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Quels sont les facilitateurs du maintien en emploi en santé des travailleurs seniors dans un milieu d’éducation au Québec?
Le pourcentage de travailleurs seniors âgés de 45 ans et plus augmente sans cesse sur le marché du travail au Québec. Dans le secteur de l'éducation, une large portion de la main-d'œuvre est âgée de 45 ans et plus (41 %) et un tiers du personnel aura quitté son poste entre 2009 et 2018 (Grenier, 2009). Des statistiques récentes montrent aussi que les lésions tant de nature physique que psychologique des travailleurs québécois du secteur de l'éducation sont souvent associées à...
After the storm: the social relations of return to work following electrical injury
In this study, we explored the experiences of 13 individuals who had suffered an electrical injury at work and had subsequently returned to work. In this article, we report on the social, institutional, and relational elements that workers perceived to influence return to work experiences and the provision of workplace accommodations. These elements included (a) worker resources, (b) job characteristics, (c) workplace setting, (d) injury elements, (e) workers' compensation context, and (f) supports and advocacy provided. We conclude that the availability and provision of supportive accommodations...
The effect of ill health and socioeconomic status on labor force exit and re-employment: a prospective study with ten years follow-up in the Netherlands
Objectives: The aim of this study was to investigate the effect of ill health and socioeconomic status on labor force exit due to unemployment, early retirement, disability pension, or becoming economically inactive. A secondary objective was to investigate the effect of ill health and socioeconomic status on return to work. Methods A representative sample of the Dutch working population (N=15 152) was selected for a prospective study with ten years follow-up (93 917 person-years). Perceived health and individual and household characteristics were measured at baseline with the Permanent Quality...
Prognostic Factors for Recovery in Chronic Nonspecific Low Back Pain: A Systematic Review
Verkerk, Karin (2012). Prognostic Factors for Recovery in Chronic Nonspecific Low Back Pain: A Systematic Review . Physical Therapy (sous presse, version électronique) Background Few data are available on predictors for a favorable outcome in patients with chronic non-specific low back pain (CNLBP). Purpose To assess prognostic factors for pain intensity, disability, return to work, quality of life, or global perceived effect in patients with CNLBP at short-term (≤ 6 months) and long-term (> 6 months) follow-up. Data Sources Relevant studies evaluating the prognosis of CNLBP were searched...
Medical Interpretation for Immigrant Workers
Forst, Linda et coll. (2012). Medical Interpretation for Immigrant Workers. New Solutions: A Journal of Environment and Occupational Health Policy , 22(1): 37-50. Foreign-born workers have high rates of occupational mortality and morbidity, despite downward trends for the U.S. workforce overall. They have limited access to health care services. Medical interpreters (MIs) facilitate care of acutely injured, low-English-proficiency (LEP) patients, including those sustaining occupational injuries. Our goal was to assess the potential for MIs to serve as advocates of LEP patients injured at work and...
Predictors of employment among cancer survivors after medical rehabilitation
A prospective study Objectives This study aimed to (i) investigate cancer survivor's employment status one year after the completion of a medical rehabilitation program and (ii) identify demographic, cancer, and psychosocial, treatment-, and work-related predictors of return to work (RTW) and time until RTW. Methods A total of 1520 eligible patients were consecutively recruited on average 11 months post diagnosis and assessed at the beginning (t0) (N=1148) and end of rehabilitation (t1) (N=1060) and 12 months after rehabilitation (t2) (N=750). Participants completed validated measures assessing...
Prediction of failure to retain work 1 year after interdisciplinary functional restoration in occupational injuries
OBJECTIVE: To identify risk factors for work retention (a patients' ability to both obtain and retain employment) at 1 year after treatment for a chronic disabling occupational musculoskeletal disorder (CDOMD). DESIGN: Prospective cohort study. SETTING: Consecutive patients undergoing interdisciplinary functional restoration treatment in a regional rehabilitation referral center. PARTICIPANTS: A sample of 1850 consecutive CDOMD patients, who were admitted to and completed a functional restoration program, were subsequently classified as work retention or nonwork retention at a 1-year posttreatment...
Functional and Occupational Characteristics Associated With Very Early Return to Work After Stroke in Japan
Tanaka H et al. (2011). Functional and occupational characteristics associated with very early return to work after stroke in Japan. Archives of Physical Medicine and Rehabilitation , 92 (5): 743-748. To examine clinical, functional, and occupational factors associated with very early return to work after stroke, and to identify factors manageable through occupational arrangements, patient education, and other welfare programs. Design: Prospective cohort study. Setting: Acute care of the first stroke event in 21 acute care hospitals specializing in clinical and occupational health. Participants...
The impact of ill health on exit from paid employment in Europe among older workers
Objective To determine the impact of ill health on exit from paid employment in Europe among older workers. Methods Participants of the Survey on Health and Ageing in Europe (SHARE) in 11 European countries in 2004 and 2006 were selected when 50–63 years old and in paid employment at baseline (n=4611). Data were collected on self-rated health, chronic diseases, mobility limitations, obesity, smoking, alcohol use, physical activity and work characteristics. Participants were classified into employed, retired, unemployed and disabled at the end of the 2-year follow-up. Multinomial logistic...
Work disability prevention in rural healthcare workers
Approximately 20% of healthcare workers in high-income countries such as Australia, Canada and the USA work in rural areas. Healthcare workers are known to be vulnerable to occupational injury and poor work disability outcomes; given their rural–urban distribution, it is possible to compare work disability prevention in rural and urban areas. However, little attention has been paid to work disability prevention issues specific to rural workers, including rural healthcare workers. A comprehensive review of the literature was conducted to identify rural–urban differences in work disability...
Sickness Absence, Employment History, and High-Risk Employees: A 10-Year Longitudinal Study
Objective: To investigate the impact of employment characteristics on the occurrence of long-term sickness absence taking socioeconomic covariates into account. Methods: A longitudinal analysis was conducted for 62,745 employees aged 18 to 64 during 1990–1999. A nonlinear random-effects model was used. In particular, the missing data patterns and their relationship with sickness absence were studied. Results: Strong relationship of socioeconomic background with occurrence of long-term sickness absence (≥3 days) was found. The missing data patterns significantly predicted sickness absence...
The Adequacy of Chronic Pain Management Prior to Presenting at a Tertiary Care Pain Center: The Role of Patient Socio-Demographic Characteristics
The Pain Management Index (PMI) is used to assess pain medication adequacy in black and white chronic pain patients (18–50 years) at referral to tertiary pain care. Using WHO guidelines for pain treatment, PMI was calculated from pain severity and drug analgesic potency. From 183 patients recruited, 128 provided treatment information for analyses (53% white, 60% female). Most (51.6%) had adequate PMI. Blacks were prescribed fewer pain medications ( P = .03); fewer women had adequate medication strength ( P = .04). In hierarchical regression, PMI was predicted at entry by female gender, lower...
Rehabilitation and indigenous peoples: the Maori experience
Indigenous peoples often have the worst health status in comparison to non-indigenous people in their own nations; urgent action to address the health inequities for indigenous people is required. The role of rehabilitation in addressing health and disability inequities is particularly important due to the health need of indigenous peoples; the unequal distribution of health determinants; and disparities in access to, quality of care through and outcomes following rehabilitation. This article will present a perspective for Maori, the indigenous peoples of New Zealand, on a framework for improving...
Has the Prevalence of Invalidating Musculoskeletal Pain Changed Over the Last 15 Years (1993–2006)? A Spanish Population-Based Survey
The aim of the current study was to estimate the prevalence and time trend of invalidating musculoskeletal pain in the Spanish population and its association with socio-demographic factors, lifestyle habits, self-reported health status, and comorbidity with other diseases analyzing data from 1993-2006 Spanish National Health Surveys (SNHS). We analyzed individualized data taken from the SNHS conducted in 1993 (n = 20,707), 2001 (n = 21,058), 2003 (n = 21,650) and 2006 (n = 29,478). Invalidating musculoskeletal pain was defined as pain suffered from the preceding 2 weeks that decreased main working...
A Short-Form Functional Capacity Evaluation Predicts Time to Recovery but Not Sustained Return-to-Work
Objectives To evaluate the ability of a short-form FCE to predict future timely and sustained return-to-work. Methods A prospective cohort study was conducted using data collected during a cluster RCT. Subject performance on the items in the short-form FCE was compared to administrative recovery outcomes from a workers’ compensation database. Outcomes included days to claim closure, days to time loss benefit suspension and future recurrence (defined as re-opening a closed claim, restarting benefits, or filing a new claim for injury to the same body region). Analysis included multivariable...
Expanding the Concept of Acculturation in Mexican American Rehabilitation Psychology Research and Practice
Objective This study examined the association between return-to-work (RTW) outcomes and sociodemographic, clinical, and work characteristics among a cohort of injured workers who underwent knee surgery between 2001–2005 in British Columbia, Canada. Methods Workers’ compensation databases were used to identify the retrospective cohort and abstract the study variables. Multinomial logistic regression provided odds ratios (OR) and 95% confidence intervals (95% CI) for the association between RTW (unspecified, partial, full, or non-RTW) and the independent variables. Results Data was abstracted...
Employment maintenance and the factors that impact it after vocational rehabilitation and return to work
To determine post-return-to-work disability and functioning amongst occupationally injured workers and to test the extent to which demographic and other variables relate to employment maintenance. In addition, the project sought to document what workers believe determined their work continuation. Method .Semi-structured in-depth interviews were conducted to inquire about participant's ( N =150) post-vocational rehabilitation return-to-work experiences. Results were interpreted using the health and health-related domains from the International Classification of Functioning, Disability and Health...
Determinants of Return to Work After Occupational Injury
The promotion of return to work (RTW) following occupational injury benefits injured workers, their families, enterprises and the society. The identification of the potential determinants would be helpful in improving RTW rate and minimizing the duration of absenteeism following injury. Objectives The aim of the study was to identify the potential determinants of RTW following work-related injury. Methods A historical cohort of workers with occupational injury in a state-owned locomotive vehicles company in central China was followed up on the outcomes of RTW. Demographic, employment and medical...
Determinants of return to work following non life threatening acute orthopaedic trauma: a prospective cohort study
OBJECTIVE: To determine factors associated with return to work following acute non-life-threatening orthopaedic trauma. DESIGN: Prospective cohort study. PARTICIPANTS: One hundred and sixty-eight participants were recruited and followed for 6 months. The study achieved 89% participant follow-up. METHODS: Baseline data were obtained by survey and medical record review. Participants were further surveyed at 2 weeks, 3 and 6 months post-injury. Logistic regression was used to examine the association between potential predictors and first return to work by these 3 time-points. RESULTS: Sixty-eight...
Common Health Problems, Yellow Flags and Functioning in a Community Setting
Common health problems such as pain, depression and fatigue have a high impact on daily life, work and healthcare utilization. This study aimed to investigate the prevalence of these complaints in a UK community setting and to establish whether psychosocial risk factors, or ‘yellow flags', moderate their impact on daily life and work. Methods 580 women and 420 men participated in a cross-sectional survey in the UK in 2007. 467 (57.2%) of the 816 working age adults in this sample reported complaints over the last month and were included in the moderator multivariate analysis. Results Women...
Determinants of return to work after long-term sickness absence in six Danish municipalities
BACKGROUND: Different follow-up times and methods in return to work (RTW) research make it difficult to compare results between studies, and not all intervention effects and determinants may be constant over time. AIMS: This study aimed to describe the RTW process of a population of long-term sickness-absent workers over a 3-year period in terms of the effect of selected determinants over time. METHODS: A total of 7780 sickness-absent persons were registered by social workers in six different municipalities and were followed up for 2 to 3 years. Estimates from multiple logistic regression analyses...
Long-term adjustment to work-related low back pain: associations with socio-demographics, claim processes, and post-settlement adjustment
OBJECTIVE: Predict long-term adjustment (pain intensity, pain-related catastrophizing, and pain-related disability) from socio-demographic, claim process, and post-settlement adjustment variables in a cohort of 374 Workers' Compensation low back claimants. METHODS: Age- and gender-matched subsamples of African Americans and Caucasians were randomly selected for long-term follow-up (6 years post-settlement) from a larger, existing cohort of Workers' Compensation low back claimants in Missouri. Computer-assisted telephone interviews were used to assess pain, catastrophizing, and disability...
Employment and return to work in head and neck cancer survivors
To investigate employment in working-age head and neck cancer (HNC) survivors before and after treatment in relation to sociodemographic and clinical factors, health related quality of life, and emotional distress. Patients younger than 65years at time of diagnosis and at least 2years after curative treatment for HNC were included. Exclusion criteria were cognitive dysfunction and no understanding of Dutch language. Primary outcome measures were employment status and return to work assessed by a study specific questionnaire. Secondary outcome measures were health related quality of life (EORTC...

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