THE Relationship Between Attitude, Knowledge, and Musculoskeletal Disorder Awareness Among Construction Workers
DOI:
https://doi.org/10.32890/ssmj2025.2.2.1Keywords:
attitude, knowledge, musculoskeletal disorders, foreign workers, constructionAbstract
Musculoskeletal disorders (MSDs) are one of the major causes of occupational injuries and reduced productivity in the construction sector. Despite various safety regulations and ergonomic guidelines, the level of awareness regarding MSDs among construction workers remains low. Many workers continue to underestimate the risks of repetitive movements, awkward postures, and heavy lifting, which contribute to the persistent rise of MSD cases in the construction sector. Therefore, this study is conducted with the intention to investigate factors that might influence MSD awareness. The study tested two independent variables namely, attitude and knowledge against MSD awareness. A total of 132 questionnaire was distributed to foreign workers with response rate of 100%. In this study, hypotheses for direct relationship were tested using multiple regression analyses. Results showed that both attitude and knowledge were not related to MSD awareness. Interestingly, this study indicating that having positive attitude and high knowledge on safety do not increase the awareness on MSD. These findings provide new insight on the issues of creating awareness towards MSD especially involving foreign workers. The question of why attitude and knowledge do not influence MSD awareness by foreign workers in construction sector provide opportunity for future research to reconcile these explanations. It also highlights the importance of engaging different and ongoing approach in educate and train foreign workers to increase awareness and reduce the incidence of MSDs in the high-risk construction industry. These efforts can contribute to a safer working environment, fewer injuries, and improved productivity across the sector.
References
Bureau of Labor Statistics. (2024, March 24). Nonfatal injuries and illnesses resulting in days of job transfer or restriction, 1992–2022. https://www.bls.gov/opub/ted/2024/nonfatal-injuries-and-illnesses-resulting-in-days-of-job-transfer-or-restriction-1992-2022.htm
Caffaro, F., Roccato, M., de Paolis, G., Cremasco, M. M., & Cavallo, E. (2022). Promoting farming sustainability: The effects of age, training, history of accidents and social-psychological variables on the adoption of on-farm safety behaviors. Journal of Safety Research, 80, 371–379.
Deros, B. M., Daruis, D. D. I., Ismail, A. R., Sawal, N. A. & Ghani, J. A. (2010). Work-Related Musculoskeletal Disorders among Workers' Performing Manual Material Handling Work in an Automotive Manufacturing Company. American Journal of Applied Sciences, 7(8), 1087-1092. https://doi.org/10.3844/ajassp.2010.1087.1092
Department of Occupational Safety and Health (DOSH). (2021). Annual report: Occupational safety in construction sector. Ministry of Human Resources Malaysia.
Department of Statistics Malaysia (DOSM). (2023, March 24). National occupational injury and disease statistics 2023. https://www.dosm.gov.my/portal-main/release-content/big-data-analytics-NOAS-2022
Department of Statistics Malaysia (DOSM). (2024, March 24). National occupational injury and disease statistics 2023. https://www.dosm.gov.my/portal-main/release-content/big-data-analytics-national-occupational-injury-and-disease-statistics-
Ephraim-Emmanuel, B. C., Ogbomade, R., Idumesaro, B. N., & Ugwoke, I. (2019). Knowledge, attitude and practice of preventing the occurrence of work-related musculoskeletal disorders among doctors in University of Port-Harcourt Teaching Hospital. Journal of Medical Research and Innovation, 3(2), e000161.
Gyekye, S. A., & Salminen, S. (2009). Age and workers' perceptions of workplace safety: A comparative study. The International Journal of Aging and Human Development, 68(2), 171–184.
Hussain, R., Pedro, A., Lee, D. Y., Pham, H. C., & Park, C. S. (2018). Impact of safety training and interventions on training-transfer: targeting migrant construction workers. International Journal of Occupational Safety and Ergonomics, 26(2), 272–284. https://doi.org/10.1080/10803548.2018.1465671
Jaafar, R., & Ahmad, M. A. I. (2023). The influences of occupational safety and health awareness factors among workers: A case study in a company in North Malaysia. Journal of Techno-Social, 15(1), 98–104.
Khairul Anwar, M. S. (2023). Amendment to Occupational Safety and Health Act (OSHA): Relevant changes. SSRN. https://ssrn.com/abstract=4497209
Kashif, M., Albalwi, A., Raqib, A., Farooq, M., Ullah, R., Sakoor, M., & Kamran, Z. (2022). Work-related musculoskeletal disorders among Pakistani construction workers: Prevalence, characteristics, and associated risk factors. Work, 72(1), 119–126.
Lee, S. H. (2023). Work-related musculoskeletal disorders among migrant construction workers: A study from Malaysia [Master’s thesis, Seoul National University]. S-Space.
Liao, L., Liao, K., Wei, N., Ye, Y., Li, L., & Wu, Z. (2023). A holistic evaluation of ergonomics application in health, safety, and environment management research for construction workers. Safety Science, 165, 106198. https://doi.org/10.1016/j.ssci.2023.106198
Lu, M. L., Lowe, B. D., Howard, N. L., Meyers, A. R., Fox, R. R., Dong, R. G., & Baker, B. A. (2022). Work-related musculoskeletal disorders. In Modern occupational diseases: Diagnosis, epidemiology, management and prevention (pp. 287–353). Bentham Science Publishers.
Mohamad, M. (2021). Thematic review on the safety and health measures of foreign workers in the construction sector in Malaysia. Global Business and Management Research, 13(4s), 983–999.
Nordin, A. N., Rohani, J. M., Abidin, N. Z., Zein, R. M., & Zuki, A. A. M. (2018). Knowledge, attitude and practices of musculoskeletal disorder injuries from Malaysian industries employers’ perspective. International Journal of Engineering & Technology, 7(3), 28–31.
Odebiyi, D. O., & Okafor, U. A. C. (2023). Musculoskeletal disorders, workplace ergonomics and injury prevention. In Orhan K. (Ed). Ergonomics—New insights. IntechOpen. DOI: 10.5772/intechopen.106031
Qureshi, M. O. (2023). Occupational safety challenges among migrant construction workers in Hong Kong [Doctoral dissertation, City University of Hong Kong]. Scholars Hub. https://scholars.cityu.edu.hk/files/183412187/95800267.pdf
Rahman, M. S., & Sakamoto, J. (2024). The risk factors for the prevalence of work-related musculoskeletal disorders among construction workers: A review. Journal of Applied Research on Industrial Engineering, 11(2), 155–165.
Selamat, M. N., Abd Aziz, S. F., Mukapit, M., Baker, R., & Jaaffar, A. H. (2021). The analysis of ergonomic task demand and psychosocial work factors towards occupational safety and health. International Journal of Academic Research in Accounting, Finance and Management Sciences, 11(3), 191–205.
Soares, C. O., Pereira, B. F., Gomes, M. V. P., Marcondes, L. P., de Campos Gomes, F., & de Melo-Neto, J. S. (2020). Preventive factors against work-related musculoskeletal disorders: Narrative review. Revista Brasileira de Medicina do Trabalho, 17(3), 415–430. https://doi.org/10.5327/z1679443520190360
Van Eerd, D., Irvin, E., Le Pouésard, M., Butt, A., & Nasir, K. (2022). Workplace musculoskeletal disorder prevention practices and experiences. Inquiry: The Journal of Health Care Organization, Provision, and Financing, 59, 00469580221092132. https://doi.org/10.1177/00469580221092132
Waligóra, Ł. (2024). Exploring the impact of age diversity on organizational identification: A study of HR practices and perceived age discrimination climate. Administrative Sciences, 14(10), 243. https://doi.org/10.3390/admsci14100243
Xia, N., Xie, Q., Hu, X., Wang, X., & Meng, H. (2020). A dual perspective on risk perception and its effect on safety behavior: A moderated mediation model of safety motivation, and supervisor’s and coworkers’ safety climate. Accident Analysis & Prevention, 134, 105350. https://doi.org/10.1016/j.aap.2019.105350
Zhang, Y., Feng, X., Wu, S., Li, L., & Dai, J. (2021). The prevalence of musculoskeletal disorders and the associated risk factors in nurses: A systematic review. International Journal of Nursing Studies, 115, 103841. https://doi.org/10.1016/j.ijnurstu.2024.104826
Zulkefle, S. R., & Sh Said, S.A.A. (2024). Construction health and safety implementation for the foreign workers in Malaysia. Journal of Building Performance, 14(1), 1-13.
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