张镏琢, 朱德香, 林大枫, 翁少凡, 张明, 胡煜, 胡波, 张乃兴. 视屏作业人员颈痛现状及影响因素研究[J]. 职业卫生与应急救援, 2025, 43(3): 294-298. DOI: 10.16369/j.oher.issn.1007-1326.2025.240551
引用本文: 张镏琢, 朱德香, 林大枫, 翁少凡, 张明, 胡煜, 胡波, 张乃兴. 视屏作业人员颈痛现状及影响因素研究[J]. 职业卫生与应急救援, 2025, 43(3): 294-298. DOI: 10.16369/j.oher.issn.1007-1326.2025.240551
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ZHANG Liuzhuo, ZHU Dexiang, LIN Dafeng, WENG Shaofan, ZHANG Ming, HU Yu, HU Bo, ZHANG Naixing. Study on the neck pain and influencing factors among video display terminal workers[J]. Occupational Health and Emergency Rescue, 2025, 43(3): 294-298. DOI: 10.16369/j.oher.issn.1007-1326.2025.240551
Citation: ZHANG Liuzhuo, ZHU Dexiang, LIN Dafeng, WENG Shaofan, ZHANG Ming, HU Yu, HU Bo, ZHANG Naixing. Study on the neck pain and influencing factors among video display terminal workers[J]. Occupational Health and Emergency Rescue, 2025, 43(3): 294-298. DOI: 10.16369/j.oher.issn.1007-1326.2025.240551
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视屏作业人员颈痛现状及影响因素研究

Study on the neck pain and influencing factors among video display terminal workers

    摘要
  • 摘要:
    目的 调查深圳市视屏作业人员颈痛的发生情况，探讨其与颈椎数字X线摄影(DR)异常、久坐等潜在影响因素之间的关系。
    方法 2022年6—12月，以整群抽样的方法，将在深圳市某职业病防治院接受职业健康检查的626名视屏作业人员作为研究对象，调查其颈痛情况，通过DR观察颈椎异常情况，采用多因素logistic回归模型分析颈痛的影响因素。
    结果 视屏作业人员颈痛的发生率为48.88%(306人)，颈椎DR异常的检出率为67.57%(423人)。颈椎DR异常与颈痛无相关性(P > 0.05)。多因素logistic回归分析结果显示：相对于男性、工龄≤5年、初中及以下学历的视屏作业人员，女性、工龄> 15年、中专或高中及以上学历的视屏作业人员发生颈痛的风险更高(OR = 1.99 ~ 3.68)；相对于每周工作时长＜40 h者，每周工作时长40 ~ 48 h和≥ 56 h的视屏作业人员发生颈痛的风险分别升高至2.13倍和3.03倍；相对于日平均坐姿工作时长＜5 h者，日平均坐姿工作时长> 5 h的视屏作业人员发生颈痛的风险升高至1.95 ~ 3.45倍；相对于不锻炼者，进行锻炼的视屏作业人员发生颈痛的风险降低(OR = 0.63)；以上差异均有统计学意义(P＜0.05)。
    结论 视屏作业人员颈痛发生率和颈椎DR异常检出率均较高。减少作业时长，进行适度的锻炼，有利于降低颈痛的发生率。

     

    Abstract:
    Objective To investigate the prevalence of neck pain among video display terminal (VDT) workers in Shenzhen and to explore its association with cervical spine abnormalities shown by digital radiography (DR), prolonged sitting, and other potential influencing factors.
    Methods From June to December 2022, a total of 626 VDT workers undergoing occupational health examinations at an occupational disease prevention and treatment institute in Shenzhen were studied by cluster sampling. Their neck pain status was surveyed, and cervical spine abnormalities were assessed via DR. Multivariate logistic regression model was employed to analyze potential risk factors for neck pain.
    Results The prevalence of neck pain among these VDT workers was 48.88%(306), while the detection rate of cervical spine abnormalities on DR was 67.57% (423). There was no significant association between DR abnormalities and neck pain (P > 0.05). Multivariate logistic regression analysis indicated that, compared to male workers, those with ≤ 5 years of work experience, and those with a junior high school education or lower, female workers, those with > 15 years of experience, and those with a technical secondary school or high school education or above had higher risks of neck pain (OR = 1.99 to 3.68). Compared to those working less than 40 hours per week, the risk of neck pain increased to 2.13 times and 3.03 times among those working 40 to 48 hours and ≥ 56 hours per week, respectively. Compared to those with an average daily sitting duration of less than 5 hours, those sitting for more than 5 hours daily had a 1.95 to 3.45 times higher risk of neck pain. In contrast, VDT workers who exercised had a lower risk of neck pain than those who did not (OR = 0.63). All differences were statistically significant (all P < 0.05).
    Conclusions The prevalence of neck pain and the detection rate of cervical spine abnormalities on DR were both high among VDT workers. Shortening the work time and moderate exercise are beneficial to reducing the incidence of neck pain.

     

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