Musculoskeletal Pain Status of Local Farmers in Tigray, Ethiopia: A Cross-Sectional Survey
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Background: Agricultural work is physically demanding and is associated with a high frequency of musculoskeletal disorders. It is challenging to comprehensively understand the present status of work-related diseases and injuries among farmers in underdeveloped countries. Objects: This study aimed to elucidate the current status of work-related musculoskeletal disorders in local farmers in Tigray, Ethiopia, and identify the agricultural factors associated work-related musculoskeletal pain (AFWMP) and healthy living and healthy behavior factors associated work-related musculoskeletal pain (HFWMP). Methods: The Institute for Poverty Alleviation and International Development at Yonsei University conducted a survey of 126 households in Tigray, Ethiopia in 2014. A total of 116 individuals (73 men, 43 women) representing each household answered the questionnaires. Results: 1) Work-related musculoskeletal pain (WMSP) most commonly occurred when performing heavy lifting and most frequently occurred in the lower back. 2) Age, self-perceived labor intensity, and months of farming work were significantly higher in the pain group than those in the non-pain group. 3) Overall work-related musculoskeletal pain intensity (WPI) showed positive and negative correlations with years of farming experience and self-perceived health status, respectively. 4) In binary logistic regression, the occurrence of WMSP showed significant associations with self-perceived labor intensity. 5) On multiple linear regression analysis, age, months of farming work, and self-perceived health status had a significant impact on overall WPI. Conclusion: The WMSP of farmers in Tigray, Ethiopia was related to the characteristics of farm working and health status. Furthermore, HFWMP and AFWMP were the chief factors affecting the occurrence of WMSP in farmers in Tigray. Therefore, both HFWMP and AFWMP should be considered for clinical health assessments of farmers with WMSP in underdeveloped African countries.
Abstract
Background: Agricultural work is physically demanding and is associated with a high frequency of musculoskeletal disorders. It is challenging to comprehensively understand the present status of work-related diseases and injuries among farmers in underdeveloped countries. Objects: This study aimed to elucidate the current status of work-related musculoskeletal disorders in local farmers in Tigray, Ethiopia, and identify the agricultural factors associated work-related musculoskeletal pain (AFWMP) and healthy living and healthy behavior factors associated work-related musculoskeletal pain (HFWMP). Methods: The Institute for Poverty Alleviation and International Development at Yonsei University conducted a survey of 126 households in Tigray, Ethiopia in 2014. A total of 116 individuals (73 men, 43 women) representing each household answered the questionnaires. Results: 1) Work-related musculoskeletal pain (WMSP) most commonly occurred when performing heavy lifting and most frequently occurred in the lower back. 2) Age, self-perceived labor intensity, and months of farming work were significantly higher in the pain group than those in the non-pain group. 3) Overall work-related musculoskeletal pain intensity (WPI) showed positive and negative correlations with years of farming experience and self-perceived health status, respectively. 4) In binary logistic regression, the occurrence of WMSP showed significant associations with self-perceived labor intensity. 5) On multiple linear regression analysis, age, months of farming work, and self-perceived health status had a significant impact on overall WPI. Conclusion: The WMSP of farmers in Tigray, Ethiopia was related to the characteristics of farm working and health status. Furthermore, HFWMP and AFWMP were the chief factors affecting the occurrence of WMSP in farmers in Tigray. Therefore, both HFWMP and AFWMP should be considered for clinical health assessments of farmers with WMSP in underdeveloped African countries.
참고문헌 (42)
- Abafita J, "Determinants of children’s schooling : The case of Tigray Region, Ethiopia", Educ Res Rev, 10(8), pp.1130~1146 (2015)
- Abay F, "Measuring on Farm Diversity and Determinants of Barley Diversity in Tigray, Northern Ethiopia", MEJS, 1(2), pp.44~66 (2009)
- Mubarek Abera, "Parents’ perception of child and adolescent mental health problems and their choice of treatment option in southwest Ethiopia", Child and Adolescent Psychiatry and Mental Health, 9(1) (2015), Springer Nature[DOI]
- Aseyehegn K, "Effect of small-scale irrigation on the income of rural farm households : The case of Laelay Maichew District, Central Tigray, Ethiopia", J Agric Sci, 7(1), pp.43~57 (2012)
- Assefa T, "Participatory Plant Breeding with Traders and Farmers for White Pea Bean in Ethiopia", Journal of Agricultural Education and Extension, 20(5), pp.497~512 (2014)
- Birmeta K, "Analyzing Barriers to Accessing Health Care Services in Holeta Town, Ethiopia", Prim Health Care, 5(2), pp.1~7 (2015)
- Brock M, "Musculoskeletal health in South Georgia farmworkers : A mixed methods study", Work, 43(2), pp.223~236 (2012)
- Croppenstedt A, "The Impact of Farmers’Health and Nutritional Status on Their Productivity and Efficiency : Evidence from Ethiopia", Econ Dev Cult Change, 48(3), pp.475~502 (2000)
- Bruno R. da Costa, "Risk factors for work-related musculoskeletal disorders: a systematic review of recent longitudinal studies", American Journal of Industrial Medicine (2009), Wiley-Blackwell[DOI]
- Dercon S, "The Ethiopian rural household surveys: Introduction" (2004), International Food Policy Research Institute
- Deressa A, "Evaluation of Soil Acidity in Agricultural Soils of Smallholder Farmers in South Western Ethiopia", Sci Technol Arts Res J, 2(2), pp.1~6 (2013)
- Agricultural sample survey 2008, "2009. volume 1. Report on area and production of crops", Federal democratic republic of ethiopia central statistical agency, 2009
- Large and medium scale commercial farms sample survey 2010, "2011. volume 8. Report on area and production of crops, and farm management practices", Federal democratic republic of ethiopia central statistical agency, 2011
- Federal democratic republic of ethiopia, Ministry of Health, "version 1. Health and Health Related Indicators", ~ (2007)
- Rural investment climate survey 2006, "2007. volume 1. Report on rural nonfarm enterprises, investment climate constraints, infrastructure accessibility, and households employment", Federal democratic republic of ethiopia central statistical agency, 2007
- Fantahun M, "Health Service Utilization in Amhara Region of Ethiopia", Ethiop J Health Dev, 17(2), pp.140~147 (2003)
- Fulmer S, "Ergonomic exposures in apple harvesting: Preliminary observations", Am J Ind Med, (Suppl 2), pp.3~9 (2002)
- Gebregziabher G, "Does irrigation enhance and food deficits discourage fertilizer adoption in a risky environment? Evidence from Tigray, Ethiopia", J Dev Agric Econ, 3(10), pp.514~528 (2011)
- Holmberg S, "Musculoskeletal symptoms among farmers and non-farmers : A population-based study", Int J Occup Environ Health, 8(4), pp.339~345 (2002)
- Hurissa B, "Urban Poverty Alleviation in Ethiopia:Reflections on Government Strategies", J Poverty Alleviation Int Dev, 2(1), pp.71~96 (2011)
- Jeon MJ, "Musculoskeletal pain status of the Lyamungu local farmers in Tanzania: Relationship between musculoskeletal pain and agricultural working environments, health factors, socio-economic factors", JRSD, 25(s), pp.149~183 (2016)
- Hannae Jo, "Farmers’ Cohort for Agricultural Work-Related Musculoskeletal Disorders (FARM) Study: Study Design, Methods, and Baseline Characteristics of Enrolled Subjects", Journal of Epidemiology, 26(1), pp.50~56 (2016), Japan Epidemiological Association[DOI]
- Kanavos P, "International comparisons of health care expenditures : What we know and what we do not know", Journal of Health Service Research, 4(2), pp.122~126 (1999)
- Christina Kolstrup, "Work-related musculoskeletal discomfort of dairy farmers and employed workers", Journal of Occupational Medicine and Toxicology, 7(1), pp.23~ (2012), Springer Nature[DOI]
- Lee K, "Work-related Injuries and Diseases of Farmers in Korea", Ind Health, 46(5), pp.424~434 (2008)
- Soo-Jeong Lee, "Prevalence of Musculoskeletal Symptoms Among Agricultural Workers in the United States: An Analysis of the National Health Interview Survey, 2004–2008", Journal of Agromedicine, 19(3), pp.268~280 (2014), Informa UK Limited[DOI]
- Lewis MQ, "Workrelated injuries among Iowa farm operators : An analysis of the Iowa Farm Family Health and Hazard Surveillance Project", Am J Ind Med, 33(5), pp.510~517 (1998)
- Lyman S, "History of agricultural injury among farmers in Alabama and Mississippi : Prevalence, characteristics, and associated factors", Am J Ind Med, 33(5), pp.499~510 (1999)
- Németh G, "The load on the low back and hips and muscular activity during machine milking", Int J Ind Ergon, 5(2), pp.115~123 (1990)
- Nevala-Puranen N, "Rail system decreases physical strain in milking", Int J Ind Ergon, 12(4), pp.311~316 (1993)
- Matthew W. Nonnenmann, "Musculoskeletal symptoms of the neck and upper extremities among Iowa dairy farmers", American Journal of Industrial Medicine, 51(6), pp.443~451 (2008), Wiley-Blackwell[DOI]
- Aoife Osborne, "Work-related musculoskeletal disorders among Irish farm operators", American Journal of Industrial Medicine, 56(2), pp.235~242 (2013), Wiley-Blackwell[DOI]
- Osborne A, "An evaluation of low back pain among farmers in Ireland", Occup Med (Lond), 63(1), pp.53~59 (2013)[DOI]
- Teerasak Phajan, "Work-Related Musculoskeletal Disorders Among Sugarcane Farmers in North-Eastern Thailand", Asia Pacific Journal of Public Health, 26(3), pp.320~327 (2014), SAGE Publications[DOI]
- Ceri Phillips, "Prioritising pain in policy making: The need for a whole systems perspective", Health Policy, 88(2-3), pp.166~175 (2008), Elsevier BV[DOI]
- Rosecrance J, "Low back pain and musculoskeletal symptoms among Kansas farmers", Am J Ind Med, 49(7), pp.547~556 (2006)
- Skovron ML, "Sociocultural factors and back pain. A population-based study in Belgian adults", Spine (Phila Pa 1976), 19(2), pp.129~377 (1994)
- Sorainen E, "Whole-body vibration of tractor drivers during harrowing", Am Ind Hyg Assoc J, 59(9), pp.642~644 (1998)
- Swangnetr M, "Analysis of novice and experienced rice farmer grip force and arm muscle activity in a plowing task", Advances in Physical Ergonomics and Human Factors Part II, 15(49) (2014)
- Human Development Report 2010, "UNDP", ~ (2010)
- Walker-Bone K, "Musculoskeletal disorders in farmers and farm workers", Occup Med(Lond), 52(8), pp.441~450 (2002)
- Hong Xiao, "Agricultural work and chronic musculoskeletal pain among latino farm workers: The MICASA study", American Journal of Industrial Medicine, 56(2), pp.216~225 (2013), Wiley-Blackwell[DOI]