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Occupational and Environmental Determinants of Musculoskeletal Disorders Among Nurses in Conflict‑Affected Gaza Hospitals Cover

Occupational and Environmental Determinants of Musculoskeletal Disorders Among Nurses in Conflict‑Affected Gaza Hospitals

Open Access
|Jan 2026

Figures & Tables

Table 1

Demographic and professional characteristics of participants (N = 172).

VARIABLECATEGORYN%
HospitalAl‑Shifa Medical Complex7443.0
Patient Friend’s Benevolent Society4425.6
Al‑Ahli Arab Hospital2313.4
Public Aid Hospital137.6
Al‑Helou International Hospital1810.5
DepartmentPICU2715.7
OR5330.8
ER3721.5
Other5431.4
Job titlePractical nurse3118.0
Registered nurse12270.9
Supervisor84.7
Head nurse105.8
EducationDiploma3218.6
Bachelor11969.2
Master or above2112.2
GenderMale10259.3
Female7040.7
Marital statusMarried13276.7
Single3620.9
Divorced/Widowed42.3
BMI categoryUnderweight52.9
Normal11365.7
Overweight4425.6
Obese105.8
Years of experienceMean ± SD9.2 ± 5.81–27
Age (years)Mean ± SD33.1 ± 6.2R(22–56)
Displacement during warMean ± SD6.9 ± 4.6R(0–20)

[i] R: Range, SD: Standard deviation.

aogh-92-1-5055-g1.png
Figure 1

Prevalence of musculoskeletal symptoms by body region (N = 172).

aogh-92-1-5055-g2.png
Figure 2

Mean pain intensity and work absence by body region (N = 172).

aogh-92-1-5055-g3.png
Figure 3

Distribution of musculoskeletal pain by body side (N = 172).

aogh-92-1-5055-g4.png
Figure 4

Work limitations reported by participants with MSDs. Limitations include absenteeism, reduced productivity, and changes in work tasks.

Table 2

Relationship between participants characteristics and work‑related factor with musculoskeletal disorders among nurses (N = 172) by chi‑squared.

VARIABLECATEGORYMSDs, YESMSDs, NOχ²χ² P‑VALUE
EducationDiploma3110.9360.884*
Bachelor1109
Master or above201
Job titlePractical nurse3010.7700.919*
Registered nurse1148
Supervisor80
Head nurse91
GenderMale9753.50.334
Female646
Marital statusMarried12756.40.011
Unmarried346
BMIUnderweight504.70.134*
Normal10310
Overweight440
Obese91
Work‑related factors
OvertimeNo2220.7700.676
Yes1399
WorkspaceNo10960.1750.370
Yes525
Lumbar supportNo5020.8090.368
Yes1119
Adjustable benchNo6130.4960.481
Yes1008
Posture freedomNo8550.0120.910
Yes766
Same postureNo10080.4960.481
Yes613
Uncomfortable postureNo4140.6330.426
Yes1207
Cold environmentNo10280.3920.531
Yes593
Humid environmentNo5262.20.131
Yes1095
Enough restNo4052.260.132
Yes1216
Regular rest breaksNo5340.0550.814
Yes1087
StressNo3241.60.193
Yes1297
High work paceNo3566.10.013*
Yes1265

[i] *Fisher exact was used for Marital, BMI, and Job title because some cells have small expected counts.

Table 3

Relationship between participants characteristics and work‑related factor with musculoskeletal disorders among nurses (N = 172) by t‑test.

CONTINUOUS VARIABLEMEAN ± SD (MSDs, YES)MEAN ± SD (MSDs, NO)T‑TESTP‑VALUE
Age (years)33.1 ± 6.232 ± 5.9−0.4890.688
Experience (years)9.3 ± 5.57.8 ± 6.5−0.7970.787
Displacement (episode)7 ± 4.65.7 ± 4.3−0.8910.813
Working hours per day11.2 ± 5.410.7 ±3.9−0.2950.616
Table 4

Predictors of musculoskeletal disorders count (number of affected body regions).

VARIABLEUNIVARIABLE IRR (95% CI)P‑VALUEMULTIVARIABLE aIRR (95% CI)P‑VALUE
Marital status (married vs. not married)0.73 (0.59 –0.92)0.0070.71 (0.57–0.88)0.002
BMI category0.88 (0.76 –1.02)0.0890.87 (0.76–1.00)0.058
Adequate rest (yes vs. no)0.83 (0.67–1.02)0.0790.82 (0.67–0.99)0.045
Humid work environment (yes vs. no)1.26 (1.04–1.54)0.0181.24 (1.03–1.50)0.026
Work‑related stress (yes vs. no)1.15 (0.91–1.44)0.2351.03 (0.81–1.30)0.833
Hard work pace (yes vs. no)1.22 (0.98–1.52)0.0761.06 (0.84–1.34)0.646

[i] aIRR: adjusted incidence rate ratios.

DOI: https://doi.org/10.5334/aogh.5055 | Journal eISSN: 2214-9996
Language: English
Submitted on: Nov 4, 2025
|
Accepted on: Dec 26, 2025
|
Published on: Jan 20, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 Ahmed Z. Eleiwa, Khalid Jamal Khadoura, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.