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- Title
Prevalence and related factors of musculoskeletal disorders among dentists in Taiwan: a cross-sectional study using the National Health Insurance Research Database.
- Authors
SHU-FEN LI; CHIN-TUN HUNG; CHI-MING WU; MEI-WEN LEE
- Abstract
Objectives: Musculoskeletal disorders (MSDs) are common occupational diseases that consume medical resources and reduce productivity and work quality. When treating patients, dentists often must maintain a fixed posture. Thus, dentists have a higher chance of MSDs. This study examined the prevalence and frequency distribution of MSDs among dentists and the related factors for MSDs. Methods: A cross-sectional study design was used, and 8,303 dentists with 12 consecutive months of practice in 2011 from the Taiwan National Health Insurance Research Database were selected as study subjects. The study variables included sex, age, mean number of consultations per month per dentist, level of medical institution, and comorbidity. The logistic regression model was used to analyze related factors for MSDs in dentists. Results: In 2011, the prevalence of MSDs in dentists was 15.8% (Overall, 84.2% of the dentists had no record of visiting a doctor; in addition, 2.1%, 0.6%, 0.2%, and 12.9% of the dentists had visited a doctor once, twice, three times , and four times or more frequently, respectively). Male dentists had a marginally significant lower risk of MSDs than did female dentists (odds ratio [OR]: 0.86; 95% confidence interval [CI]: 0.74–1.01). Compared with dentists in the age group of 26–35 years, dentists in the age groups of 36–45, 46–55, and 56–65 years had a higher risk of MSDs (OR: 1.28; 95% CI: 1.07–1.54; OR: 1.70; 95% CI: 1.43–2.02; OR: 1.69; 95% CI: 1.38–2.06, respectively). Compared with dentists without comorbidities, dentists with insomnia, depression, or anxiety had a higher risk of MSDs (OR: 1.44; 95% CI: 1.09–1.90; OR: 1.67; 95% CI: 1.10–2.53; OR: 1.70; 95% CI: 1.25–2.31). Conclusions: In total, 15.8% of the dentists had MSDs. For dentists with MSDs with records of visiting a doctor, those who visited once accounted for 13%, and those with over two visits accounted for 87%. MSDs of the back accounted for most MSD cases. Female sex; older age; and comorbidities of insomnia, depression, and anxiety were factors associated with MSDs in dentists.
- Subjects
MUSCULOSKELETAL system abnormalities; NATIONAL health insurance; DENTISTS; DISTRIBUTION (Probability theory); DISEASE risk factors
- Publication
Taiwan Journal of Publich Health / Taiwan Gong Gong Wei Sheng Za Zhi, 2020, Vol 39, Issue 4, p453
- ISSN
1023-2141
- Publication type
Article
- DOI
10.6288/TJPH.202008_39(4).109018