Does food insecurity affect musculoskeletal symptoms, fatigue, and productivity of municipality cleaners? A cross-sectional study

Work ◽  
2021 ◽  
Vol 70 (1) ◽  
pp. 209-217
Author(s):  
Mina Babashahi ◽  
Farnaz Bagherifard ◽  
Hadi Daneshmandi ◽  
Rohollah Khoshbakht ◽  
Omid Jaberi ◽  
...  

BACKGROUND: Municipality cleaners are exposed to food insecurity, Musculoskeletal Symptoms (MSs), and fatigue. OBJECTIVE: This study aimed to investigate the effect of food insecurity on MSs, fatigue, and productivity among municipality cleaners. METHODS: This study was conducted on 399 Iranian male municipality cleaners with at least one year of working experience. The data were gathered via a demographic/occupational questionnaire, the Persian version of the Household Food Insecurity Access Scale (P-HFIAS), the Persian version of Nordic Musculoskeletal Questionnaire (P-NMQ), the Persian version of the Multidimensional Assessment of Fatigue scale (P-MAF), and the Persian version of Health and Work Questionnaire (P-HWQ). Data were analyzed using descriptive statistics, multiple logistic regression (Forward Wald), and multiple linear regression (Stepwise). RESULTS: The findings revealed that 42.6%of the municipality cleaners were in the ‘severely food insecure’ category. The highest prevalence of MSs in the past week were related to knees (35.8%), lower back (35.1%), and ankles/feet (28.8%). Based on the results, the chance of MSs in the shoulders (OR = 1.66) and ankles/feet (1.60) regions, and MSs at least in one body region (OR = 1.47) was higher in the individuals with severe food insecurity than the others. Considering the P-MAF, food insecurity was associated with the ‘degree and severity’, ‘distress that it causes’, and ‘timing of fatigue’ subscales and ‘total fatigue’. Considering the P-HWQ, food insecurity was associated with ‘productivity’, ‘other’s assessment’, ‘concentration/focus’, ‘supervisor relations’, ‘non-work satisfaction’, and ‘impatience/irritability’ subscales. CONCLUSION: The study revealed an association between food insecurity and MSs in some body regions and fatigue and productivity subscales among the municipality cleaners. Nutritional and ergonomic programs are recommended to reduce municipality cleaners’ food insecurity, MSs, and fatigue and enhance their productivity.

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Elahe Hosseini ◽  
Hadi Daneshmandi ◽  
Azadeh Bashiri ◽  
Roxana Sharifian

Abstract Background The present study aimed to determine the prevalence of work-related musculoskeletal symptoms (WMSs), identify potential factors associated with WMSs, and determine the association between WMSs and fatigue among nurses. Methods This cross-sectional study was carried out among 500 Iranian nurses. Data was gathered by the 1) Persian version of the Nordic musculoskeletal questionnaire (P-NMQ) to examine WMSs, and 2) Persian version of the Multidimensional Assessment of Fatigue (P-MAF) Scale to evaluate fatigue among the study population. Then, data was analyzed by SPSS version 21 using the χ2 test, multiple logistic regression for detection of potential factors associated with WMSs, and multiple linear regression for detection of potential factors associated with fatigue. Results Ankles/feet, lower back, knees, and shoulders had the highest prevalence of WMSs among nurses within the last 12 months prior to the study. Independent variables including age, job tenure, gender, smoking, shift work, and type of employment were significantly associated with WMSs in different body regions with odds ratios (ORs) ranging from 1.635–2.835. Moreover, WMSs in some body regions were associated with subscales of fatigue and total fatigue. Conclusions Ergonomic and organizational interventions for fitting the job to the nurses considering demographic/occupational characteristics are highly essential to improve musculoskeletal system health and relieve fatigue.


Author(s):  
K. Saraswathi Krishnan ◽  
Gunasunderi Raju ◽  
Omar Shawkataly

Purpose—This study aimed to estimate the prevalence and risk factors of MSD pain in various anatomical regions among nurses. Method—A cross-sectional study involving a self-administered questionnaire by registered nurses with clinical experience. Data was collected using convenience sampling after obtaining informed consent. The results were drawn from a total of 300 nurses. Results—The nurses presented with occasional mental exhaustion (44.3%) and often physical exhaustion (44.0%). Almost all (97.3%) the nurses complained of having work-related pain during the last 12 months. Body parts with the most pain were the lower back (86.7%), ankles (86.7%), neck (86.0%), shoulders (85.0%), lower legs (84.7%) and upper back (84.3%). The pain frequency was rated as occasional pain for the neck and upper back, pain was often felt for the rest of the parts. Nurses complained of severe pain in the lower back (19.7%), right shoulder (29.7%) and left shoulder (30.3%). The frequency of having musculoskeletal symptoms in any body region was increased with age, lower education level, female gender, high BMI, job tenure and lifestyle. Conclusions—Nurses’ WRMSD complaints should be taken seriously to curb further risk and musculoskeletal hazards.


2019 ◽  
Vol 5 (4) ◽  
pp. 199-208
Author(s):  
Seyyedeh Haniyeh Mousavibaghi ◽  
◽  
Kamran Ezzati ◽  
Mahmood Abedinzade ◽  
Sadegh MoshtaghiKoojel ◽  
...  

Background: Musculoskeletal disorders are among the prevalent occupational injuries and disabilities in developing countries. Objectives: The current study was conducted to determine the prevalence and risk factors of musculoskeletal disorders among surgery technicians. Materials & Methods: samples (n=179) of this analytical and cross-sectional study were selected using a census method among the surgical technicians who had at least one year of work experience. The disorders of different parts of their bodies were evaluated by Nordic questionnaire, and the risk of catching the musculoskeletal disorders was assessed using quick exposure check method. Statistical analyses were done in SPSS V. 16. Results: According to the Nordic questionnaire, the most prevalent work-related disorders in the past year were found in the back (71.5%), neck (57%), wrist (50.8%), and shoulder (49.7%) of the study subjects. The quick exposure check results showed that the level of exposure to musculoskeletal risks was in action level one for 32.4% of the surgery technicians, and action level three for 33% of them. This study showed associations between the prevalence of work-related symptoms in different body regions and some individual and occupational characteristics (P<0.05). Conclusion: The prevalence of Musculoskeletal Disorders (MSDs) is high among surgical technicians and lumbar disorders are the most common types. Risk factors for MSDs include undesirable physical posture, weight, time spent for shifting loads, excessive force applied by one or both hands at work, working speed, and staff stress levels. among near half of the studied surgical technicians, there were high and very high risks for injury, indicating the vulnerable condition and environment of this job.


2014 ◽  
Vol 18 (2) ◽  
pp. 251-258 ◽  
Author(s):  
Farah Naja ◽  
Nahla Hwalla ◽  
Talar Fossian ◽  
Dina Zebian ◽  
Lara Nasreddine

AbstractObjectiveTo assess the validity and reliability of the Arabic version of the Household Food Insecurity Access Scale (HFIAS) in rural Lebanon.DesignA cross-sectional study on a sample of households with at least one child aged 0–2 years. In a one-to-one interview, participants completed an adapted Arabic version of the HFIAS. In order to evaluate the validity of the HFIAS, basic sociodemographic information, anthropometric measurements of the mother and child, and dietary intake data of the child were obtained. In order to examine reproducibility, the HFIAS was re-administered after 3 months.SettingRural Lebanon.SubjectsMother and child pairs (n 150).ResultsFactor analysis of HFIAS items revealed two factors: ‘insufficient food quality’ and ‘insufficient food quantity’. Using Pearson's correlation, food insecurity was inversely associated with mother's and father's education levels, number of cars and electrical appliances in the household, income, weight-for-age and length-for-age of the child and the child's dietary adequacy. In contrast, mother's BMI and crowding index were positively associated with food insecurity scores (P < 0·05 for all correlations). Cronbach's α of the scale was 0·91. A moderate correlation was observed between the two administrations of the questionnaire (intra-class correlation = 0·58; P < 0·05).ConclusionsOur findings indicated that the adapted Arabic version of the HFIAS is a valid and reliable tool to assess food insecurity in rural Lebanon, lending further evidence to the utility of the HFIAS in assessing food insecurity in culturally diverse populations.


Author(s):  
Andrea Daniela González-Martell ◽  
Edison Enrique Sánchez-Quintanilla ◽  
Nadia García-Aguilar ◽  
Tiaré Hernández-Contreras ◽  
V. Gabriela Cilia-López

Indigenous communities in Mexico are vulnerable to food insecurity (FI) due to a series of factors that prevent them from having access to sufficient and nutritious food. Therefore, this population group has the highest chronic malnutrition in the country. Objective: This study describes the FI conditions of an indigenous community in the Potosina Huastec. Methodology: FI was measured with the Household Food Insecurity Access Component Scale (HFIAS). Results: There is food insecurity ranging from concern about food lack, food reduction, and hunger. The 95.57% of households with children under 18 years were in some state of food insecurity, with severe food insecurity dominating. Limitations: Was a cross-sectional study carried out in a community of the Potosina Huastec. However, it is the municipality with the highest degree of marginalization in the area, but the community chosen is the largest in the municipality. Nonetheless, the results can be considered representative of the area. Conclusions: The food security community depends on climatic, socioeconomic, demographic, geographic, cultural factors, food preference conditions, among others. In addressing food insecurity, it is necessary to consider all factors to have a real diagnosis of food insecurity conditions in rural and indigenous communities.


2021 ◽  
Vol 48 (4) ◽  
pp. 227-239
Author(s):  
M. A. Popoola ◽  
M. O. Yahaya ◽  
O. O. Awodola-Peters ◽  
G. L. Adebisi ◽  
M. O. Bolarinwa ◽  
...  

Food insecurity and dietary diversity of households are important nutrition outcome which have been found reliable in assessing the dietary intake of a population during a determined period and they have been used as indicators of food security among households. A facility based cross-sectional study design was conducted on 374 households that were involved in backyard livestock production in Southwest Nigeria during COVID-19 pandemic lockdown. Household dietary diversity (HDD) was measured using 12 different foods from which the HDD score was estimated, which is a continuous score ranged from 0 to 12, and was recoded to a three-level ordered categorical variable. Food insecurity was also assessed using household food insecurity access scale (HFIAS) generated from nine items (questions) specific to an experience of food insecurity occurring within the previous four weeks among the households. A probit regression model was specified to determine the variables responsible for increasing the probability of the households being food insecured during the lockdown. Result showed that more than half of households involved in backyard livestock production was within medium dietary diversity category (71.7%) and moderately had access to food (75.4%). State of residence, household size, income generated by members of households, species of livestock raised and purpose of livestock production were major determinants of food insecurity (access) during the COVID-19 pandemic lockdown among the respondents. Thus, there is need to promote sustainable and diversification of livelihood among households through backyard livestock production in a bid to increase and sustain their food security status.     L'insécurité alimentaire et la diversité alimentaire des ménages sont des résultats nutritionnels importants qui se sont avérés fiables pour évaluer l'apport alimentaire d'une population pendant une période déterminée et qui ont été utilisées comme indicateurs de la sécurité alimentaire des ménages. Une conception d'étude transversale basée sur les installations a été menée sur 374 ménages impliqués dans la production de bétail de basse- cour dans le sud-ouest du Nigéria pendant le confinement de la pandémie COVID-19. La diversité alimentaire des ménages (HDD) a été mesurée à l'aide de 12 aliments différents à partir desquels le score HDD a été estimé, qui est un score continu allant de 0 à 12, et a été recodé en une variable catégorielle ordonnée à trois niveaux. L'insécurité alimentaire a également été évaluée à l'aide de l'échelle d'accès à l'insécurité alimentaire des ménages (HFIAS) générée à partir de neuf éléments (questions) spécifiques à une expérience d'insécurité alimentaire survenue au cours des quatre semaines précédentes parmi les ménages. Un modèle de régression probit a été spécifié pour déterminer les variables responsables de l'augmentation de la probabilité que les ménages soient en situation d'insécurité alimentaire pendant le confinement. Les résultats ont montré que plus de la moitié des ménages impliqués dans la production de bétail de basse-cour appartenaient à la catégorie de diversité alimentaire moyenne (71.7%) et avaient modérément accès à la nourriture (75.4%). L'état de résidence, la taille du ménage, les revenus générés par les membres des ménages, les espèces de bétail élevées et le but de la production animale étaient les principaux déterminants de l'insécurité alimentaire (accès) pendant le confinement de la pandémie COVID-19 parmi les répondants. Ainsi, il est nécessaire de promouvoir la durabilité et la diversification des moyens de subsistance parmi les ménages grâce à la production de bétail de basse-cour dans le but d'augmenter et de maintenir leur niveau de sécurité alimentaire.


Author(s):  
Darja Nesterovica ◽  
Normunds Vaivads ◽  
Ainars Stepens

Musculoskeletal injury is the leading cause of disability among different military populations that results in socioeconomic burden and negatively affects military readiness. Study aim was to describe self-reported musculoskeletal injuries among Latvian infantry soldiers during one-year period. Survey-based cross-sectional study was carried out. Data was assessed using survey about injuries that occurred in one-year period during annual medical check-up. Musculoskeletal injuries were classified according to body regions as it is in Barell injury matrix and by injury type – acute or overuse. Study results showed in one-year injury incidence rate was 867.8 cases per 1000 person-years (95% CI 824.8 – 913.0) with total 197 musculoskeletal injuries reported among active duty infantry soldiers. Typical acute injuries were superficial contusion injuries (n=24), fractures (n=21), joint dislocations (n=21) and sprains (n=29). Typical overuse diagnoses were lower back pain (n=42), patellofemoral pain syndrome (n=11), medial tibial stress syndrome (n=9), plantar fasciitis (n=8). Present study showed high incidence of overuse back injuries and overuse and acute lower leg injuries. Mostly of reported injuries could be classified as preventable and should be reduced through injury reduction programmes. 


Author(s):  
Ankeeta Menona Jacob ◽  
Dinesh Rajaram ◽  
Bhanu Manjunath ◽  
Radhika Kunnavil

Background: Food insecurity exists when people are undernourished due to the physical unavailability of food, lack of social or economic access to adequate food, and inadequate food utilization. As per FAO, India is home to 25% of world’s hungry population and 194.6 million undernourished people for the period of 2014-2016. The objectives were to assess the food insecurity and determine its correlates in a rural community of Karnataka.Methods: A cross sectional study was undertaken to assess food insecurity and its correlates in households of a rural community of Karnataka using the “Household Food Insecurity Access Scale (HFIAS) for measurement of food access: Version 3” questionnaire during December 2014. The data collected was analyzed using SPSS version 20.0 and mean, proportion and chi-square were calculated as appropriate.Results: The average HFIAS score was as low as 4.15. 80.8% of the 52 households were food insecure, of which 17.3% were mildly insecure, 48.1% were moderately insecure and 15.4% were severely food insecure.Conclusions: With 80.8% food insecurity in the rural agriculture-based community, there is a need for improvements in stability, accessibility and utilization of available food through use of fair price shops and garden kitchen promotion. 


2021 ◽  
pp. 026010602199684
Author(s):  
Maryam Shakiba ◽  
Arsalan Salari ◽  
Marjan Mahdavi-Roshan

Background: Iran has been experiencing an accelerated change in the nutrition and health of its people, which has led to considerable variations in the country’s nutritional status. Little is known about the food insecurity status in the north of Iran. Aim: The present study aimed to investigate the food insecurity status and factors associated with it in a rural area in the north of Iran. Methods: This cross-sectional study was conducted among 573 rural households in Guilan Province in the north of Iran. The food insecurity status of the households was measured using the Household Food Insecurity Access Scale. Data on the demographic characteristics of the households and their depression status were collected by interviewing the heads of the households. The socioeconomic status index of the households was constructed using factor analysis, and a multivariate ordinal logistic regression model was used to estimate the adjusted odds ratio of the independent predictors of food insecurity. Results: The results indicated that approximately half of the households (50.8%) had experienced mild (43.2%), moderate (6.5%) or severe (1.1%) food insecurity. The multivariate model showed that sex, age, depression status of the head of the household and having a patient with a chronic condition in the household were independently associated with food security status. Conclusions: This study showed that food insecurity was highly prevalent among rural households in the north of Iran. The study concludes that interventions with the aim of reducing the prevalence of food insecurity, depression and chronic diseases in the area can be effective in improving the nutritional status of the households.


2020 ◽  
pp. 0192513X2094280
Author(s):  
Rainier Masa ◽  
Claire Bates ◽  
Gina Chowa

This cross-sectional study on Ghanaian adolescents examined the direct and indirect associations of food insecurity, parent–adolescent relationship, and adolescent future orientation. We used structural equation modeling to examine reliability and validity of our latent constructs and our hypothesized direct and indirect relationships. Results indicated adequate fit of our measurement and structural models with the data. Results also showed a significant direct and indirect effect of food insecurity. Food insecurity was directly associated with parental connection, orientation toward success, and uncertainty about the future. Food insecurity was also indirectly associated with orientation toward success and uncertainty about the future, via parental connection. Further, higher levels of parental connection were directly associated with higher levels of orientation toward success and with lower levels of uncertainty about the future. Understanding the direct and indirect effect of food insecurity is important for the design of appropriate interventions that promote holistic and positive adolescent development.


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