Dor musculoesquelética e vulnerabilidade ocupacional: uma abordagem dos perfis de acordo com o método GOM

Abstract

INTRODUCTION: The vulnerability occupational (VO) refers to situations of low or no social protection, low income, low education, employment or temporary absence of bonding, extensive working hours, exposure to high physical and psychosocial tasks, work involving dangerous and meaningless work. Among the expressions of health inequity associated with VO, will be focused on musculoskeletal disorders, whose main symptom is musculoskeletal pain (MSP). OBJECTIVE: To describe the profile of workers in the municipal public sector in relation to the occurrence of DME in order to encourage reflection on the inequities in musculoskeletal health, taking into account the interaction between physical and psychosocial factors of work for the development of this morbidity . METHODS: Cross-sectional study conducted in Belo Horizonte in 2009 assessed sociodemographic characteristics, functional health status, habits and quality of life through self applied questionnaire. We used the Grade of Membership method (GoM) to define the profiles and the degree of belonging to each particular profile. RESULTS: Three reference profiles were identified. Profile 1: workers who perform housework, work in precarious conditions, under high physical demands, low control over tasks, refer DME, comorbidities, dissatisfaction with work capacity, poor self-assessment of health and quality of life. Profile 2: workers declared themselves white, reported better working conditions, low physical demand, high job control, satisfaction with labor capacity, good perceived health status and quality of life, comorbidities, and absence of DME. Profile 3: indigenous and non-specific questions answered. Given the reference profiles, the type of association between work and occurrence of DME classified 89.9% of the sample and was organized into five profiles: mixed (4.1%); sick worker (12.0%) workers more vulnerable DME (16.9%) employed less vulnerable to DME (22.6%) healthy worker (34.3%). CONCLUSION: The analysis allowed to clarify the connections between DME and the physical and psychosocial factors at work in the municipal public service. The results suggest avenues for further reflection on the inequities in musculoskeletal health.