Incidence and Predictors of Hand–Arm Musculoskeletal Complaints among Vibration-exposed African Cassava and Corn Millers

Background: Cassava and corn milling is a growing small-scale enterprise in Africa. We aimed to determine the incidence of hand–arm musculoskeletal complaints among vibration-exposed Congolese cassava and corn millers in the previous 12 months. Methods: A cross-sectional study was conducted, prior t...

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Main Authors: Lukuke Hendrick Mbutshu, Kaj Francoise Malonga, Nlandu Roger Ngatu, Sakiko Kanbara, Benjamin Longo-Mbenza, Narufumi Suganuma
Format: Article
Language:English
Published: Elsevier 2014-09-01
Series:Safety and Health at Work
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2093791114000274
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author Lukuke Hendrick Mbutshu
Kaj Francoise Malonga
Nlandu Roger Ngatu
Sakiko Kanbara
Benjamin Longo-Mbenza
Narufumi Suganuma
author_facet Lukuke Hendrick Mbutshu
Kaj Francoise Malonga
Nlandu Roger Ngatu
Sakiko Kanbara
Benjamin Longo-Mbenza
Narufumi Suganuma
author_sort Lukuke Hendrick Mbutshu
collection DOAJ
description Background: Cassava and corn milling is a growing small-scale enterprise in Africa. We aimed to determine the incidence of hand–arm musculoskeletal complaints among vibration-exposed Congolese cassava and corn millers in the previous 12 months. Methods: A cross-sectional study was conducted, prior to a follow-up study, from March to May 2013 among cassava/corn millers in Lubumbashi, Democratic Republic of Congo, in which 365 millers age-matched to 365 civil workers anonymously answered a questionnaire. Results: Overall incidence of hand–arm musculoskeletal complaints was 25.8% in millers (vs. 5.2% in civil workers; p < 0.001). The risk of experiencing musculoskeletal symptoms was seven times higher in millers [vs. civil workers; odds ratio (OR) = 7.10; 95% confidence interval (CI): 4.03–12.50; p < 0.0001]; 2.4 times higher in smoking millers (vs. smoking civil office workers; OR = 2.36; 95% CI: 1.42–3.88; p < 0.001); 3.6 times higher in millers with longer daily exposure (> 8 hours; vs. those working ≤ 8 hours; OR = 3.56; 95% CI: 1.93–3.61; p = 0.026); and 7.4 times higher in young millers (vs. older millers, OR = 7.39; 95% CI: 1.29–75.52; p < 0.001). Smoking, number of cigarettes, and daily exposure duration were positively correlated with musculoskeletal complaints. Conclusion: This study revealed a relatively high incidence of musculoskeletal complaints among African cassava and corn millers. The use of anti-vibration protective equipment and the regulation of this hazardous occupation may reduce the burden of musculoskeletal disorders in millers.
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spelling doaj.art-b5574232324e4eb5a90fb3ffa0bc652e2023-08-02T00:25:35ZengElsevierSafety and Health at Work2093-79112014-09-015313113510.1016/j.shaw.2014.04.003Incidence and Predictors of Hand–Arm Musculoskeletal Complaints among Vibration-exposed African Cassava and Corn MillersLukuke Hendrick Mbutshu0Kaj Francoise Malonga1Nlandu Roger Ngatu2Sakiko Kanbara3Benjamin Longo-Mbenza4Narufumi Suganuma5Ecole de Santé Publique, Université de Lubumbashi, Lubumbashi, Democratic Republic of the CongoEcole de Santé Publique, Université de Lubumbashi, Lubumbashi, Democratic Republic of the CongoDepartment of Environmental Medicine, Kochi University Medical School, Nankoku, JapanDisaster Nursing Global Leadership Program, University of Kochi, Kochi, JapanDepartment of Health Science, Walter Sisulu University, Mthatha, South AfricaDepartment of Environmental Medicine, Kochi University Medical School, Nankoku, JapanBackground: Cassava and corn milling is a growing small-scale enterprise in Africa. We aimed to determine the incidence of hand–arm musculoskeletal complaints among vibration-exposed Congolese cassava and corn millers in the previous 12 months. Methods: A cross-sectional study was conducted, prior to a follow-up study, from March to May 2013 among cassava/corn millers in Lubumbashi, Democratic Republic of Congo, in which 365 millers age-matched to 365 civil workers anonymously answered a questionnaire. Results: Overall incidence of hand–arm musculoskeletal complaints was 25.8% in millers (vs. 5.2% in civil workers; p < 0.001). The risk of experiencing musculoskeletal symptoms was seven times higher in millers [vs. civil workers; odds ratio (OR) = 7.10; 95% confidence interval (CI): 4.03–12.50; p < 0.0001]; 2.4 times higher in smoking millers (vs. smoking civil office workers; OR = 2.36; 95% CI: 1.42–3.88; p < 0.001); 3.6 times higher in millers with longer daily exposure (> 8 hours; vs. those working ≤ 8 hours; OR = 3.56; 95% CI: 1.93–3.61; p = 0.026); and 7.4 times higher in young millers (vs. older millers, OR = 7.39; 95% CI: 1.29–75.52; p < 0.001). Smoking, number of cigarettes, and daily exposure duration were positively correlated with musculoskeletal complaints. Conclusion: This study revealed a relatively high incidence of musculoskeletal complaints among African cassava and corn millers. The use of anti-vibration protective equipment and the regulation of this hazardous occupation may reduce the burden of musculoskeletal disorders in millers.http://www.sciencedirect.com/science/article/pii/S2093791114000274hand-arm vibration exposureincidencemillermusculoskeletal complaint
spellingShingle Lukuke Hendrick Mbutshu
Kaj Francoise Malonga
Nlandu Roger Ngatu
Sakiko Kanbara
Benjamin Longo-Mbenza
Narufumi Suganuma
Incidence and Predictors of Hand–Arm Musculoskeletal Complaints among Vibration-exposed African Cassava and Corn Millers
Safety and Health at Work
hand-arm vibration exposure
incidence
miller
musculoskeletal complaint
title Incidence and Predictors of Hand–Arm Musculoskeletal Complaints among Vibration-exposed African Cassava and Corn Millers
title_full Incidence and Predictors of Hand–Arm Musculoskeletal Complaints among Vibration-exposed African Cassava and Corn Millers
title_fullStr Incidence and Predictors of Hand–Arm Musculoskeletal Complaints among Vibration-exposed African Cassava and Corn Millers
title_full_unstemmed Incidence and Predictors of Hand–Arm Musculoskeletal Complaints among Vibration-exposed African Cassava and Corn Millers
title_short Incidence and Predictors of Hand–Arm Musculoskeletal Complaints among Vibration-exposed African Cassava and Corn Millers
title_sort incidence and predictors of hand arm musculoskeletal complaints among vibration exposed african cassava and corn millers
topic hand-arm vibration exposure
incidence
miller
musculoskeletal complaint
url http://www.sciencedirect.com/science/article/pii/S2093791114000274
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