The interactive influence of gender and ergonomic factors, alongside psychosocial associations, on work-related musculoskeletal disorders in Saudi dental students: a cross-sectional study

Background Work-related musculoskeletal disorders (WMSDs) among dental students have been documented, with female gender frequently identified as a contributing factor. Yet there is a lack of studies that have investigated the underlying factors between gender and WMSDs. Objectives The primary aim o...

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Main Authors: Saba Kassim, Hawazin Mohammad Alblehshi, Hala Bakeer, Manuel Barbosa Almeida, Doaa S. Al-Harkan, Safa Jambi, Doaa Felemban, Wafa Alaajam, Nebras Althagafi, Hani T. Fadel, Alla Alsharif
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Language:English
Published: PeerJ Inc. 2025-08-01
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Online Access:https://peerj.com/articles/19798.pdf
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author Saba Kassim
Hawazin Mohammad Alblehshi
Hala Bakeer
Manuel Barbosa Almeida
Doaa S. Al-Harkan
Safa Jambi
Doaa Felemban
Wafa Alaajam
Nebras Althagafi
Hani T. Fadel
Alla Alsharif
author_facet Saba Kassim
Hawazin Mohammad Alblehshi
Hala Bakeer
Manuel Barbosa Almeida
Doaa S. Al-Harkan
Safa Jambi
Doaa Felemban
Wafa Alaajam
Nebras Althagafi
Hani T. Fadel
Alla Alsharif
author_sort Saba Kassim
collection DOAJ
description Background Work-related musculoskeletal disorders (WMSDs) among dental students have been documented, with female gender frequently identified as a contributing factor. Yet there is a lack of studies that have investigated the underlying factors between gender and WMSDs. Objectives The primary aim of this study was to examine the interaction of gender with two specific ergonomic risk factors—academic level and weekly training hours—on WMSDs. Additionally, the associations of psychosocial factors, namely perceived stress and social support, with WMSDs were explored separately. Methodology A self-reported questionnaire was distributed among a convenience sample of 409 undergraduate dental students at a dental school in Western Saudi Arabia. The questionnaire comprised socio-demographic characteristics, WMSDs using validated questionnaire (Nordic Musculoskeletal Questionnaire), the Perceived Stress Scale, and the Perceived Social Support Scale. Descriptive, bivariate and logistic regression analyses were performed. Results The median/interquartile range age of the participants was 21 (2) years, and 59% were males. Of the participants, 71% (95% confidence interval (CI) [64.3–76.7]) self-reported WMSDs in at least one area of body over the past 12 months, with the most reported WMSDs being in the lower back, followed by the neck, wrists/hands, and shoulders at 48%, 45%, 31% and 30%, respectively. In fully adjusted logistic regression, being a female and the synergy between gender (female), academic levels and assigned training hours per week were significantly associated with self-reported WMSDs (adjusted odd ratio (AOR): 0.05, 95% CI [0.02–0.17], p < .001; AOR: 1.33, 95% CI [1.07–1.65], p = .011). Conclusion In this study sample, psychosocial factors were not associated with WMSDs. However, the results suggest that female student were more likely to self-report WMSDs than counterparts. Notably, the interaction between gender, academic level and number of hours training assigned per week contributed significantly and positively in self-reported WMSDs specifically among female students. Intervention may consider female students at higher academic levels with training demands.
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spelling doaj-art-6fe828e854ca465fa8d33d52b79ebbde2025-08-20T03:43:40ZengPeerJ Inc.PeerJ2167-83592025-08-0113e1979810.7717/peerj.19798The interactive influence of gender and ergonomic factors, alongside psychosocial associations, on work-related musculoskeletal disorders in Saudi dental students: a cross-sectional studySaba Kassim0Hawazin Mohammad Alblehshi1Hala Bakeer2Manuel Barbosa Almeida3Doaa S. Al-Harkan4Safa Jambi5Doaa Felemban6Wafa Alaajam7Nebras Althagafi8Hani T. Fadel9Alla Alsharif10Department of Preventive Dental Sciences, College of Dentistry, Taibah University, Al-Madinah Al-Munawwarah, Saudi ArabiaCollege of Dentistry, Taibah University, Al-Madinah Al-Munawwarah, Saudi ArabiaDepartment of Preventive Dental Sciences, College of Dentistry, Taibah University, Al-Madinah Al-Munawwarah, Saudi ArabiaEgas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Almada, PortugalDepartment of Oral & Maxillofacial Diagnostic Sciences, College of Dentistry, Taibah University, Al-Madinah Al-Munawwarah, Saudi ArabiaDepartment of Preventive Dental Sciences, College of Dentistry, Taibah University, Al-Madinah Al-Munawwarah, Saudi ArabiaDepartment of Oral & Maxillofacial Diagnostic Sciences, College of Dentistry, Taibah University, Al-Madinah Al-Munawwarah, Saudi ArabiaDepartment of Restorative Dental Sciences, King Khalid University, Abha, Saudi ArabiaDepartment of Preventive Dental Sciences, College of Dentistry, Taibah University, Al-Madinah Al-Munawwarah, Saudi ArabiaDepartment of Preventive Dental Sciences, College of Dentistry, Taibah University, Al-Madinah Al-Munawwarah, Saudi ArabiaDepartment of Preventive Dental Sciences, College of Dentistry, Taibah University, Al-Madinah Al-Munawwarah, Saudi ArabiaBackground Work-related musculoskeletal disorders (WMSDs) among dental students have been documented, with female gender frequently identified as a contributing factor. Yet there is a lack of studies that have investigated the underlying factors between gender and WMSDs. Objectives The primary aim of this study was to examine the interaction of gender with two specific ergonomic risk factors—academic level and weekly training hours—on WMSDs. Additionally, the associations of psychosocial factors, namely perceived stress and social support, with WMSDs were explored separately. Methodology A self-reported questionnaire was distributed among a convenience sample of 409 undergraduate dental students at a dental school in Western Saudi Arabia. The questionnaire comprised socio-demographic characteristics, WMSDs using validated questionnaire (Nordic Musculoskeletal Questionnaire), the Perceived Stress Scale, and the Perceived Social Support Scale. Descriptive, bivariate and logistic regression analyses were performed. Results The median/interquartile range age of the participants was 21 (2) years, and 59% were males. Of the participants, 71% (95% confidence interval (CI) [64.3–76.7]) self-reported WMSDs in at least one area of body over the past 12 months, with the most reported WMSDs being in the lower back, followed by the neck, wrists/hands, and shoulders at 48%, 45%, 31% and 30%, respectively. In fully adjusted logistic regression, being a female and the synergy between gender (female), academic levels and assigned training hours per week were significantly associated with self-reported WMSDs (adjusted odd ratio (AOR): 0.05, 95% CI [0.02–0.17], p < .001; AOR: 1.33, 95% CI [1.07–1.65], p = .011). Conclusion In this study sample, psychosocial factors were not associated with WMSDs. However, the results suggest that female student were more likely to self-report WMSDs than counterparts. Notably, the interaction between gender, academic level and number of hours training assigned per week contributed significantly and positively in self-reported WMSDs specifically among female students. Intervention may consider female students at higher academic levels with training demands.https://peerj.com/articles/19798.pdfErgonomicsMusculoskeletal painOccupational dentistryPsychosocial factorsSaudi ArabiaGender
spellingShingle Saba Kassim
Hawazin Mohammad Alblehshi
Hala Bakeer
Manuel Barbosa Almeida
Doaa S. Al-Harkan
Safa Jambi
Doaa Felemban
Wafa Alaajam
Nebras Althagafi
Hani T. Fadel
Alla Alsharif
The interactive influence of gender and ergonomic factors, alongside psychosocial associations, on work-related musculoskeletal disorders in Saudi dental students: a cross-sectional study
PeerJ
Ergonomics
Musculoskeletal pain
Occupational dentistry
Psychosocial factors
Saudi Arabia
Gender
title The interactive influence of gender and ergonomic factors, alongside psychosocial associations, on work-related musculoskeletal disorders in Saudi dental students: a cross-sectional study
title_full The interactive influence of gender and ergonomic factors, alongside psychosocial associations, on work-related musculoskeletal disorders in Saudi dental students: a cross-sectional study
title_fullStr The interactive influence of gender and ergonomic factors, alongside psychosocial associations, on work-related musculoskeletal disorders in Saudi dental students: a cross-sectional study
title_full_unstemmed The interactive influence of gender and ergonomic factors, alongside psychosocial associations, on work-related musculoskeletal disorders in Saudi dental students: a cross-sectional study
title_short The interactive influence of gender and ergonomic factors, alongside psychosocial associations, on work-related musculoskeletal disorders in Saudi dental students: a cross-sectional study
title_sort interactive influence of gender and ergonomic factors alongside psychosocial associations on work related musculoskeletal disorders in saudi dental students a cross sectional study
topic Ergonomics
Musculoskeletal pain
Occupational dentistry
Psychosocial factors
Saudi Arabia
Gender
url https://peerj.com/articles/19798.pdf
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