Self-Reported Musculoskeletal Disorder Symptoms among Bus Drivers in the Taipei Metropolitan Area
Abstract
:1. Introduction
2. Methods
2.1. In-Depth Interviews and Field Observations
2.2. NMQ
2.3. Participants
2.4. Statistical Analysis
3. Results
3.1. Demographics and Task Characteristics
3.2. WMSDs and Risk Factors
3.3. Relationship of WMSD Symptoms with Main Body Sites
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Centers for Disease Control and Prevention (CDC). Work-Related Musculoskeletal Disorders & Ergonomics, Workplace Health Strategies. 1997. Available online: https://www.cdc.gov/workplacehealthpromotion/health-strategies/musculoskeletal-disorders/index.html (accessed on 10 July 2022).
- Sekkay, F.; Imbeau, D.; Chinniah, Y.; Dubéa, P.A.; Warina, N.D.M.; Beauregardb, N.; Trépanier, M. Risk factors associated with self-reported musculoskeletal pain among short and long-distance industrial gas delivery truck drivers. Appl. Ergon. 2018, 72, 69–87. [Google Scholar] [CrossRef] [PubMed]
- Joseph, L.; Standen, M.; Paungmali, A.; Kuisma, R.; Sitilertpisan, P.; Pirunsan, U. Prevalence of musculoskeletal pain among professional drivers: A systematic review. J. Occup. Health 2020, 62, e12150. [Google Scholar] [CrossRef] [PubMed]
- Lalit, S.R.; Garg, S. The Prevalence of Musculoskeletal Disorders among Bus Drivers in Tricity. Int. J. Physiother. 2016, 2, 850–854. [Google Scholar] [CrossRef]
- Kumar, H.P.; Sakthivel, G.; Shankar, S. Prevalence of work related musculoskeletal disorders among occupational bus drivers of Karnataka, South India. Work 2020, 66, 73–84. [Google Scholar] [CrossRef]
- Tamrin, S.B.M.; Yokoyama, K.; Aziz, N.; Maeda, S. Association of risk factors with musculoskeletal disorders among male commercial bus drivers in Malaysia. Hum. Factors Ergon. Manuf. Serv. Ind. 2014, 24, 369–385. [Google Scholar] [CrossRef]
- Szeto, G.P.Y.; Lam, P. Work-related Musculoskeletal disorders in urban bus drivers of Hong Kong. J. Occup. Rehabil. 2007, 17, 181–198. [Google Scholar] [CrossRef]
- Montoro, L.; Useche, S.; Alonso, F.; Cendales, B. Work environment, stress, and driving anger: A structural equation model for predicting traffic sanctions of public transport drivers. Int. J. Environ. Res. Public Health 2018, 15, 497. [Google Scholar] [CrossRef]
- Joseph, L.; Vasanthan, L.; Standen, M.; Kuisma, R.; Paungmali, A.; Pirunsan, U.; Sitilertpisan, P. Causal relationship between the risk factors and work-related musculoskeletal disorders among professional drivers: A systematic review. Hum. Factors 2021. online ahead of print. [Google Scholar] [CrossRef]
- Tamrin, S.B.M.; Yokoyama, K.; Jalaludin, J.; Aziz, N.A.; Jemoin, N.; Nordin, R.; Naing, A.L.; Abdullah, Y.; Abdullah, M. The association between risk factors and low back pain among commercial vehicle drivers in Peninsular Malaysia: A preliminary result. Ind. Health 2007, 45, 268–278. [Google Scholar] [CrossRef]
- Anjomshoae, A.; Abdul Rani, M.R. Assessment of musculoskeletal discomfort and psychosocial work factors among Malaysian bus drivers. In Proceedings of the 2013 IEEE Business Engineering and Industrial Applications Colloquium (BEIAC), Langkawi, Malaysia, 7–9 April 2013. [Google Scholar] [CrossRef]
- Kasemsan, A.; Joseph, L.; Paungmali, A.; Sitilertpisan, P.; Pirunsan, U. Prevalence of musculoskeletal pain and associated disability among professional bus drivers: A cross-sectional study. Int. Arch. Occup. Environ. Health 2021, 94, 1263–1270. [Google Scholar] [CrossRef]
- Gangopadhyay, S.; Dev, S. Effect of low back pain on social and professional life of drivers of Kolkata. Work 2012, 41 (Suppl. S1), 2426–2433. [Google Scholar] [CrossRef]
- Geete, D.B.; Mhatre, B.; Mehta, A.; Lokhande, M. Analysis of work-related musculoskeletal pain in bus drivers—A cross-sectional study. Indian J. Physiother. Occup. Ther. 2013, 7, 53–58. [Google Scholar] [CrossRef]
- Yasobant, S.; Chandran, M.; Reddy, E. Are bus drivers at an increased risk for developing musculoskeletal disorders? An ergonomic risk assessment study. J. Ergon. 2015, S3, 11. [Google Scholar] [CrossRef]
- Laal, F.; Madvari, R.F.; Balarak, D.; Mohammadi, M.; Dortaj, E.; Khammar, A.; Ali Adineh, H. Relationship between musculoskeletal disorders and anthropometric indices among bus drivers in Zahedan city. Int. J. Occup. Saf. Ergon. 2017, 24, 431–437. [Google Scholar] [CrossRef] [PubMed]
- Rufa’I, A.A.; Sa’idu, I.A.; Ahmad, R.Y.; Elmid, O.S.; Aliyua, S.U.; Jajere, A.M.; Digil, A.A. Prevalence and risk factors for low back pain among professional drivers in Kano, Nigeria. Arch. Environ. Occup. Health 2015, 70, 251–255. [Google Scholar] [CrossRef] [PubMed]
- Ekechukwu, E.N.D.; Useh, E.; Nna, O.L.; Ekechukwu, N.I.; Obi, O.N.; Aguwa, E.N.; Arinze-Onyia, S.U.; Abaraogu, U.O.; Utti, V.A. Ergonomic assessment of work-related musculoskeletal disorder and its determinants among commercial mini bus drivers and driver assistants (mini bus conductors) in Nigeria. PLoS ONE 2021, 16, e0260211. [Google Scholar] [CrossRef]
- Abledu, J.K.; Offei, E.B.; Abledu, G.K. Predictors of work-related musculoskeletal disorders among commercial minibus drivers in Accra Metropolis, Ghana. Adv. Epidemiol. 2014, 2014, 384279. [Google Scholar] [CrossRef]
- Rugbeer, N.; Neveling, N.; Sandla, T. The prevalence of work-related musculoskeletal disorders in long-distance bus drivers. S. Afr. J. Sports Med. 2016, 28, 55–58. [Google Scholar] [CrossRef]
- Institute of Labor and Occupational Safety and Health (ILOSH). Survey of Perceptions of Safety and Health in the Work Environment in 2016 Taiwan; Project No. ILOSH105-A309; ILOSH: New Taipei, Taiwan, 2017.
- Nawrocka, A.; Mynarski, W.; Powerska, A.; Grabara, M.; Groffik, D.; Borek, Z. Health-oriented physical activity in prevention of musculoskeletal disorders among young Polish musicians. Int. J. Occup. Med. Environ. Health 2014, 27, 28–37. [Google Scholar] [CrossRef]
- Takekawa, K.S.; Goncalves, J.S.; Moriguchi, C.S.; Coury, H.J.C.G. Can a self-administered questionnaire identify workers with chronic or recurring low back pain? Ind. Health 2015, 53, 340–345. [Google Scholar] [CrossRef]
- Deakin, J.M.; Stevenson, J.M.; Vail, G.R.; Nelson, J.M. The use of the Nordic Questionnaire in an industrial setting: A case study. Appl. Ergon. 1994, 25, 182–185. [Google Scholar] [CrossRef]
- Lu, J.M.; Twu, L.J.; Wang, M.J.J. Risk assessments of work-related musculoskeletal disorders among the TFT-LCD manufacturing operators. Int. J. Ind. Ergon. 2016, 52, 40–51. [Google Scholar] [CrossRef]
- Chen, Y.L.; Yu, C.Y.; Lin, D.Y. Musculoskeletal disorders caused by gas-cylinder handling tasks: A case study report. Work 2017, 56, 403–407. [Google Scholar] [CrossRef]
- Chen, Y.L.; Zhong, Y.T.; Lio, B.N.; Yang, C.C. Musculoskeletal disorders symptoms among Taiwanese bakery workers. Int. J. Environ. Res. Public Health 2020, 17, 2960. [Google Scholar] [CrossRef] [PubMed]
- Pugh, J.D.; Gelder, L.; Williams, A.M.; Twigg, D.E.; Wilkinson, A.M.; Blazevich, A.J. Validity and reliability of an online extended version of the Nordic Musculoskeletal Questionnaire (NMQ-E2) to measure nurses’ fitness. J. Clin. Nurs. 2015, 24, 3550–3563. [Google Scholar] [CrossRef] [PubMed]
- Bell, J.A.; Burnett, A. Exercise for the primary, secondary and tertiary prevention of low back pain in the workplace: A systematic review. J. Occup. Rehabil. 2009, 19, 8–24. [Google Scholar] [CrossRef]
- Bendix, T. Low Back Pain and Seating. In Hard Facts about Soft Machines; CRC Press: Boca Raton, FL, USA, 2020; pp. 147–155. [Google Scholar]
- Amiri, S.; Naserkhaki, S.; Parnianpour, M. Effect of whole-body vibration and sitting configurations on lumbar spinal loads of vehicle occupants. Comput. Boil. Med. 2019, 107, 292–301. [Google Scholar] [CrossRef]
- Prażnowski, K.; Mamala, J.; Śmieja, M.; Kupina, M. Assessment of the road surface condition with longitudinal acceleration signal of the car body. Sensors 2020, 20, 5987. [Google Scholar] [CrossRef]
- Hanumegowda, P.K.; Gnanasekaran, S. Risk factors and prevalence of work-related musculoskeletal disorders in metropolitan bus drivers: An assessment of whole body and hand-arm transmitted vibration. Work 2022, 71, 951–973. [Google Scholar] [CrossRef]
- Department of Transportation, Taipei City. Bus Replacement Process for Metropolitan Motor Bus Company. 2004; (In Chinese). Available online: https://www.dot.gov.taipei/News_Content.aspx?n=C41A7FC0570A20B3&sms=72544237BBE4C5F6&s=13B90D26750EFF88 (accessed on 10 July 2022).
- Yitayal, M.M.; Ayhualem, S.; Fiseha, B.; Kahasay, G.; Gashaw, M.; Gebre, H. Occupational lower back pain and associated factors among taxi drivers in Mekelle city, north Ethiopia: A cross-sectional study. Int. J. Occup. Saf. Ergon. 2021, 27, 1–6. [Google Scholar] [CrossRef]
- Chen, J.C.; Chang, W.R.; Chang, W.; Christiani, D. Occupational factors associated with low back pain in urban taxi drivers. Occup. Med. 2005, 55, 535–540. [Google Scholar] [CrossRef] [PubMed]
- Chen, J.C.; Dennerlein, J.T.; Shih, T.S.; Chen, C.J.; Cheng, Y.; Chang, W.P.; Ryan, L.M.; Christiani, D.C. Knee pain and driving duration: A secondary analysis of the taxi drivers’ health study. Am. J. Public Health 2004, 94, 575–581. [Google Scholar] [CrossRef] [PubMed]
- Porter, J.M.; Gyi, D.E. The prevalence of musculoskeletal troubles among car drivers. Occup. Med. 2002, 52, 4–12. [Google Scholar] [CrossRef] [PubMed]
- Maduagwu, S.M.; Galadima, N.M.; Umeonwuka, C.I.; Ishaku, C.M.; Akanbi, O.O.; Jaiyeola, O.A.; Nwanne, C.A. Work-related musculoskeletal disorders among occupational drivers in Mubi, Nigeria. Int. J. Occup. Saf. Ergon. 2022, 28, 572–580. [Google Scholar] [CrossRef]
- Wei, C.; Gerberich, S.G.; Ryan, A.D.; Alexander, B.H.; Church, T.R.; Manser, M. Risk factors for unintentional occupational injury among urban transit bus drivers: A cohort longitudinal study. Ann. Epidemiol. 2017, 27, 763–770. [Google Scholar] [CrossRef]
- López-Aragón, L.; López-Liria, R.; Callejón-Ferre, Á.J.; Gómez-Galán, M. Applications of the standardized Nordic Questionnaire: A review. Sustainability 2017, 9, 1514. [Google Scholar] [CrossRef]
- Genebra, C.V.D.S.; Maciel, N.M.; Bento, T.P.F.; Simeão, S.F.A.P.; De Vitta, A. Prevalence and factors associated with neck pain: A population-based study. Braz. J. Phys. Ther. 2017, 21, 274–280. [Google Scholar] [CrossRef]
- National Research Council (NRC); Institute of Medicine Panel on Musculoskeletal Disorders and the Workplace; Commission on Behavioral and Social Sciences and Education. Musculoskeletal Disorders and the Workplace: Low Back and Upper Extremities; National Academies Press: Washington, DC, USA, 2001; pp. 219–286.
- Leclerc, A.; Niedhammer, I.; Landre, M.F.; Ozguler, A.; Etore, P.; Pietri-Taleb, F. One-year predictive factors for various aspects of neck disorders. Spine 1999, 24, 1455–1462. [Google Scholar] [CrossRef]
- Theorell, T.; Nordemar, R.; Michelsen, H.; Group, S.M.I.S. Pain thresholds during standardized psychological stress in relation to perceived psychosocial work situation. J. Psychosom. Res. 1993, 37, 299–305. [Google Scholar] [CrossRef]
- Sauter, S.; Swanson, N. An ecological model of musculoskeletal disorders in office work. In Beyond Biomechanics: Psychosocial Aspects of Musculoskeletal Disorders in Office Work; Moon, S., Sauter, S., Eds.; Taylor & Francis: London, UK, 1996; pp. 3–21. [Google Scholar]
- Milosavljevic, S.; Bergman, F.; Rehn, B.; Carman, A.B. All-terrain vehicle use in agriculture: Exposure to whole body vibration and mechanical shock. Appl. Ergon. 2010, 41, 530–535. [Google Scholar] [CrossRef]
- Bovenzi, M.; Schust, M.; Menzel, G.; Hofmann, J.; Hinz, B. A cohort study of sciatic pain and measures of internal spinal load in professional drivers. Ergonomics 2015, 58, 1088–1102. [Google Scholar] [CrossRef] [PubMed]
- Bergomi, M.; Modenese, A.; Ferretti, E.; Ferrari, A.; Licitra, G.; Vivoli, R.; Gobba, F.; Aggazzotti, G. Work-related stress and role of personality in a sample of Italian bus drivers. Work 2017, 57, 433–440. [Google Scholar] [CrossRef] [PubMed]
- Nazerian, R.; Korhan, O.; Shakeri, E. Work-related musculoskeletal discomfort among heavy truck drivers. Int. J. Occup. Saf. Ergon. 2020, 26, 233–244. [Google Scholar] [CrossRef] [PubMed]
Item | Mean | Standard Deviation | Median | Range |
---|---|---|---|---|
Age (years) | 48.5 | 9.3 | 50.0 | 25.5–64.0 |
Stature (cm) | 170.2 | 6.0 | 170.0 | 153.0–186.0 |
Weight (kg) | 78.1 | 14.9 | 76.2 | 47.3–121.8 |
Body mass index (MBI) | 26.8 | 4.6 | 26.5 | 17.7–39.4 |
Job tenure (years) | 12.1 | 8.2 | 11.0 | 0.4–35.0 |
Workdays per week (days) | 6.0 | 0.6 | 6.0 | 5.0–7.0 |
Trips per days | 4.5 | 1.8 | 4.0 | 1.0–11.0 |
Variable | Category | N | Percentage (%) |
---|---|---|---|
Individual factors | |||
Gender | Male | 130 | 89.7 |
Female | 15 | 10.3 | |
Age | 25–45 years | 48 | 33.1 |
>45–60 years | 88 | 60.7 | |
>60 | 9 | 6.2 | |
Body mass index (BMI) | Normal (18.5 ≤ BMI < 24) | 91 | 62.8 |
Abnormal | 54 | 37.2 | |
Dominant hands | Right | 138 | 95.2 |
Left | 7 | 4.8 | |
Exercise habits | Regular | 50 | 34.5 |
Sometimes or less | 95 | 65.5 | |
Tobacco smoking | Yes | 66 | 45.5 |
No | 79 | 54.5 | |
Alcohol drinking | Yes | 57 | 39.3 |
No | 88 | 60.7 | |
Freshener drinking | Yes | 44 | 30.3 |
No | 101 | 69.7 | |
Sleeping time | <7 h | 89 | 61.4 |
≥7 h | 56 | 36.6 | |
Chronic diseases | Yes | 40 | 27.6 |
No | 105 | 72.4 | |
Historical injuries | |||
Musculoskeletal disorders | Yes | 92 | 63.8 |
No | 53 | 36.2 | |
Neck and shoulders | Yes | 54 | 37.2 |
No | 91 | 62.8 | |
Lower back | Yes | 39 | 26.9 |
No | 106 | 73.1 | |
Wrist pain | Yes | 16 | 11.0 |
No | 129 | 89.0 | |
Knee pain | Yes | 14 | 9.7 |
No | 131 | 92.3 | |
Full recovery (from N = 92) | Yes | 45 | 48.9 |
No | 47 | 51.1 | |
Task arrangements | |||
Workdays per week | ≤5 days | 29 | 20.0 |
>5 days | 116 | 80.0 | |
Driving route | Fixed | 85 | 58.6 |
Altered | 60 | 41.4 | |
Route area | Urban area | 78 | 53.8 |
Suburban | 67 | 46.2 | |
Shift | Need | 96 | 66.2 |
No need | 49 | 33.8 | |
Driving the same bus | Yes | 125 | 86.2 |
No | 20 | 13.8 | |
Trips assigned per day | ≤4 trips | 101 | 69.7 |
>5 trips | 44 | 30.3 | |
Transmission type | Manual | 62 | 42.8 |
Automatic | 83 | 57.2 | |
Driving-related factors | |||
Job tenure | ≤3 years | 19 | 13.1 |
>3 years | 126 | 86.9 | |
Stretching between trips | Never | 50 | 34.5 |
Occasionally or more | 95 | 65.5 | |
Low spirits when driving | Seldom | 47 | 32.4 |
Occasionally or more | 98 | 67.6 | |
Mental stress when driving | Seldom | 41 | 28.3 |
Occasionally or more | 104 | 71.7 | |
Holding back urine | Seldom | 32 | 22.1 |
Occasionally or more | 113 | 77.9 | |
Seat and assistive devices | |||
Seat cushion used | Seldom | 89 | 61.4 |
Frequently | 56 | 38.6 | |
Back cushion used | Seldom | 115 | 79.3 |
Frequently | 30 | 20.7 | |
Neck support used | Seldom | 139 | 95.9 |
Frequently | 6 | 4.1 | |
Wearing sunglasses | Yes | 98 | 67.6 |
No | 47 | 32.4 | |
Adjust seat-back support | Seldom | 70 | 48.3 |
Frequently | 75 | 51.7 | |
Adjust seat horizontal position | Seldom | 36 | 24.8 |
Frequently | 109 | 75.2 | |
Adjust seat height | Seldom | 79 | 54.5 |
Frequently | 66 | 45.5 | |
Adjust headrest | Seldom | 120 | 82.8 |
Frequently | 25 | 17.2 | |
Seat comfort rating | Comfortable | 108 | 74.5 |
Uncomfortable | 37 | 25.5 |
Body Parts | Entire Working Population (N = 17,757) | Warehousing and Transportation Industry (N = 698) | Recreation Industry (N = 179) | Other Service Industries (N = 656) | Bus Drivers in This Study (N = 145) |
---|---|---|---|---|---|
Neck | 32.3 | 35.0 | 30.1 | 32.9 | 46.9 |
Shoulders | 41.3 | 44.8 | 38.6 | 40.9 | 33.8/40.0 |
Upper back | 22.3 | 27.3 | 20.8 | 23.8 | 20.7 |
Elbows | 20.5 | 22.5 | 17.0 | 24.3 | 7.6/10.3 |
Lower back | 31.0 | 34.4 | 29.2 | 30.7 | 37.2 |
Hands and wrists | 26.5 | 27.3 | 28.1 | 30.5 | 11.7/14.5 |
Buttocks | 11.8 | 14.4 | 14.4 | 12.7 | 22.1 |
Knees | 16.9 | 19.0 | 15.2 | 20.4 | 21.4/22.1 |
Ankles | 14.6 | 17.8 | 15.3 | 15.5 | 4.8/9.7 |
Body Parts (Prevalence %) | Risk Factors | Category | N | OR | 95% CI |
---|---|---|---|---|---|
Neck (46.9%) | Stature | ≤169 cm | 81 | 1.00 | — |
>169 cm | 64 | 1.98 * | 1.02–3.87 | ||
Tobacco smoking | Never | 79 | 1.00 | — | |
Occasionally or more | 66 | 1.98 * | 1.02–3.84 | ||
Stretching between trips | Never | 50 | 1.00 | — | |
Occasionally or more | 95 | 0.09 *** | 0.04–0.20 | ||
Neck and shoulders injured | No | 91 | 1.00 | — | |
Yes | 54 | 3.69 *** | 1.81–7.51 | ||
Job tenure | ≤3 years | 19 | 1.00 | — | |
>3 years | 126 | 3.87 * | 1.22–12.31 | ||
Low spirits when driving | Seldom | 47 | 1.00 | — | |
Occasionally or more | 98 | 3.89 ** | 1.80–8.38 | ||
Mental stress when driving | Seldom | 41 | 1.00 | — | |
Occasionally or more | 104 | 14.80 *** | 4.90–44.67 | ||
Seat comfort rating | Comfortable | 108 | 1.00 | — | |
Uncomfortable | 37 | 3.71 ** | 1.66–8.30 | ||
Right shoulder (40.0%) | Tobacco smoking | Never | 79 | 1.00 | — |
Occasionally or more | 66 | 2.75 * | 1.39–5.45 | ||
Alcohol drinking | Never | 88 | 1.00 | — | |
Occasionally or more | 57 | 2.38 * | 1.20–4.73 | ||
Stretching between trips | Never | 50 | 1.00 | — | |
Occasionally or more | 95 | 0.18 *** | 0.09–0.39 | ||
Neck and shoulders injured | No | 91 | 1.00 | — | |
Yes | 54 | 4.15 ** | 2.03–8.48 | ||
Low spirits when driving | Seldom | 47 | 1.00 | — | |
Occasionally or more | 98 | 2.22 * | 1.05–4.71 | ||
Mental stress when driving | Seldom | 41 | 1.00 | — | |
Occasionally or more | 104 | 14.22 *** | 4.13–48.98 | ||
Seat comfort rating | Comfortable | 108 | 1.00 | — | |
Uncomfortable | 37 | 2.52 * | 1.18–5.40 | ||
Lower back (37.2%) | Lower back injured | No | 106 | 1.00 | — |
Yes | 39 | 5.57 *** | 1.76–5.89 | ||
Driving route | Fix | 85 | 1.00 | — | |
Altered | 60 | 2.54 ** | 3.19–9.83 | ||
Job tenure | ≤3 years | 19 | 1.00 | — | |
>3 years | 126 | 3.63 * | 1.01–13.09 | ||
Low spirits when driving | Seldom | 47 | 1.00 | — | |
Occasionally or more | 98 | 5.27 *** | 2.15–12.89 | ||
Mental stress when driving | Seldom | 41 | 1.00 | — | |
Occasionally or more | 104 | 2.71 * | 1.18–6.25 | ||
Holding back urine | Seldom | 32 | 1.00 | — | |
Occasionally or more | 113 | 2.54 * | 1.02–6.37 | ||
Seat cushion used | No | 89 | 1.00 | — | |
Yes | 56 | 3.13 ** | 1.55–6.32 | ||
Adjust seat-back support | Seldom | 70 | 1.00 | — | |
Frequently | 75 | 3.47 ** | 1.70–7.11 | ||
Adjust headrest | Seldom | 120 | 1.00 | — | |
Frequently | 25 | 3.12 * | 1.28–7.56 | ||
Seat comfort rating | Comfortable | 108 | 1.00 | — | |
Uncomfortable | 37 | 9.81 *** | 4.11–23.44 | ||
Left shoulder (33.8%) | Tobacco smoking | Never | 79 | 1.00 | — |
Occasionally or more | 66 | 2.54 * | 0.98–6.54 | ||
Alcohol drinking | Never | 88 | 1.00 | — | |
Occasionally or more | 57 | 4.69 *** | 1.81–12.14 | ||
Stretching between trips | Never | 50 | 1.00 | — | |
Occasionally or more | 95 | 0.14 *** | 0.07–0.31 | ||
Workdays per week | ≤5 days | 29 | 1.00 | — | |
>5 days | 116 | 2.93 * | 1.04–8.25 | ||
Route area | Urban area | 78 | 1.00 | — | |
Suburban | 67 | 2.87 ** | 1.41–5.86 | ||
Low spirits when driving | Seldom | 47 | 1.00 | — | |
Occasionally or more | 98 | 4.29 ** | 1.75–10.51 | ||
Mental stress when driving | Seldom | 41 | 1.00 | — | |
Occasionally or more | 104 | 16.08 *** | 3.69–70.11 | ||
Seat comfort rating | Comfortable | 108 | 1.00 | — | |
Uncomfortable | 37 | 2.74 * | 1.27–5.93 |
Variable | Neck (46.9%) | Right Shoulder (40.0%) | Left Shoulder (33.8%) | Lower Back (37.2%) |
---|---|---|---|---|
Individual factors | ||||
Stature | p < 0.05 | |||
Tobacco smoking | p < 0.05 | p < 0.05 | p < 0.05 | |
Alcohol drinking | p < 0.05 | p < 0.05 | ||
Stretching between trips | p < 0.001 | p < 0.001 | p < 0.001 | |
Historical injuries | ||||
Neck and shoulders | p < 0.001 | p < 0.001 | ||
Lower back | p < 0.001 | |||
Task arrangements | ||||
Workdays per week | p < 0.05 | |||
Uncertain route | p < 0.05 | |||
Route area | p < 0.01 | |||
Driving-related factors | ||||
Job tenure | p < 0.05 | p < 0.01 | ||
Low spirits when driving | p < 0.01 | p < 0.05 | p < 0.01 | p < 0.001 |
Mental stress when driving | p < 0.001 | p < 0.001 | p < 0.001 | p < 0.05 |
Holding back urine | p < 0.05 | |||
Seat and assistive devices | ||||
Seat cushion used | p < 0.01 | |||
Adjust seat-back support | p < 0.01 | |||
Adjust headrest | p < 0.05 | |||
Seat comfort rating | p < 0.01 | p < 0.05 | p < 0.05 | p < 0.001 |
Neck | Right Shoulder | Left Shoulder | Lower Back | |
---|---|---|---|---|
Right shoulder | 0.530 | — | ||
p < 0.001 | ||||
Left shoulder | 0.614 | 0.548 | — | |
p < 0.001 | p < 0.001 | |||
Lower back | 0.248 | 0.204 | — | |
p < 0.01 | p < 0.05 | |||
Upper back | 0.475 | 0.452 | 0.499 | 0.170 |
p < 0.001 | p < 0.001 | p < 0.001 | p < 0.05 | |
Right knee | 0.233 | 0.210 | 0.253 | |
p < 0.01 | p < 0.01 | p < 0.01 | ||
Left knee | 0.261 | 0.232 | ||
p < 0.001 | p < 0.01 |
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. |
© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Chen, Y.-L.; Alexander, H.; Hu, Y.-M. Self-Reported Musculoskeletal Disorder Symptoms among Bus Drivers in the Taipei Metropolitan Area. Int. J. Environ. Res. Public Health 2022, 19, 10596. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph191710596
Chen Y-L, Alexander H, Hu Y-M. Self-Reported Musculoskeletal Disorder Symptoms among Bus Drivers in the Taipei Metropolitan Area. International Journal of Environmental Research and Public Health. 2022; 19(17):10596. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph191710596
Chicago/Turabian StyleChen, Yi-Lang, Hans Alexander, and Yi-Ming Hu. 2022. "Self-Reported Musculoskeletal Disorder Symptoms among Bus Drivers in the Taipei Metropolitan Area" International Journal of Environmental Research and Public Health 19, no. 17: 10596. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph191710596