Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
권호 표지
DOI QR코드

DOI QR Code

Differences in Incidence of Lower Back Pain according to Fire Fighters' Duty Type

외근직 소방공무원의 직무유형에 따른 요통발생의 차이

  • Hong, Sung-Gi (Kimpo Fire Station, Gyeonggi Provincial Fire and Disaster Headquarters) ;
  • Im, Jeong-Soo (Department of Preventive Medicine, Gachon University of Medicine and Science) ;
  • Youn, Sung-Tae (Graduate School of Public Health, Gachon University of Medicine and Science) ;
  • Yim, Jun (Department of Preventive Medicine, Gachon University of Medicine and Science)
  • 홍성기 (경기도소방재난본부 김포소방서) ;
  • 임정수 (가천의과대학교 의학전문대학원 예방의학교실) ;
  • 윤성태 (가천의과대학교 보건대학원) ;
  • 임준 (가천의과대학교 의학전문대학원 예방의학교실)
  • Published : 2007.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to analyze the effect of fire fighters' duty type on occurrence and severity of low back pain. Data were collected with questionnaire to 450 fire fighters working at 119 safety center and rescue unit of 30 fire stations in Gyeonggi-do. Finally the study was analyzed for 360 persons among them. The risk of experiencing of lower back pain occurred in the order of Rescue[odds ratio(OR) 3.36, 95% confidence interval(95% CI) 1.18-9.52], Vehicle operation(OR 2.63, 95% CI 1.26-5.50), First aid(OR 2.18, 95% CI 1.03-4.59), and Putting out a fire. The risk on severity of lower back pain occurred in the order of Vehicle operation(OR 4.00, 95% CI 1.57-9.80), First aid(OR 1.88, 95% CI 1.00-4.81), Putting out a fire, and Rescue. These result suggest that duty type of fire fighters may be a prognostic factor for occurrence and severity of low back pain. The potential implications of these findings are discussed about different approach for primary and secondary prevention by duty type of fire fighters.

Keywords

References

  1. 구본식,이민원,박시환,강명원,이용덕, 이병수. 소방공무원 직업병의 예방 및 건강관리 방안. 경기도: 권역별 소방연찬대회 연구논문집;2002
  2. 김규상. 소방공무원의 위험노출과 건강영향. 산업보건 2005;207:9-19
  3. 박소연,홍현숙,정춘화,김현욱. 국내 병원 간호사와 제조업 근로자의 요통발생에 관한 고찰. 한국의 산업의학 2002;41(2):49-62
  4. 박암. 일부 제조업 근로자들의 요통 유병율과 요인에 관한 조사. 예방의학회지 1993;26(1):37-48
  5. 임현술,김수근,김덕수,김두희,이종민, 김양호. 철강업체와 용접봉 제조업체에 근무하는 생산직 근로자의 직업성 요통 유병률과 관련요인. 대한산업의학회지 1999;11(1):52-65
  6. 정혜선,최숙자,장원기. 제조업 여성 근로자의 요통 발생에 영향을 미치는 요인. 지역사회간호학회지 2001;12(2):504-512
  7. 한정희,김정인. 소방보건의학 관리방안에 관한 연구. 서울소방학교 소방과학연구실 소방연구논문집 2001;2:1-57
  8. 홍윤철,하은희,박혜숙. 조선업 생산직 근로자의 요통 발생에 영향을 미치는 요인. 예방의학회지 1996;29(1);91-102
  9. Astrand PO. Rodahl K. Dahl HA, Strome SB. Textbook of work physiology : Physiological bases of exercise. 4th ed. Champaign, IL: Human Kinetics Publishers;2003
  10. Cole DC, Ibrahim SA, Shannon HS, Scott F, Eyles J. Work correlates of back problems and activity restriction due to musculoskeletal disorders in the Canadian national population health survey(NPHS) 1994-5 data. Occup Environ Med 2001;58(11):728-34
  11. Finkelstein MM. Backpain and parenthood. Occup Environ Med 1995;52(1):51-3 https://doi.org/10.1136/oem.52.1.51
  12. Fritz JM, Irrgang JJ. A comparison of a modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale. Phys Ther 2001;81(2):776-788 https://doi.org/10.1093/ptj/81.2.776
  13. Gheldof EL, Vinck J, Vlaeyen JW, Hidding A, Crombez G. The differential role of pain, work characteristics and pain-related fear in explaining back pain and sick leave in occupational settings. Pain 2005;113(1-2):71-81 https://doi.org/10.1016/j.pain.2004.10.019
  14. Gronblad M, Jarvinen E, Hurri H, Hupli M, Karaharju EO. Relationship of the Pain Disability Index(PDI) and the Oswestry Disability Questionnaire(ODQ) with three dynamic physical tests in a group of patients with chronic low-back and leg pain. Clin J Pain 1994;10(3):197-203 https://doi.org/10.1097/00002508-199409000-00005
  15. Ide CW. Failing firefighters: A survey of causes of death and ill-health retirement in serving firefighters in Strathclyde, Scotland from 1985-94. Occup Med(Lond) 1998;48(6):381-388 https://doi.org/10.1093/occmed/48.6.381
  16. Lotters F, Burdorf A, Kuiper J, Miedema H. Model for the work-relatedness of low-back pain. Scand J Work Environ Health 2003;29(6):431-440 https://doi.org/10.5271/sjweh.749
  17. Matticks CA, Westwater JJ, Himel HN, Morgan RF, Edlich RF. Health risks to fire fighters. J Bum Care Rehabil 1992;13(2):223-235 https://doi.org/10.1097/00004630-199203000-00010
  18. Nuwayhid IA, Stewart W. Johnson JV. Work activities and the onset of first-time low back pain among New York City fire fighters. Am J Epidemiol 1993;137(5):539-548 https://doi.org/10.1093/oxfordjournals.aje.a116707
  19. Reichelt PA, Conrad KM. Musculoskeletal Injury: Ergonomics and physical fitness in firefighters. Occup Med 1995;10(4):735-746
  20. van den Heuvel SG, Ariens GA, Boshuizen HC, Hoogendoom WE, Bongers PM. Prognostic factors related to recurrent low-back pain and sickness absence. Scand J Work Environ Health 2004;30(6):459-467 https://doi.org/10.5271/sjweh.835

Cited by

  1. An Ergonomic Analysis for Heavy Manual Material Handling Jobs by Fire Fighters vol.27, pp.3, 2013, https://doi.org/10.7731/KIFSE.2013.27.3.085
  2. Effects of Fire Fighters' Absence Ergonomics Risk Factor Exposer vol.16, pp.3, 2014, https://doi.org/10.12812/ksms.2014.16.3.101
  3. The Evaluation of Musculoskeletal Symptom and Patient Transport Work of 119 EMTs by Ergonomics Tools vol.28, pp.4, 2014, https://doi.org/10.7731/KIFSE.2014.28.4.081