참외 재배 농업인의 근골격계 증상 유병률과 인간공학적 위험요인

The Prevalence of Musculoskeletal Symptoms and the Ergonomic Risk Factors among Oriental Melon-growing Farmers

  • 배규정 (한양대학교 의과대학 산업의학교실) ;
  • 이경숙 (농촌진흥청 국립농업과학원) ;
  • 공용구 (성균관대학교 시스템경영공학과) ;
  • 오경재 (원광대학교 의과대학 예방의학교실) ;
  • 이수진 (한양대학교 의과대학 산업의학교실)
  • Bae, Kyu-Jung (Department of Occupational and Environmental Medicine, College of Medicine, Hanyang University) ;
  • Lee, Kyoung-Sook (National Academy of Agricultural Science, Rural Development Administration) ;
  • Kong, Yong-Ku (Department of Systems Management Engineering, Sungkyunkwan University) ;
  • Oh, Gyung-Jae (Department of Preventive Medicine and Public Health, School of Medicine, Wonkwang University) ;
  • Lee, Soo-Jin (Department of Occupational and Environmental Medicine, College of Medicine, Hanyang University)
  • 발행 : 2011.03.31

초록

목적: 이 연구는 참외재배 농업인의 신체 부위별 근골격계 증상 유병률을 알아보고 그와 관련된 요인들을 분석하고, 참외재배 시 수반되는 주요 작업요소들에 대한 인간공학적 평가를 실시하는데 있다. 방법: 217명을 대상으로 일반적 특성 및 NIOSH의 증상 조사표를 사용하여 근골격계 증상에 대해 설문하고, 작업요소들에 대해서는 인간공학적 도구(REBA, OWAS)를 활용하여 평가하였다. 결과: 최종 응답자 202명 중 근골격계 증상 유병률은 NIOSH 기준으로 분류하였을 때는 근골격계 증상 유병률(1부위 이상이 있는 경우)은 전체 152명(75.2%)이었고 신체부위별 유병률은 허리가 102명(50.5%)로 가장 높았고, 무릎 86명(42.6%), 어깨 71명(35.1%) 순이었다. 통증호소자 기준으로 분류하였을 때는 전체 91명(45.0%)이었고 신체부위별 유병률은 전체에서 허리가 54명(26.7%)로 가장 높았고, 무릎 41명(20.3%), 어깨 37명(18.3%) 순이었다. 로지스틱 회귀분석 결과는 여성이 남성에 비해(OR=2.409, 95% CI=1.071~5.389), 작업력이 30년 이상이 30년 미만에 비해(OR=2.445, 95% CI=1.150~5.197)로 높은 위험도를 나타났다. 인간공학적 위험요인 평가에서는 REBA와 OWAS 모두 고위험작업으로 분류되는 작업은 박스/모종 위치작업, 모종심기, 참외따기였다. 재배면적당 총 작업시간은 순치기, 참외따기, 비닐개폐의 순서로 높았다. 결론: 참외 재배 농업인에서 근골격계 증상유병율이 75.2%로 매우 높았다. 쪼그려앉기 등과 같은 인간공학적으로 매우 위험한 요인들에 노출되고 있어 이들에 대한 개선이 요구된다.

Objectives: The purpose of this study was to investigate the prevalence of musculoskeletal symptoms in oriental melon-growing farmers and to evaluate the ergonomic risk factors of melon cultivation. Methods: The study included 217 subjects growing oriental melons mainly in 3 villages. Subjects were interviewed by means of a structured questionnaire. Instruments used the general features and symptom table of NIOSH to evaluate tasks using ergonomic tools (REBA, OWAS). Results: A total of 202 final respondents answered. The prevalence of musculoskeletal symptoms based on the NIOSH standard criteria was 162 (75.2%). The prevalence per body part for lower back, knee and shoulder were 102 (50.5%), 86 (42.6%) and 71 (35.1%), respectively. The prevalence of pain complaints of the musculoskeletal symptom was 91 (45.0%). The prevalence of complaints per body part of lower back, knee and shoulder were 54 (26.7%), 41 (20.3%) and 37 (18.3%), respectively. Logistic regression analysis showed men were at higher risk compared to women (OR=2.409, 95% CI=1.071~5.389), and ore than 30 years of work having a higher risk compared to less than 30 years of work (OR=2.445, 95% CI=1.150~5.197). High risk tasks were moving around boxes and nursery plants for planting, transplanting nursery plants, and picking melons. Conclusions: Musculoskeletal symptoms were very highly prevalent in oriental melon-growing farmers, showing up in 75.2% of cases. They were exposed to ergonomic high risk factors such as squatting. These risk factors must be improved in some way.

키워드

참고문헌

  1. Korea Occupational Safety and Health Agency. Analysis of 2007's Industrial Accidents. Available: http://www.kosha.or.kr/board [cited 8 August 2009].
  2. Rural Development Administration. Disease, Accident and Public Health Consciousness of Agriculture, Forestry and Fishing Worker. Rural Development Administration. Suwon. 2004. pp 2-13. (Korean)
  3. Ahn OS. Work environment and work load of farmers in four crop cultivation. Department of Clothing and Textiles, Graduate School of Seoul National Univ. Seoul. 2001. (Korean)
  4. Lee YH, Lee JH, Lee KS, Kim KR, Lee SJ. Ergonomic risk factors related to musculoskeletal symptoms in the vineyard workers. J Korean Soc Occup Environ Hyg 2008;18(2):122-32. (Korean)
  5. Park JS, Oh GJ. Differences in farmer's syndrome between greenhouse-melon farmers and rice farmers. J Agri Med & Community Health 2008;33(1):27-36. https://doi.org/10.5393/JAMCH.2008.33.1.027
  6. National Institute for Occupational Safety and Health(NIOSH). NIOSH Health Hazard Evaluation Report, 1993, NIOSH Report No. PB 93-188-456.
  7. Korea Occupational Safety and Health Agency. Guideline of harmful factors survey for musculoskeletal overloading works. Available: http://www.kosha.or. kr/information/code/code2.jsp [cited 8 August 2007].
  8. Karhu O, Kansi P, Kuorinka I. Correcting working postures in industry: A practical method for analysis. Appl Ergon 1977;8(4):199-201. https://doi.org/10.1016/0003-6870(77)90164-8
  9. Hignett S, McAtamney L. Rapid entire body assessment. Appl Ergon 2003;31(2):201-5.
  10. Engels JA, Van der Gulden JWJ, Senden TF, Kolk JJ and Binkhorst RA. The effects of an ergonomic-educational course. Postural load, perceived physical exertion, and biomechanical errors in nursing. Int Arch Occup Environ Health 1998;71(5):336-42. https://doi.org/10.1007/s004200050289
  11. Holmberg S, Thelin A, Stiemstrom E, Svardsudd K. The impact of physical work exposure on musculoskeletal symptoms among farmers and rural nonfarmers. Annal Agric Environ Med 2003;10:179-84.
  12. Rosercrance J, Rodgers G, Merlino L. Low back pain and musculoskeletal symptoms among Kansas farmers. Am J Ind Med 2006;49:547-56. https://doi.org/10.1002/ajim.20324
  13. Palmer KT. Musculoskeletal problems in the tomato growing industry: 'Tomato trainer's shoulder'. Occup Med 1996;46:428-31. https://doi.org/10.1093/occmed/46.6.428
  14. Meyers JM, Miles JA, Faucett J, Janowitz I, Tejeda DG, Kabashima JN. Ergonomics in agriculture: workplace priority setting in the nursery industry. AIHA J 1997;58:121-6. https://doi.org/10.1080/15428119791012955
  15. Hartman E, Huub HE, Oude Vrielink, Jos H.M. Metz, Ruud B.M. Huirne. Exposure to physical risk factors in Dutch agriculture: Effect on sick leave due to musculoskeletal disorders. Int J Ind Ergon 2005;35:1031-45. https://doi.org/10.1016/j.ergon.2005.04.006
  16. Choi JW, Kim MJ, Lee JY. Evaluation of the farmers' workload and thermal environments during cucumber harvest in the greenhouse. J Korean Soc Living Environ Sys 2002;9(3):245-53. (Korean)
  17. Kiesler S, Finholt T. The mystery of RSI. Am Psychol 1988;43(12):1004-15. https://doi.org/10.1037/0003-066X.43.12.1004
  18. Lee YD, The increase of female labor in agriculture and the future coping directions. Korean J. Community Living Science 1993;4(1):37-44. (Korean)
  19. Bischoff HA, Roos EM. Effectiveness and safety of strengthening, aerobic, and coordination exercise for patients with osteoarthritis. Curr Opin Rheumatol 2003;15:141-4. https://doi.org/10.1097/00002281-200303000-00010
  20. Kim HG. Effect of Knee Muscle Power Strengthening using Thera-Band on the Balance Control Ability in the Elderly. Department of Health Science, Graduate School of Dankook Univ. Seoul. 2003. (Korean)
  21. Kraemer WJ, Ratamess N, Fry AC, Triplett-McBride T, Koziris LP, Bauer JA, Lynch JM, Fleck SJ. Influence of resistance training volume and periodization on physiological and performance adaptations in collegiate women tennis players. Am J Sports Med 2000;28(5):626-33. https://doi.org/10.1177/03635465000280050201
  22. Milkesky AE, Topp R, Wigglesworth JK, Harsha DM, Edwards JE. Efficacy of a home-based training program for older adults using elastic tubing. Eur J Appl Physiol 1994;69(4):316-20. https://doi.org/10.1007/BF00392037
  23. Michael J, Andre NP. The Great Body Ball Handbook. Productive Fitness Pub. Vancouver. 2000. pp 1-30.