DOI QR코드

DOI QR Code

Prevalence of Low Back Pain and Associated Risk Factors among Farmers in Jeju

  • Lee, Hyun Jung (Department of Physical Medicine and Rehabilitation, Jeju National University Hospital) ;
  • Oh, Jung-Hwan (Department of Neurology, Jeju National University College of Medicine and Graduate School of Medicine) ;
  • Yoo, Jeong Rae (Department of Internal Medicine, Jeju National University College of Medicine and Graduate School of Medicine) ;
  • Ko, Seo Young (Department of Emergency Medicine, Jeju National University College of Medicine and Graduate School of Medicine) ;
  • Kang, Jeong Ho (Department of Emergency Medicine, Jeju National University College of Medicine and Graduate School of Medicine) ;
  • Lee, Sung Kgun (Department of Emergency Medicine, Jeju National University College of Medicine and Graduate School of Medicine) ;
  • Jeong, Wooseong (Department of Emergency Medicine, Jeju National University College of Medicine and Graduate School of Medicine) ;
  • Seong, Gil Myeong (Department of Internal Medicine, Jeju National University College of Medicine and Graduate School of Medicine) ;
  • Kang, Chul Hoo (Department of Neurology, Jeju National University College of Medicine and Graduate School of Medicine) ;
  • Song, Sung Wook (Department of Emergency Medicine, Jeju National University College of Medicine and Graduate School of Medicine)
  • Received : 2021.01.10
  • Accepted : 2021.06.18
  • Published : 2021.12.30

Abstract

Background: We aimed to investigate the prevalence of low back pain (LBP) and its associated agricultural work-related, biomechanical factors among this population. Methods: We analyzed initial survey data from the Safety for Agricultural Injury of Farmers cohort study involving adult farmers in Jeju Island. The prevalence of LBP was calculated with associated factors. Results: In total, 1,209 participants were included in the analysis. The overall prevalence of LBP was 23.7%. Significant associations for LBP were the type of farming activity, length of farming career, prior agricultural injury within 1 year, and stress levels. Multivariate logistic regression analysis revealed three biomechanical factors significantly related to LBP: repetitive use of particular body parts; the inappropriate posture of the lower back and neck. Conclusions: Some occupational, and biomechanical risk factors contribute to LBP. Therefore, postural education, injury prevention education, and psychological support will be needed to prevent LBP.

Keywords

Acknowledgement

We express our appreciation to all the farmers globally.

References

  1. Baek HY, Kwon YG. Prevention of musculoskeletal disorders in agricultural workers. J Kor Consumer Saf Assoc 2016;6:6-38 [in Korean].
  2. Lee CG. Work-related musculoskeletal disorders in Korean farmers. J Kor Med Assoc 2012;55:1054-62. https://doi.org/10.5124/jkma.2012.55.11.1054
  3. Fathallah FA. Musculoskeletal disorders in labor-intensive agriculture. Appl Ergon 2010;41:738-43. https://doi.org/10.1016/j.apergo.2010.03.003
  4. Osborne A, Blake C, Fullen BM, Meredith D, Phelan J, McNamara J, Cunningham C. Prevalence of musculoskeletal disorders among farmers: a systematic review. Am J Ind Med 2012;55:143-58. https://doi.org/10.1002/ajim.21033
  5. Jain R, Meena M, Dangayach G, Bhardwaj A. Effect of individual and work parameters on musculoskeletal health of manual agriculture workers. Int J Ind Syst Eng 2019;32:56-70. https://doi.org/10.1504/ijise.2019.099776
  6. Kee D, Haslam R. Prevalence of work-related musculoskeletal disorders in agriculture workers in Korea and preventative interventions. Work 2019;64:763-75. https://doi.org/10.3233/wor-193038
  7. Hurwitz EL, Randhawa K, Yu H, Cote P, Haldeman S. The Global Spine Care Initiative: a summary of the global burden of low back and neck pain studies. Eur Spine J 2018;27:796-801. https://doi.org/10.1007/s00586-017-5432-9
  8. Leigh JP. Economic burden of occupational injury and illness in the United States. Milbank Q 2011;89:728-72. https://doi.org/10.1111/j.1468-0009.2011.00648.x
  9. Briggs AM, Jordan JE, O'Sullivan PB, Buchbinder R, Burnett AF, Osborne RH, Straker LM. Individuals with chronic low back pain have greater difficulty in engaging in positive lifestyle behaviours than those without back pain: an assessment of health literacy. BMC Musculoskelet Disord 2011;12:1-10. https://doi.org/10.1186/1471-2474-12-1
  10. Kaewdok T, Sirisawasd S, Taptagaporn S. Agricultural risk factors related musculoskeletal disorders among older farmers in Pathum Thani Province, Thailand. J Agromed 2020;26:185-92.
  11. Kang MY, Lee MJ, Chung HM, Shin DH, Youn KW, Im SH, Chae HS, Lee KS. Musculoskeletal disorders and agricultural risk factors among Korean farmers. J Agromed 2016;21:353-63. https://doi.org/10.1080/1059924x.2016.1178612
  12. Burstrom L, Nilsson T, Wahlstrom J. Whole-body vibration and the risk of low back pain and sciatica: a systematic review and meta-analysis. Int Arch Occup Environ Health 2015;88:403-18. https://doi.org/10.1007/s00420-014-0971-4
  13. Fernandez M, Colodro-Conde L, Hartvigsen J, Ferreira ML, Refshauge KM, Pinheiro MB, Ordonana JR, Ferreira PH. Chronic low back pain and the risk of depression or anxiety symptoms: insights from a longitudinal twin study. Spine J 2017;17:905-12. https://doi.org/10.1016/j.spinee.2017.02.009
  14. Pincus T, Burton AK, Vogel S, Field AP. A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine (Phila Pa 1976) 2002;27:E109-20. https://doi.org/10.1097/00007632-200203010-00017
  15. Hoy D, Brooks P, Blyth F, Buchbinder R. The Epidemiology of low back pain. Best Pract Res Clin Rheumatol 2010;24:769-81. https://doi.org/10.1016/j.berh.2010.10.002
  16. Wong AY, Karppinen J, Samartzis D. Low back pain in older adults: risk factors, management options and future directions. Scoliosis Spinal Disord 2017;12:14. https://doi.org/10.1186/s13013-017-0121-3
  17. Gibson SJ, Helme RD. Age-related differences in pain perception and report. Clin Geriatr Med 2001;17:433-56 v-vi. https://doi.org/10.1016/S0749-0690(05)70079-3
  18. Kim TB. A Study on regional specialization of agriculture in Jeju. Commun Dev Rev 2006;31:21-38 [in Korean].
  19. Kim KH, Shin J, Koh EH, Koh GW, Lee KK. Sea level rise around Jeju Island due to global warming and movement of groundwater/seawater interface in the eastern part of Jeju Island. J Kor Soc Soil Groundwater Environ 2009;14:68-79 [in Korean].
  20. Census of Agriculture. Forestry and Fisheries. Daejeon (Korea): KOSIS (KOrean Statistical Information Service). 2018. 2019. Report No.: 11-1240000-000605-10. Available from: https://kosis.kr/publication/publicationThema.do?pubcode=JM [in Korean].
  21. Ko SB. Current status and development strategies of agriculture in Jeju Island. Jeju Baljeon Yeongu 1999;3:165-94 [in Korean].
  22. Kim KR, Lee KS, Kim HC, Ko ES, Song EY. Health condition and musculoskeletal disorders (MSDs) in fruit-growers. Kor J Commun Living Sci 2009;20:5-17.
  23. Questionnaire for musculoskeletal symptoms: guideline for evaluation of risk factors for musculoskeletal disorders (CODE H-30-2003). Korea Occupational Safety & Health Agency; 2003.
  24. Jeong G. Handbook of safety management in agricultural work Gyeonggi-do. Jeonju (Korea): Rural Development Administration; 2003. Available from: URL. [in Korean].
  25. Min D, Baek S, Park HW, Lee SA, Moon J, Yang JE, Kim KS, Kim JY, Kang EK. Prevalence and characteristics of musculoskeletal pain in Korean farmers. Ann Rehabil Med 2016;40:1-13. https://doi.org/10.5535/arm.2016.40.1.1
  26. Choi WJ, Kang YJ, Kim JY, Han SH. Symptom prevalence of musculoskeletal disorders and the effects of prior acute injury among aging male steelworkers. J Occup Health 2009;51:273-82. https://doi.org/10.1539/joh.O8025
  27. Booth NJ, Lloyd K. Stress in farmers. Int J Soc Psychiatr 2000;46:67-73. https://doi.org/10.1177/002076400004600108
  28. Sanne B, Mykletun A, Moen B, Dahl A, Tell G. Farmers are at risk for anxiety and depression: the Hordaland health study. Occup Med 2004;54:92-100. https://doi.org/10.1093/occmed/kqh007
  29. Booth N, Briscoe M, Powell R. Suicide in the farming community: methods used and contact with health services. Occup Environ Med 2000;57:642-4. https://doi.org/10.1136/oem.57.9.642
  30. Gregoire A. The mental health of farmers. Occup Med (Lond) 2002;52:471-6. https://doi.org/10.1093/occmed/52.8.471
  31. Punnett L, Wegman DH. Work-related musculoskeletal disorders: the epidemiologic evidence and the debate. J Electromyogr Kinesiol 2004;14:13-23. https://doi.org/10.1016/j.jelekin.2003.09.015
  32. Kerr MS, Frank JW, Shannon HS, Norman R, Wells RP, Neumann WP, Bombardier C. Ontario Universities Back Pain Study Group. Biomechanical and psychosocial risk factors for low back pain at work. Am J Publ Health 2001;91:1069-75. https://doi.org/10.2105/AJPH.91.7.1069
  33. Kotowski SE, Davis KG, Kim H, Lee KS. Identifying risk factors of musculoskeletal disorders on Korean farms. Work 2014;49:15-23. https://doi.org/10.3233/WOR-141921