบกล้ามเนื้อและกระดูกโครงร่างที่เกิดขึ้นเนื่องจากการทำงาน. สืบค้นเมื่อ 22 มกราคม 2561, จาก http://cpk-box.net/ Rworkshop/OccHealth_files/เกณฑ์วินิจฉัยโรคกระดูก กล้ามเนื้อและโครงร่าง.pdf.
5. Yamato T, Yuya U, Fumihiro N, & Rei O. The association between perceived stress and low back pain among eldercare workers in Japan. J Occup Environ Med. 2017; 59(8):765-767.
6. กองโรคจากการประกอบอาชีพและสิ่งแวดล้อมกรมควบคุมโรค กระทรวงสาธารณสุข อาการปวดหลังส่วนล่างจากการทำงาน, สืบค้นเมื่อ 19 มกราคม 2561, จาก http://envocc.ddc.moph.go.th/contents/view/84.
7. Yang H, Haldeman S, Lun Lu M, Baker D. Low back pain prevalence and related workplace psychosocial risk factors: A study using data from the 2010 national health interview survey. J Manipulative Physiol Ther. 2016; 39(7): 459–472.
8. Hsieh YF, Bloch AD, & Larsen DM. A simple method of sample size calculation for linear and logistic regression. Statistics in Medicine. 1998; 17:1623-34.
9. Chan E, Hamid M, Din F, Ahmad R, Nadzalan A, & Hafiz E. Prevalence and factors associated with low back pain among Malaysian army personnel stationed in Klang Valley. Biomedical Human Kinetics. 2019; 11: 9-18.
10. Best, JW. Research in Education. 3rd ed. Englewood Cliffs, New Jersey : Prentice Hall, Inc. 1977.
11. Sonne M, Villalta DL, & Andrewsa DM. Development and evaluation of an office ergonomic risk checklist: ROSA-Rapid office strain assessment. Applied Ergonomics. 2012; 43(1):98-108.
12. กรมสุขภาพจิต. แบบประเมินความเครียด ST-5. สืบค้นเมื่อ 16 กันยายน 2561, จาก http://www.dmh.go.th/test/qtest5.
13. Wong EN, & Callaghan JP. Changes in muscle activation patterns and subjective low back pain ratings during prolonged standing in response to an exercise intervention. Journal of Electromyography and Kinesiology. 2010; 20(6): 1125-1133.
14. Callaghan JP. & McGill SM, Callaghan JP, & McGill SM. Low back joint loading and kinematics during standing and unsupported sitting. Ergonomics. 2011; 44: 280-294.
15. ประโยชน์ บุญสินสุข. ความเมื่อยล้าจากการทำงาน. สืบค้นเมื่อ 16 ธันวาคม 2561, จาก https://www.doctor.or.th/article/detail/3340.
16. Rahman ZA, & Atiya AS. Prevalence of work related upper limbs symptoms (WRULS) among office workers. Asia Pac J Public Health. 2009; 21(3): 252-258.
17. Casas AS, Patino MS, & Camargo DM. Association between the sitting posture and back pain in college students. Rev Univ Ind Santander Salud. 2016; 48(4): 446-454.
18. Sonne M. & Andrews DM. The Rapid Office Strain Assessment (ROSA): Validity of online worker self assessment and the relationship to worker discomfort. Occup Ergonomics. 2012; 10(4): 83-101.
19. จิตตาภรณ์ มงคลแก่นทราย, อุไรวรรณ หมัดอ่าดัม. ปัจจัยที่มีความสัมพันธ์กับความผิดปกติของระบบโครงร่างและกล้ามเนื้อในบุคลากรสำนักงาน มหาวิทยาลัยวลัยลักษณ์. วารสารวิชาการสาธารณสุข. 2562; 28(1): 37-44.

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Published

2020-07-19

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Original Article