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Examining the Relationship Between Productivity Loss Trajectories and Work Disability Outcomes Using the Panel Study of Income Dynamics
Objective: To identify trajectories of productivity loss and examine the relationship between the trajectories and work disability outcomes. Methods: Latent class growth analysis of productivity loss was estimated for the ages of 25 to 44 years in the Panel Study of Income Dynamics (N = 4960). Differences among the trajectories for work disability outcomes for the ages of 25 to 64 years were estimated using logistic regression and analysis of variance. Results: A five-group trajectory model was identified with a no-risk, low-risk, high-risk, early-onset increasing risk, and late-onset increasing...
Workplace Rehabilitation and Supportive Conditions at Work: A Prospective Study
Purpose To investigate the impact of rehabilitation measures on work ability and return to work (RTW), specifically the association between workplace rehabilitation/supportive conditions at work and work ability and RTW over time, among women on long-term sick leave. Methods Questionnaire data were collected (baseline, 6 and 12 months) from a cohort of women (n = 324). Linear mixed models were used for longitudinal analysis of the repeated measurements of work ability index (WAI), work ability score and working degree. These analyses were performed with different models; the explanatory variables...
Employers' Attitudes Towards Hiring and Retaining People with Disabilities: A Review of the Literature
This selective review provides an overview of salient research findings related to employers' attitudes towards disability and prospective influences on employers to improve employment outcomes of people with disabilities. Research studies included for review are mainly those which investigated employer attitudes towards disability as predispositions to hiring people with disability. Selected studies were classified into three categories including hiring and accommodating employees with disabilities, work performance, and affective reactions and behavioural intentions of employers. Excluded...
Work-related psychosocial and mechanical risk factors for work disability
A 3-year follow-up study of the general working population in Norway Objectives This study examines the impact of work-related psychosocial and mechanical risk factors for work disability in the general working population. Methods A randomly drawn cohort from the general population in Norway aged 18–66 years was followed for 3 years (N=12 550, 67% response rate at baseline). Eligible respondents were in paid work for ≥10 hours per week in 2006 and were still in paid work or had quit working because of health problems (work disability) in 2009 (N=6745). Five work-related psychosocial factors...
Psychosocial working conditions, occupational groups, and risk of disability pension due to mental diagnoses: a cohort study of 43 000 Swedish twins
Objectives The aim of this study was to investigate associations between psychosocial working conditions, occupational groups defined by sector, and disability pension (DP) with mental diagnoses while accounting for familial confounding. Methods A prospective population-based cohort study was conducted, including all Swedish twins who, in January 1993, were living and working in Sweden and not on old-age pension or DP (N=42 715). The twins were followed from 1993–2008 regarding DP. Data on DP, exposures, and covariates were obtained from national registries. Cox proportional hazards regression...
Évolution comparée de la douleur et du statut de travail à la suite d’un programme de réadaptation pour des travailleurs ayant des troubles musculo-squelettiques
Les troubles musculo-squelettiques (TMS) touchent chaque année plus de 45 000 travailleurs québécois dans tous les secteurs d’activité. Dans un modèle de représentation biopsychosocial des TMS, la question des croyances des principaux acteurs sociaux à propos de l’incapacité et la douleur est fondamentale pour le processus de réadaptation. Plusieurs intervenants de la santé, employeur ou assureur, croient que l’employé ne doit pas se présenter au travail avant d’être complètement...
The lack of correspondence between work-related disability and receipt of workers' compensation benefits
Spieler, Emily A. et coll. (sous presse). The lack of correspondence between work-related disability and receipt of workers' compensation benefits. American Journal of Industrial Medicine. Background: Previous studies suggest that many persons with disabilities caused by work do not receive workers' compensation benefits. Methods: Data from surveys of persons with disabilities were used to estimate the proportion of disability due to work-related injuries and diseases. Studies examining the proportion of workers with work-related disability who received workers' compensation benefits...
The 11-item workplace organizational policies and practices questionnaire (OPP-11): examination of its construct validity, factor structure, and predictive validity in injured workers with upper-limb disorders
Background Reliable and valid measurement of workplace organizational policies and practices (OPPs) is needed to evaluate their influences on the prevention and management of occupational injuries. Methods Injured workers (n = 614) attending an upper-limb specialty clinic operated by the Workplace Safety & Insurance Board of Ontario were recruited for a 1-year study. The OPP-11, completed at baseline, was examined for scaling properties (floor/ceiling effects, internal consistency, and item-convergent/discriminant validity), construct validity, and factor structure. Predictive validity for...
The quest for greater flexibility: Creative innovations for workers with arthritis
Arthritis is a leading cause of disability among adults, and it often affects them in the prime of their career. How it’s approached in the workplace can make all the difference, according to a new study by an adjunct scientist at the Institute for Work & Health. An accessible and supportive workplace is the litmus test as to whether a person with arthritis can continue working. This is the implication of a study led by Institute for Work & Health (IWH) Adjunct Scientist Dr. Monique Gignac, which explored the sometimes mercurial combination of arthritis and work. Gignac and her team...
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...
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...
Toward a Climate for Work Resumption: The Nonmedical Determinants of Return to Work
Objective: People who have been on long-term absence from work because of ill health usually have reduced chances to resume work again. Nevertheless, little is known about its causal factors. The aim of this study is to present and test an empirical model to predict return to work of employees who are long-term absent for physical- or mental ill health reasons. Method: A longitudinal study has been performed with a sample of long-term absents in five European countries (N = 1460). Results: Health improvement is necessary but it alone not sufficient as precondition for return to work. Psychological...
Return-to-work experiences: Prior to receiving vocational services
Methods. Semi-structured interviews inquiring about participant's ( N = 150) return-to-work experiences following an occupational injury resulting in an impairment that limited their ability to perform their past work. Results . Findings indicate that although reasons cited for the loss of employment gains included physiological body function, the ability to perform work-related tasks and actions and personal factors, the most commonly referenced barriers by far were environmental in nature. Depending on where the worker was within the return-to-work process, the regularity with which each...
Work stress and work ability: cross-sectional findings from the German sociomedical panel of employees
Maintenance of work ability and restoration of reduced work ability by prevention and rehabilitation are major aims of disability management. To achieve these aims, decision-makers and health care providers need evidence of the determinants of restricted work ability. The aim of this article was to analyse the cross-sectional association between work stress and work ability in a population drawn from a random sample of employees. A total of 1463 working men and women aged 30-59 years from the baseline survey of the German SPE were included in the analyses. Work stress was defined in terms of the...
Douleur chronique : comment la dépister et la prendre en charge?
La Haute Autorité de santé vient de publier des recommandations sur la prise en charge du syndrome douloureux chronique, suite à la demande formulée par la Société Française d'Etude et de Traitement de la Douleur (SFTED). Celles-ci visent principalement à atteindre plusieurs objectifs : identifier les patients souffrant de douleur chronique, définir son évaluation clinique, et préciser le parcours du patient en amont et en aval des structures spécialisées. http://www.neurologies.net/pathologies/contenu...
Le projet de l'OCDE sur "Maladie, Invalidité et Travail "
Les politiques en faveur des personnes handicapées sont devenues déterminantes dans la plupart des pays de l'OCDE. Les problèmes médicaux liés à l'invalidité augmentent et causent de plus en plus de problèmes non seulement aux personnes mais aussi sur le marché du travail et pour les politiques sociales. De plus en plus de personnes tirent l'essentiel de ses ressources de prestations d'invalidité ou de maladie et les taux d'emploi des personnes handicapées sont faibles. http://www.oecd.org/document...

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