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Lax M. Occupational Disease in New York State: The Political Economic Context. New Solut 2024; 34:95-111. [PMID: 39042914 DOI: 10.1177/10482911241260404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/25/2024]
Abstract
In 1987 Landrigan and Markowitz co-authored a report entitled "Occupational Disease in New York State." They found that death and illness from occupational disease were common and that the costs of exposure to hazardous conditions warranted public funding for new occupational health infrastructure in New York State. A recent confirmatory report recognized a wider spectrum of contemporary hazards and emphasized how public health problems connect to work. These reports provide factual snapshots at 2 points in time, but they do not explain nor analyze the changing conditions they describe. Including macro-contexts such as globalization, financialization, and neoliberalism, this article demonstrates several unique occupational safety and health implications by clarifying key themes related to the state's role, especially regulation and healthcare delivery systems. Conclusions directly tie the trajectory of occupational disease to workers' collective ability to confront and roll back neoliberalism while pushing occupational disease out of its medical/science silo.
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Affiliation(s)
- Michael Lax
- Family Medicine, SUNY Upstate Medical University, Syracuse, NY, USA
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2
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Baek SU, Lee WT, Kim MS, Lim MH, Yoon JH, Won JU. Self-Esteem Trajectories After Occupational Injuries and Diseases and Their Relation to Changes in Subjective Health: Result From the Panel Study of Workers' Compensation Insurance (PSWCI). J Korean Med Sci 2023; 38:e284. [PMID: 37724493 PMCID: PMC10506903 DOI: 10.3346/jkms.2023.38.e284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Accepted: 05/22/2023] [Indexed: 09/20/2023] Open
Abstract
BACKGROUND Occupational injuries and diseases are life events that significantly impact an individuals' identity. In this study, we examined the trajectories of self-esteem among victims of occupational injury and disease and their relation to health. METHODS The Panel Study of Workers' Compensation Insurance conducted annual follow-ups on workers who had experienced occupational injury or disease. A total of 2,000 participants, who had completed medical care, were followed from 2013 to 2017. Growth mixture modeling was utilized to identify latent classes in the self-esteem trajectory. Additionally, logistic regressions were conducted to explore the association between trajectory membership, baseline predictors, and outcomes. RESULTS Three distinct trajectory classes were identified. Total 65.8% of the samples (n = 1,316) followed an increasing self-esteem trajectory, while 31.1% (n = 623) exhibited a constant trajectory, and 3.1% (n = 61) showed a decreasing trajectory. Individuals with an increasing trajectory were more likely to have a higher educational attainment (odds ratio [OR], 1.86; 95% confidence interval [CI], 1.20-2.88), an absence of a moderate-to-severe disability rating (OR, 0.49; 95% CI, 0.25-0.96), no difficulty in daily living activities (OR, 0.81; 95% CI, 0.75-0.88), and were economically active (re-employed: OR, 2.46; 95% CI, 1.52-3.98; returned to original work: OR, 4.46; 9% CI, 2.65-7.50). Those with a decreasing self-esteem trajectory exhibited an increased risk of poor subjective health (OR, 1.89; 95% CI, 0.85-4.85 in 2013 to OR, 3.17; 95% CI, 1.04-13.81 in 2017), whereas individuals with an increasing trajectory showed a decreased risk (OR, 0.54; 95% CI, 0.43-0.68 in 2013 to OR, 0.44; 95% CI, 0.33-0.57 in 2017). CONCLUSION Our findings emphasize the diversity of psychological responses to occupational injury or disease. Policymakers should implement interventions to enhance the self-esteem of victims.
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Affiliation(s)
- Seong-Uk Baek
- Department of Occupational and Environmental Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
- The Institute for Occupational Health, Yonsei University College of Medicine, Seoul, Korea
- Graduate School, Yonsei University College of Medicine, Seoul, Korea
| | - Won-Tae Lee
- Department of Occupational and Environmental Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
- The Institute for Occupational Health, Yonsei University College of Medicine, Seoul, Korea
- Department of Public Health, Yonsei University College of Medicine, Seoul, Korea
| | - Min-Seok Kim
- Department of Occupational and Environmental Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
- The Institute for Occupational Health, Yonsei University College of Medicine, Seoul, Korea
- Department of Public Health, Yonsei University College of Medicine, Seoul, Korea
| | - Myeong-Hun Lim
- Department of Occupational and Environmental Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
- The Institute for Occupational Health, Yonsei University College of Medicine, Seoul, Korea
- Department of Public Health, Yonsei University College of Medicine, Seoul, Korea
| | - Jin-Ha Yoon
- The Institute for Occupational Health, Yonsei University College of Medicine, Seoul, Korea
- Department of Public Health, Yonsei University College of Medicine, Seoul, Korea
- Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Jong-Uk Won
- Department of Occupational and Environmental Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
- The Institute for Occupational Health, Yonsei University College of Medicine, Seoul, Korea
- Department of Public Health, Yonsei University College of Medicine, Seoul, Korea.
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Kurnianto AA, Khatatbeh H, Prémusz V, Nemeskéri Z, Ágoston I. Managing disabled workers due to occupational accidents in Indonesia: a case study on return to work program. BMC Public Health 2023; 23:943. [PMID: 37226117 DOI: 10.1186/s12889-023-15930-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Accepted: 05/18/2023] [Indexed: 05/26/2023] Open
Abstract
BACKGROUND Limited research and studies prove the usefulness of case management for persons with disabilities, which helps disabled employees recover their dignity through medical vocational, and psychological rehabilitation in underdeveloped countries' Return To Work (RTW) programs. METHODS This qualitative case study design involved semi structured interviews with case managers as the primary data source, supplemented by secondary data from BPJS Ketenagakerjaan. Data analysis utilized QDA Miner Lite and Python with ArcGIS integration for descriptive visualization. RESULTS The RTW program of BPJS Ketenagakerjaan has already adopted ILO's fundamental suggestion, which creates two central themes: internal aspects that are essential to the RTW framework and external variables that impact RTW practice. The key themes produce six main pieces to discuss further: personal skill, personal literacy, providers, guidelines, authorities, and stakeholder support. CONCLUSION Return to Work Program benefits companies, and the implementation of a career development service or a partnership with non-governmental organizations guarantees that disabled employees who cannot return to work with their former employers are still in the global economy.
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Affiliation(s)
| | - Haitham Khatatbeh
- Department of Nusring, Faculty of Nursing, Jerash University, Jerash, 26150, Jordan
| | - Viktória Prémusz
- Doctoral School of Health Sciences, University of Pécs, Pécs, 7621, Hungary
| | - Zsolt Nemeskéri
- Department of Cultural Theory and Applied Communication Sciences, Faculty of Cultural Studies, Teacher Training and Rural Development, University of Pécs, Pécs, 7633, Hungary
| | - István Ágoston
- Doctoral School of Health Sciences, University of Pécs, Pécs, 7621, Hungary
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4
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Lundstrom EW, Hendricks SA, Marsh SM, Groth CP, Smith GS, Bhandari R. Temporal trends in occupational injuries treated in US emergency departments, 2012-2019. Inj Epidemiol 2023; 10:13. [PMID: 36899403 PMCID: PMC9999541 DOI: 10.1186/s40621-023-00423-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Accepted: 02/20/2023] [Indexed: 03/12/2023] Open
Abstract
BACKGROUND Evidence suggests that rates of occupational injuries in the US are decreasing. As several different occupational injury surveillance systems are used in the US, more detailed investigation of this trend is merited. Furthermore, studies of this decrease remain descriptive and do not use inferential statistics. The aim of this study was to provide both descriptive and inferential statistics of temporal trends of occupational injuries treated in US emergency departments (EDs) for 2012 to 2019. METHODS Monthly non-fatal occupational injury rates from 2012 to 2019 were estimated using the national electronic injury surveillance system-occupational supplement (NEISS-Work) dataset, a nationally representative sample of ED-treated occupational injuries. Rates were generated for all injuries and by injury event type using monthly full-time worker equivalent (FTE) data from the US Current Population Survey as a denominator. Seasonality indices were used to detect seasonal variation in monthly injury rates. Trend analysis using linear regression adjusted for seasonality was conducted to quantify changes in injury rates from 2012 to 2019. RESULTS Occupational injuries occurred at an average rate of 176.2 (95% CI = ± 30.9) per 10,000 FTE during the study period. Rates were highest in 2012 and declined to their lowest level in 2019. All injury event types occurred at their highest rate in summer months (July or August) apart from falls, slips, and trips, which occurred at their highest rate in January. Trend analyses indicated that total injury rates decreased significantly throughout the study period (- 18.5%; 95% CI = ± 14.5%). Significant decreases were also detected for injuries associated with contact with foreign object and equipment (- 26.9%; 95% CI = ± 10.5%), transportation incidents (- 23.2%; 95% CI = ± 14.7%), and falls, slips, and trips (- 18.1%; 95% CI = ± 8.9%). CONCLUSIONS This study supports evidence that occupational injuries treated in US EDs have decreased since 2012. Potential contributors to this decrease include increased workplace mechanization and automation, as well as changing patterns in US employment and health insurance access.
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Affiliation(s)
- Eric W Lundstrom
- Department of Epidemiology and Biostatistics, School of Public Health, West Virginia University, 64 Medical Center Dr, Morgantown, WV, 26506, USA.
| | - Scott A Hendricks
- Division of Safety Research, National Institute for Occupational Safety and Health, Morgantown, WV, USA
| | - Suzanne M Marsh
- Division of Safety Research, National Institute for Occupational Safety and Health, Morgantown, WV, USA
| | - Caroline P Groth
- Department of Epidemiology and Biostatistics, School of Public Health, West Virginia University, 64 Medical Center Dr, Morgantown, WV, 26506, USA
| | - Gordon S Smith
- Department of Epidemiology and Biostatistics, School of Public Health, West Virginia University, 64 Medical Center Dr, Morgantown, WV, 26506, USA
| | - Ruchi Bhandari
- Department of Epidemiology and Biostatistics, School of Public Health, West Virginia University, 64 Medical Center Dr, Morgantown, WV, 26506, USA
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Kyriakaki ED, Detorakis ET, Bertsias AK, Markakis G, Tsakalis NG, Volkos P, Spandidos DA, Symvoulakis EK. Ocular trauma, visual acuity related to time of referral and psychosocial determinants, during COVID‑19 pandemic: A prospective study. Exp Ther Med 2023; 25:130. [PMID: 36845962 PMCID: PMC9947913 DOI: 10.3892/etm.2023.11829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Accepted: 01/25/2023] [Indexed: 02/11/2023] Open
Abstract
The aim of the present study was to explore the associations between visual outcomes of ocular injury patients in a tertiary hospital unit with clinical and demographic variables and to evaluate the psychosocial impact of the injury on the patients. An 18-month prospective study of 30 eye-injured adult patients was conducted in the General University Hospital of Heraklion, Crete, a tertiary referral hospital. All severe eye injury case information was prospectively collected between February 1, 2020 and August 31, 2021. Best corrected visual acuity (BCVA) was labelled not poor (>0.5/10 or >20/400 on the Snellen scale, <1.3 in LogMAR scale) and poor (≤0.5/10 or ≤20/400 on the Snellen scale, ≥1.3 on the LogMAR equivalent). Data regarding participants' perceived stress levels, by using Perceived Stress Scale 14 (PSS-14), were collected prospectively, one year after study end. Out of 30 ocular injury patients selected, 76.7% were men and most of them were self-employed and private or public sector workers (36.7%). Not poor final BCVA was related to not poor initial BCVA [odds ratio (OR) 1.714; P=0.006]. No statistical associations were found between visual outcome and demographic or clinical factors, but not poor final BCVA was associated with improved self-reported psychological condition of the sufferers, as examined by a questionnaire sheet developed to collect information for study purpose (8.36/10 vs. 6.40/10; P=0.011). No patient reported job loss or changed work status following the injury. Not poor initial BCVA was a significant predictor for not poor final visual outcomes (OR 1.714; P=0.006). Patients with not poor final BCVA expressed higher levels of positive psychology (8.36/10 vs. 6.40/10; P=0.011) and less fear of eye injury repetition (64.0 vs. 100.0%; P=0.286). Not poor final BCVA was associated with low PSS-14 scores one year after study end (77.3 vs. 0.0%, P=0.003). Collaboration between ophthalmologists, mental health professionals and primary care team may be important in order to help patients to cope with the psychosocial burden sequel to eye trauma.
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Affiliation(s)
- Elli D.O. Kyriakaki
- Department of Ophthalmology, University Hospital of Heraklion, 71500 Heraklion, Greece
- Clinic of Social and Family Medicine, School of Medicine, University of Crete, 71500 Heraklion, Greece
| | | | - Antonios K. Bertsias
- Clinic of Social and Family Medicine, School of Medicine, University of Crete, 71500 Heraklion, Greece
| | - Georgios Markakis
- Department of Social Work, Hellenic Mediterranean University, 71410 Heraklion, Greece
| | - Nikolaos G. Tsakalis
- Department of Ophthalmology, University Hospital of Heraklion, 71500 Heraklion, Greece
- Department of Ophthalmology, General Hospital of Ierapetra, 72200 Ierapetra, Greece
| | - Panagiotis Volkos
- 4th Local Health Team, Academic Unit of Heraklion, 71303 Heraklion, Greece
| | - Demetrios A. Spandidos
- Laboratory of Clinical Virology, School of Medicine, University of Crete, 71500 Heraklion, Greece
| | - Emmanouil K. Symvoulakis
- Clinic of Social and Family Medicine, School of Medicine, University of Crete, 71500 Heraklion, Greece
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Lax MB, Zoeckler JM. Occupational Disease in New York State: An Update. New Solut 2023; 32:304-323. [PMID: 36799954 DOI: 10.1177/10482911231152896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/18/2023]
Abstract
An assessment of occupational disease in New York State was undertaken that partially replicated and expanded earlier work from 1987. Utilizing an expanded conception of occupational disease, the assessment used a variety of data sources and methods to provide estimates of mortality and morbidity of occupational disease; workers exposed to specific workplace hazards; disparities in occupational disease among racial/ethnic groups and gender; costs and distribution of costs of occupational disease; and accessible occupational medical resources. Examples of the pathways work may impact health in some of the major health issues of current import including stress-related health conditions; substance use; and overweight/obesity were included. The report contains recommendations for addressing the problem of occupational disease in New York State and advocates for the convening of a statewide group to develop an occupational disease prevention agenda.
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Affiliation(s)
- Michael B Lax
- Occupational Health Clinical Center, Department of Family Medicine State University of New York Upstate Medical University, Syracuse, NY, USA
| | - Jeanette M Zoeckler
- Occupational Health Clinical Center, Department of Family Medicine State University of New York Upstate Medical University, Syracuse, NY, USA
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Premji S, Begum M, Medley A, MacEachen E, Côté D, Saunders R. Le retour au travail dans un contexte de barrières linguistiques : Une étude comparative des politiques et des pratiques d’indemnisation des victimes de lésion professionnelle au Québec et en Ontario. PERSPECTIVES INTERDISCIPLINAIRES SUR LE TRAVAIL ET LA SANTÉ 2021. [DOI: 10.4000/pistes.7007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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8
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Premji S, Begum M, Medley A, MacEachen E, Côté D, Saunders R. Return-to-Work in a Language Barrier Context : Comparing Quebec’s and Ontario’s Workers’ Compensation Policies and Practices. PERSPECTIVES INTERDISCIPLINAIRES SUR LE TRAVAIL ET LA SANTÉ 2021. [DOI: 10.4000/pistes.7144] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023] Open
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9
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Panuwatwanich K, Roongsrisoothiwong N, Petcharayuthapant K, Dummanonda S, Mohamed S. Ambient Intelligence to Improve Construction Site Safety: Case of High-Rise Building in Thailand. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17218124. [PMID: 33153194 PMCID: PMC7662924 DOI: 10.3390/ijerph17218124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/29/2020] [Revised: 10/20/2020] [Accepted: 10/27/2020] [Indexed: 11/16/2022]
Abstract
The relatively high rate of injuries in construction is not surprising, as site work by its very nature ranks highly on fundamental risk factors. Working at heights often magnifies these risk factors. The literature reveals that falls from heights accounts for a large percentage of injuries in construction worldwide. Thailand is no exception, where fall accidents constitute the majority of high-rise construction accidents despite preventive measures being implemented. This paper examines how the use of a simple Ambient Intelligence (AmI) system—a device comprising a microcontroller, microwave sensors, Light Emitting Diode (LED) and audio alarm—could help to affect safety behavioural change of on-site construction workers in order to decrease the potential for fall accidents. An experiment was conducted at a high-rise building construction site in Bangkok, Thailand to examine the effectiveness of the AmI in helping workers mitigate the risk of falling from heights. The analysis of the data collected over two work weeks from the pre- and post-AmI application using X-bar charts and one-way analysis of variance (ANOVA) revealed a significant reduction of about 78% in the number of workers passing through the fall hazard zones. The finding established the potential of a simple AmI for reducing the risk of fall accidents.
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Affiliation(s)
- Kriengsak Panuwatwanich
- School of Civil Engineering and Technology, Sirindhorn International Institute of Technology, Thammasat University, Pathum Thani 12120, Thailand; (K.P.); (N.R.); (K.P.); (S.D.)
| | - Natapit Roongsrisoothiwong
- School of Civil Engineering and Technology, Sirindhorn International Institute of Technology, Thammasat University, Pathum Thani 12120, Thailand; (K.P.); (N.R.); (K.P.); (S.D.)
| | - Kawin Petcharayuthapant
- School of Civil Engineering and Technology, Sirindhorn International Institute of Technology, Thammasat University, Pathum Thani 12120, Thailand; (K.P.); (N.R.); (K.P.); (S.D.)
| | - Sirikwan Dummanonda
- School of Civil Engineering and Technology, Sirindhorn International Institute of Technology, Thammasat University, Pathum Thani 12120, Thailand; (K.P.); (N.R.); (K.P.); (S.D.)
| | - Sherif Mohamed
- School of Engineering and Built Environment, Griffith University, Gold Coast, QLD 4222, Australia
- Correspondence:
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Lin MH, Yang YL, Sung FC, Liu CS, Lung CH, Wang JY. Risk of mental illness after the diagnosis of occupational injury or disease: a retrospective cohort study. Int Arch Occup Environ Health 2020; 94:55-68. [PMID: 32557008 DOI: 10.1007/s00420-020-01558-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2019] [Accepted: 06/10/2020] [Indexed: 11/24/2022]
Abstract
OBJECTIVES As studies on mental disorders in victims of occupational injury or disease are limited, this study aims to evaluate the risk of, and factors associated with, the development of mental illness in patients with occupational injury or disease using insurance claims data from Taiwan. METHODS This retrospective cohort study analyzed insurance records in Taiwan to identify 18,285 adults who experienced occupational injury or disease in 2002-2013 and 18,285 adults without occupational injury or disease who were matched by propensity score. The risks of mental disorders during a follow-up period of up to 2 years were estimated and compared between the two cohorts. RESULTS After controlling for other variables, the odds of mental illness in patients with occupational injury or disease was significantly higher compared to patients without occupational injury or disease. Additional factors associated with higher odds of mental disorders included female gender, age ≥ 30 years (vs. 20-29 years), Charlson comorbidity index ≥ 1, occupation category of labor union member, soldier, insured by social security, religious group member (vs. private or government employee), lower premium-based monthly salary (≤ 576 US$), treatment at a district hospital or clinic (vs. medical center), treatment at a publically-owned or consortium-owned hospital (vs. private hospital), and central or southeast geographic location (vs. Taipei). The main types of mental illness were anxiety disorder (2.79%) and other psychoses (3.29%). CONCLUSION The risk of mental illness slightly increased during the 2-year period after the diagnosis of occupational injury or disease.
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Affiliation(s)
- Ming-Hung Lin
- Department of Pharmacy and Master Program, Tajen University, Pingtung, Taiwan.,Department of Public Health, China Medical University, Taichung, Taiwan
| | - Ya-Lun Yang
- Management of Planning and Coordinating Center Yuan's General Hospital, Kaohsiung, Taiwan
| | - Fung-Chung Sung
- Department of Health Services Administration, China Medical University, Taichung, 40402, Taiwan.,Management Office for Health Data, China Medical University Hospital, Taichung, Taiwan
| | - Chiu-Shong Liu
- Department of Family Medicine, China Medical University Hospital, Taichung, Taiwan.,Department of Medicine, China Medical University, Taichung, 40402, Taiwan
| | - Chi-Hsuan Lung
- Department of Social Work, National Quemoy University, Kinmen, 892, Taiwan
| | - Jong-Yi Wang
- Department of Health Services Administration, China Medical University, Taichung, 40402, Taiwan.
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White C, Green RA, Ferguson S, Anderson SL, Howe C, Sun J, Buys N. The Influence of Social Support and Social Integration Factors on Return to Work Outcomes for Individuals with Work-Related Injuries: A Systematic Review. JOURNAL OF OCCUPATIONAL REHABILITATION 2019; 29:636-659. [PMID: 30671774 PMCID: PMC6675768 DOI: 10.1007/s10926-018-09826-x] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Purpose In occupational rehabilitation, the biopsychosocial model endorses the role of social factors in worker recovery. We conducted a systematic review to explore three questions examining the role of social support for the return-to-work (RTW) of individuals with work-related injury: (1) What are the worker-identified social barriers and facilitators in RTW; (2) What is the relationship between social factors and RTW; and (3) What is the effectiveness of social interventions for RTW. Methods Systematic searches of six databases were conducted for each research question. These identified 11 studies meeting inclusion criteria for Research Question 1, and 12 studies for Research Question 2. No studies were identified that met inclusion criteria for Research Question 3. A narrative synthesis approach was used to analyse the included studies. Results Research Question 1 identified five themes in social barriers and facilitators to RTW, including contact/communication, person-centred approaches, mutual trust, reaction to injury, and social relationships. Research Question 2 identified moderate support for reaction to injury and social integration/functioning as predictors of RTW and weak evidence for co-worker support. Four studies reported significant associations between social factors and RTW, six reported mixed findings with at least one significant social predictor, and two found no significant relationships. However, conclusions were limited by the inconsistency in measurement of social factors. Conclusions Our findings indicate that social support and integration may influence RTW following work-related injury, and highlights the need for further systematic examination of social factors in the field of occupational rehabilitation.
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Affiliation(s)
- Codi White
- Griffith University, Gold Coast, Australia
| | | | | | | | | | - Jing Sun
- Griffith University, Gold Coast, Australia
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12
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Gewurtz RE, Premji S, Holness DL. The experiences of workers who do not successfully return to work following a work-related injury. Work 2019; 61:537-549. [DOI: 10.3233/wor-182824] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Rebecca E. Gewurtz
- School of Rehabilitation Science at McMaster University, Hamilton, ON, Canada
| | - Stephanie Premji
- School of Labour Studies and Department of Health, Aging & Society at McMaster University, Hamilton, ON, Canada
| | - D. Linn Holness
- Dalla Lana School of Public Health and Department of Medicine at the University of Toronto, ON, Canada
- Department of Occupational and Environmental Health, Centre for Research in Inner City Health, and Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON, Canada
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Gender Differences in the Longitudinal Association between Work-Related Injury and Depression. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2016; 13:ijerph13111077. [PMID: 27827844 PMCID: PMC5129287 DOI: 10.3390/ijerph13111077] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/01/2016] [Revised: 10/19/2016] [Accepted: 10/28/2016] [Indexed: 01/22/2023]
Abstract
Little is known about gender differences in the association between occupational injury and depression. We investigated the bidirectional association and gender differences between work-related injury and depression using the same cohort in the US Medical Expenditure Panel Survey (MEPS). In Analysis 1, the association of occupational injury and subsequent depression was investigated from 35,155 employees without depression. Analysis 2 included 32,355 participants without previous injury and examined the association of depression and work-related injury. The multivariable-adjusted odds ratio was estimated using a discrete time-proportional odds model. Male workers who had experienced workplace injury were more vulnerable to post-injury depression than non-injured male workers (OR = 2.35, 95% CI: 1.52, 3.65). Female workers with depression were more prone to get injured at the workplace than the non-depressed female workers (OR = 1.44, 95% CI: 1.07, 1.96). These results did not hold in the reverse direction for both genders. Workers compensation benefit was positively associated with the risk of post-injury depression among males, whereas anti-depressant medication and duration of depression were related to workplace injury among females. Gender differences in the direction and associated factors of the relationship between occupational injury and depression highlight the need for gender-specific intervention to the vicious cycle of workplace injury and depression.
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Psychological Injuries, Workers’ Compensation Insurance, and Mental Health Policy Issues. PSYCHOLOGICAL INJURY & LAW 2016. [DOI: 10.1007/s12207-016-9274-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
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Kilgour E, Kosny A, Akkermans A, Collie A. Procedural Justice and the Use of Independent Medical Evaluations in Workers’ Compensation. PSYCHOLOGICAL INJURY & LAW 2015. [DOI: 10.1007/s12207-015-9222-6] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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Abstract
The idea that efforts are necessary to transform the dominant framework of workplace safety and health in the United States, from one of compensation and disability to one of stay at work/return to work (SAW/RTW) for workers injured or made ill on the job, has become increasingly widespread. SAW/RTW advocates argue that everyone "wins" when unnecessary disability is reduced. Toward this end, advocates have put forward a program and implemented a strategy with strong proponents among a coalition of corporate-connected professionals. The seemingly obvious conclusions of their arguments bear closer critical scrutiny, however. Addressing key questions-why injured workers do not SAW/RTW, who the coalition of SAW/RTW proponents includes, and what the coalition proposes-reveals that the SAW/RTW approach mainly benefits employers and the corporate-connected advocates. These assertions are detailed, and principles of an alternative approach that will serve the needs of injured workers are outlined.
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Affiliation(s)
- Michael Lax
- Occupational Health Clinical Centers, Department of Family Medicine, State University of New York, USA
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Zoeckler JM, Cibula DA, Morley CP, Lax MB. Predictors for return to work for those with occupational respiratory disease: clinical and structural factors. Am J Ind Med 2013; 56:1371-82. [PMID: 24114854 DOI: 10.1002/ajim.22251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/05/2013] [Indexed: 11/11/2022]
Abstract
BACKGROUND Few occupational researchers have examined "return to work" among patients with work-related respiratory diseases. In addition, prior studies have emphasized individual patient characteristics rather than a more multi-dimensional approach that includes both clinical and structural factors. METHODS A retrospective chart review identified patients with occupational respiratory diseases in the Occupational Health Clinical Center, Syracuse, NY between 1991 and 2009. We assessed predictors of work status using an exploratory, sequential mixed methods research design, multinomial (n = 188) and Cox regressions (n = 130). RESULTS The findings suggest that patients with an increased number of diagnoses, non-union members, and those who took more than a year before clinical presentation had significantly poorer work status outcomes, after adjusting for age, education level, and relevant diagnoses. CONCLUSIONS Efforts to prevent slow return to work after developing occupational respiratory disease should recognize the importance of timely access to occupational health services, disease severity, union membership, and smoking status.
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Affiliation(s)
- Jeanette M. Zoeckler
- Department of Family Medicine, Occupational Health Clinical Center; State University of New York Upstate Medical University; Syracuse New York
| | - Donald A. Cibula
- Department of Public Health and Preventive Medicine; State University of New York Upstate Medical University; Syracuse New York
| | - Christopher P. Morley
- Department of Public Health and Preventive Medicine; State University of New York Upstate Medical University; Syracuse New York
- Department of Family Medicine; State University of New York Upstate Medical University; Syracuse New York
- Department of Psychiatry and Behavioral Sciences; State University of New York Upstate Medical University; Syracuse New York
| | - Michael B. Lax
- Department of Family Medicine; State University of New York Upstate Medical University; Syracuse New York
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Lax MB. Saúde Ocupacional na região central do estado de Nova York: um ambulatório de doenças ocupacionais com financiamento público 25 anos depois. REVISTA BRASILEIRA DE SAÚDE OCUPACIONAL 2013. [DOI: 10.1590/s0303-76572013000100016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Para tratar o problema do sub-reconhecimento de agravos relacionados ao trabalho, em 1987, o estado de Nova York utilizou financiamentos públicos para criar uma rede de ambulatórios de saúde ocupacional, que continua sendo o único projeto de seu tipo nos Estados Unidos. Sua missão é o diagnóstico, o tratamento e a prevenção de doenças ocupacionais. O financiamento público foi necessário para sustentá-la e permitir que funcionasse de forma independente e universalmente acessível. Este artigo relata as experiências dos Ambulatórios de Saúde Ocupacional (Occupational Health Clinical Centers - OHCC) ao longo dos últimos 25 anos. Cada serviço é parte da rede e atende grande parte da região central do estado de Nova York. Durante este período, os ambulatórios construíram uma experiente equipe multidisciplinar e um programa multifacetado, que inclui atividades clínicas, ações de capacitação e educação, assessoria técnica e pesquisa. Alcançaram considerável sucesso em estabelecer-se como um recurso para os trabalhadores acidentados na região e como defensores, do ponto de vista clínico, de trabalhadores acidentados nos seus locais de trabalho e junto ao sistema de compensação. Como os OHCCs se movem em direção à nova fase, desafios consideráveis permanecem, especialmente na identificação e no acesso de trabalhadores submetidos a situações de alto risco com pouco alcance aos serviços de saúde.
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Affiliation(s)
- Michael B. Lax
- State University of New York Upstate Medical University, USA
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Gleeson S. Leveraging health capital at the workplace: an examination of health reporting behavior among Latino immigrant restaurant workers in the United States. Soc Sci Med 2012; 75:2291-8. [PMID: 23017892 DOI: 10.1016/j.socscimed.2012.08.031] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2012] [Revised: 08/27/2012] [Accepted: 08/28/2012] [Indexed: 10/27/2022]
Abstract
This article examines the choices made by a sample of Latino immigrant restaurant workers in regard to their health management, particularly in response to illness and injury. I draw on 33 interviews with kitchen staff employed in the mainstream restaurant industry in San Jose, California, and Houston, Texas, in 2006 and 2007. I argue that workers must consider complex power relationships at work in weighing the advantages of calling in sick, using protective equipment, seeking medical care, or filing a workers' compensation claim. These decisions implicate direct and opportunity costs, such as risk of job loss and missed opportunities for advancement. Workers consequently leverage their health capital to meet their economic needs, to assert their autonomy at the workplace, and to ultimately reject the stigma of illness and injury.
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Wuytack F, Miller P. The lived experience of fibromyalgia in female patients, a phenomenological study. Chiropr Man Therap 2011; 19:22. [PMID: 21929763 PMCID: PMC3197545 DOI: 10.1186/2045-709x-19-22] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2011] [Accepted: 09/19/2011] [Indexed: 01/19/2023] Open
Abstract
BACKGROUND Fibromyalgia is a chronic syndrome with no cure. A thorough understanding of the illness experience is therefore key in the palliative care of patients with this condition. In search for supportive treatments fibromyalgia patients often attend a chiropractor or other manual therapist. Knowledge of the meaning and reality of living with this condition to the patient could be considered essential to any health care practitioner playing a role in the management. This study aimed to gain a better understanding of the subjective experience of fibromyalgia, focusing on the personal, occupational and social impact of the condition on patients' lives. This included exploring the patients' views about the future. METHODS This study employed descriptive phenomenology and adopted Husserl's concept of transcendental subjectivity or "bracketing". This qualitative study involved semi-structured interviews and was undertaken to obtain rich data that reflected the essence of the participants' experience. Participants consisted of six female volunteers, diagnosed with fibromyalgia by the University Hospital Gent, Belgium. Data were analysed using a thematic framework. RESULTS Fibromyalgia pervaded all aspects of life. Four main themes arose from data analysis, namely; the impact of fibromyalgia on patients' occupational and personal life, the impact on their future and aspects of social interaction. Nearly all participants had stopped working, giving rise to feelings of uselessness and loss of identity. Leisure activities were also greatly affected. Fibromyalgia was said to alter family bonds, some of which were reinforced, others were broken. The diagnosis was seen as a relief, marking an end to a period of uncertainty. Participants reported ambivalence in interaction. Despite some positive encounters, frustration arising from perceived incomprehension dominated. Consequently patients preferred not to share their experiences. CONCLUSIONS The study revealed the negative impact of fibromyalgia on patients' lives as comprising of great complexity and individuality. Several implications for health care practitioners can be extrapolated, including the need of a more efficient diagnostic process and increased education about the fibromyalgia experience. Further studies are required to better clarify the multifaceted nature of living with the condition.
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Affiliation(s)
- Francesca Wuytack
- Anglo-European College of Chiropractic, 13-15 Parkwood Road, Bournemouth, BH5 2DF, Dorset, UK.
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Seligmann-Silva E, Bernardo MH, Maeno M, Kato M. O mundo contemporâneo do trabalho e a saúde mental do trabalhador. REVISTA BRASILEIRA DE SAÚDE OCUPACIONAL 2010. [DOI: 10.1590/s0303-76572010000200002] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Rupe KL. Work restrictions: documenting a patient's return to work. Nurse Pract 2010; 35:49-53. [PMID: 20975450 DOI: 10.1097/01.npr.0000388901.49604.a8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Patients frequently ask NPs to write work restrictions, even if it is not in their best interest. This article helps providers construct valid work restrictions and addresses specific tasks and issues to keep the patient and coworkers safe when returning to work.
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Premji S, Krause N. Disparities by ethnicity, language, and immigrant status in occupational health experiences among Las Vegas hotel room cleaners. Am J Ind Med 2010; 53:960-75. [PMID: 20564515 DOI: 10.1002/ajim.20860] [Citation(s) in RCA: 52] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE We examined disparities in workers' occupational health experiences. METHODS We surveyed 941 unionized Las Vegas hotel room cleaners about their experiences with work-related pain and with employers, physicians, and workers' compensation. Data were analyzed for all workers and by ethnicity, language, and immigrant status. RESULTS Hispanic and English as second language (ESL) workers were more likely than their counterparts to report work-related pain and, along with immigrant workers, to miss work because of this pain. Hispanic, ESL, and immigrant workers were not consistently at a disadvantage with regard to their own responses to work-related pain but were so with respect to reported responses by workers' compensation, physicians, and employers. CONCLUSIONS There are indications of disparities in occupational health experiences within this job title. The use of different group classifications, while implying different mechanisms, produced similar results.
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Affiliation(s)
- Stéphanie Premji
- Department of Medicine, University of California at San Francisco, Richmond, 94804, USA.
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Schatman ME, Sullivan J. Whither Suffering? The Potential Impact of Tort Reform on the Emotional and Existential Healing of Traumatically Injured Chronic Pain Patients. PSYCHOLOGICAL INJURY & LAW 2010. [DOI: 10.1007/s12207-010-9083-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Abstract
BACKGROUND Job stress has been linked to a wide range of adverse effects on mental, physical and organizational health. OBJECTIVE The objective of this study was to determine the impact of job stress on mental, physical and social health of the underground construction workers in Sikkim. MATERIALS AND METHODS The study population comprised of tunnel workers and a comparable group of controls. Using the interview technique, data was collected using the SF-36 General Health Survey Questionnaire. RESULTS The study population comprised of individuals of whom more than half were below 40 years of age and was comparable to the group of controls. Majority reported good health, while poor health was reported by 22 % of the subjects under study Compared to their health status last year, 52% rated their health as somewhat worse. Majority reported that their physical health problems limited them in activities of daily life, viz., running, lifting heavy objects, participation in strenuous sports, climbing several flights of stairs, bending, stooping or kneeling and walking more than a mile, during the past four weeks. More than half of them had severe body ache in the past four weeks that interfered with both work outside home and housework. This was true for emotional problems also, which interfered with their normal social activities involving family, friends, neighbors or groups. The associations of occupational stress with physical, emotional and social life and with limitation of day-to-day activities among tunnel workers were found to be statistically significant. CONCLUSION The results emphasize the importance of assessment of the effects of job stress and of fulfilling the need of underground workers for optimum preventive measures.
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Affiliation(s)
- Pragyan Basnet
- Intern, Department of Occupational Therapy, Sikkim Manipal Institute of Physiotherapy, Gangtok, Sikkim, India
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Identification and measurement of work-related psychological injury: piloting the psychological injury risk indicator among frontline police. J Occup Environ Med 2009; 51:1057-65. [PMID: 19730400 DOI: 10.1097/jom.0b013e3181b2f3d8] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To develop a self-report measure of work-related psychological injury, the Psychological Injury Risk Indicator (PIRI), with a comparable level of accuracy and reliability to individual clinical assessment by a skilled clinical psychologist. METHOD Two pilot studies investigated the responses of a) 34 frontline police officers completing the PIRI measure who were also examined by a highly experienced clinical psychologist and b) 217 officers who completed the PIRI measure and also the General Health Questionnaire 12 measure. RESULTS The PIRI scale identified both the presence and the level of psychological injury in the clinical group with a remarkably high level of correspondence to concurrent clinical assessment (r = 0.80). SIGNIFICANCE The PIRI scale can be used both for the individual assessment of psychological injury and as a potential online screening tool. Its latter use is that it could enable the early identification of evolving psychological injury among workers, facilitating timely and career-preserving intervention.
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