Study on the current status and influencing factors of neck WMSDs among medical staff in a suburban community health service center in Shanghai

Objective To investigate the prevalence and influencing factors of work -related neck musculoskeletal disorders (WMSDs) among medical personnel at community health service centers, providing a basis for protecting the health of these medical personnel.

Methods In April 2024, by a cluster random sampling method, the medical personnel from three community health service centers in Qingpu District, Shanghai, were surveyed with a questionnaire on work -related neck musculoskeletal disordersto investigate the incidence of neck WMSDs, and a multivariate logistic regression analysis was conducted to analyze their influencing factors.

Results A total of 445 questionnaires were completed, of which 422 were valid, with a valid response rate of 94.83%. The incidence of neck WMSDs among these medical personnel was 39.81% (168/422). The results of multivariate logistic regression analysis showed that the incidence of neck WMSDs among female medical personnel was higher than that of males (OR = 2.892, 95%CI: 1.228 to 6.810). Compared with medical personnel with ≤ 5 years of service time, those with 6 to 10 years and 16 to 20 years of service time had a higher risk of neck WMSDs OR = 4.855 (95%CI: 1.013 to 23.264), 8.950 (95%CI: 1.197 to 66.928). The risk of neck WMSDs among medical personnel working at understaffed departments increased to 1.775 times(95%CI: 1.022 to 3.081). The risk of neck WMSDs among medical personnel maintaining a head-turning posture for long periods increased to 1.931 times (95% CI: 1.049 to 3.555). Compared to medical personnel with an upright neck posture while working, those with a slightly forwardleaning and significantly forward-leaning neck posture had a higher risk of neck WMSDs OR = 3.015 (95%CI: 1.091 to 8.331), 4.230 (95%CI: 1.221 to 14.662). Medical personnel with good health status had a lower risk of neck WMSDs compared to those with poor health status (OR = 0.141, 95%CI: 0.045 to 0.441).

Conclusions The medical personnel in community health service centers had a high risk of developing neck WMSDs, which were influenced by various factors, including individual and ergonomic factors, and therefore warrant significant attention.