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Return to work after specialized rehabilitation
An explorative longitudinal study in a cohort of severely disabled persons with stroke in seven countries Introduction: Stroke may impose disabilities with severe consequences for the individual, with physical, psychological, social, and work-related consequences. The objective with the current study was to investigate to what extent persons with stroke were able to return to work, to maintain their financial situation, and to describe the follow-up services and participation in social networks and recreational activities. Methods: The design was a prospective, descriptive study of specialized...
Workplace Social System and Sustained Return-to-Work: A Study of Supervisor and Co-worker Supportiveness and Injury Reaction
Objective: To examine the impact of the social workplace system on sustained return-to-work (SRTW). Methods: A random sample of workers' compensation claimants was recruited to complete a survey following claim acceptance (baseline), and 6 months later (time 2). SRTW, at baseline and time 2, was classified as those reporting being back at work for >28 days. Co-worker and supervisor support were assessed using five and seven items, respectively, and total scores were produced. A list of potential supervisory and co-worker reactions were presented to participants who were asked whether the...
Making a successful return to work
The UK burden of injury multicentre longitudinal study BACKGROUND: Injuries are common and make a significant contribution to sickness absence, but little is known about problems experienced by injured people on return to work (RTW). AIM: To quantify work problems on RTW and explore predictors of such problems. Design & setting: Multicentre longitudinal study in four UK hospitals. METHOD: Prospective study of injured participants aged 16-65 years who were employed or self-employed prior to the injury and had RTW at 1 or 4 months post injury. RESULTS: At 1 month, most (59%) had only made a partial...
Association of Returning to Work With Better Health in Working-Aged Adults
A Systematic Review Objectives. We systematically reviewed the literature on the impact of returning to work on health among working-aged adults. Methods. We searched 6 electronic databases in 2005. We selected longitudinal studies that documented a transition from unemployment to employment and included a comparison group. Two reviewers independently appraised the retrieved literature for potential relevance and methodological quality. Results. Eighteen studies met our inclusion criteria, including 1 randomized controlled trial. Fifteen studies revealed a beneficial effect of returning to work...
The joint association of sleep duration and insomnia symptoms with disability retirement
A longitudinal, register-linked study Objective : The aim of this study was to examine the joint association of sleep duration and insomnia symptoms with subsequent disability retirement. Methods : Baseline survey data were collected in 2000–2002 from 40–60-year-old employees of the City of Helsinki, all working at baseline. Baseline data were linked with disability retirement data until the end of 2010, obtained from the Finnish Centre for Pensions registers (N=6042). Sleep duration and self-reported insomnia symptoms (difficulties in initiating and maintaining sleep and non-restorative...
Job burnout and job wornout as risk factors for long-term sickness absence
Objective: Contingent self-esteem has been assumed to be a risk for burnout-related disorders, and a contingent self-worth notion of job burnout was applied to study the prospective relationship between job burnout and registered episodes of sickness absence of ? 60 consecutive days. Methods: Job burnout was defined as being in the high quartiles on the Maslach Burnout Inventory – General Survey (MBI-GS) scales of exhaustion and cynicism and, in addition, as being above the median on a scale for performance-based self-esteem. Another high exhaustion-cynicism group, a "job wornout"...
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...
Back Injury Trajectories in Heavy Industries: Defining Outcomes for Epidemiological Research
Objective: To propose an incidence definition of back injury for epidemiologic studies using health care contacts. Methods: Medical services, hospitalizations, and workers' compensation data were linked for a longitudinal database of health care contacts among a cohort of heavy-industry workers for trajectory, group-based analysis. Results: During follow-up, 25.8% of workers had no health care contacts for back injury. Among workers with at least one contact, four trajectories were identified: one with a high probability of back injury during follow-up and three with episodic trajectories of...
The work ability index and single-item question
Associations with sick leave, symptoms, and health – a prospective study of women on long-term sick leave Objectives : This study investigated the association between the work ability index (WAI) and the single-item question on work ability among women working in human service organizations (HSO) currently on long-term sick leave. It also examined the association between the WAI and the single-item question in relation to sick leave, symptoms, and health. Predictive values of the WAI, the changed WAI, the single-item question, and the changed single-item question were investigated for degree...

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