가사노동자의 근골격계질환 자각증상과 관련요인
(A) Study on the Musculoskeletal Disorders among the Visiting Housekeeper
환경 및 산업 보건학과
가사노동자 근골격계질환 자각증상;
- 원문 URL
The purposes of this study are to survey the extent of pain and discomfort in the musculoskeletal system among visiting housekeepers, above all concerning neck, shoulder, back, wrist, knee, and arm pain and to find possible relations between symptoms and various working conditions. A questionnaire was answered by 174 woman visiting housekeepers living in Kyeonggi-do and Seoul from December 1, 2003 to February 30, 2004. The symptoms of musculoskeletal system were coded by the pain index which illustrates the extent of the symptoms, and analyzed in view of NIOSH guideline and KIM et. al.'s notion. The results are summarized as follows: 1. As to the complaint rate of subjective musculoskeletal symptoms by body region, the figure was the highest for shoulder with 78.2%, followed by back with 66.7%, knee 53.6%, neck 56.3%, wrist 40.2%, and arm 29.2%, respectively. The logistic analysis shows shoulder pain and arm pain have no relation with working and health conditions, and back pain is significantly related to current health condition. In same way, knee pain and wrist pain are found to be mainly related to marital status. 2. Following the NIOSH guideline, the positive rate of subjective musculoskeletal symptoms is found out in following order: shoulder 69.5%, back 59.2%, knee 54%, neck 46%, wrist 32.8%, and arm 25.3%. To investigate the main cause of each disease, the symptoms are classified by pain index, where the value of more than 3 comes to the NIOSH case, and analyzed in term of complaint rate using discrete logistical method : shoulder pain is highly related to the housekeeping time after work, back pain is to current health condition and the heavy weight carrying and neck, wrist, arm pain are commonly related to the ordinary health condition. For knee pain, working speed is a main cause. 3. In view of KIM et. al.'s standard, where the pain index is over 7, the positive rate is showed in order slightly different from previous analyses : shoulder 33.3%. knee 29.9%, back 28.2%, neck 17.2%, wrist 17.2%, and 16.7%. From the logistical analysis, insufficient rest was shown as the main cause of shoulder, back, arm and wrist pain. For neck pain, ordinary health condition is mainly related. In case of knee pain, any apparent relation is not found. 4. According to the logistic regression analysis of musculoskeletal system, there was strong suggestion that the less insufficient physical rest, the more significant disorder complaint. This mean that the most musculoskeletal symptom among the visiting housekeepers can be prevented and cured by sufficient physical resting.