Risk for occupational injury of handicapped workers in Taiwan

Well-Being in Life and Well-Being at Work: Which Comes First? Evidence From a Longitudinal Study

Understanding reciprocal relationships between specific arenas in life and at work is critical for designing interventions to improve workplace health and safety. Most studies about the links between dimensions of well-being in life and at work have been cross-sectional and usually narrowly focused on one of the dimensions of the work-life well-being link. The issues of causality and feedback between life and work well-being have often not been addressed. We overcome these issues by measuring six aspects of well-being for both the work arena and life in general, using longitudinal data with a clear temporal sequence of cause and effect, and by explicitly accounting for feedback with potential effects in both directions. Nine hundred and fifty-four Mexican apparel factory workers at a major global brand participated in two waves of the Worker Well-Being Survey. Data on life satisfaction and job satisfaction, happiness and positive affect, meaning and purpose, health, and social relationships in life and at work were used. Lagged regression controlling for confounders and prior outcomes was employed. Sensitivity analysis was used to assess the robustness of the results to potential unmeasured confounding. For the relationships between life satisfaction and job satisfaction and between happiness in life and happiness at work effects in both directions were found. Nevertheless, indication of a larger effect of life satisfaction on job satisfaction than the reverse was obtained. For depression and meaning in life, there was evidence for an effect of life well-being on work-related well-being, but not for the reverse. For social relationships and purpose, there was evidence for an effect of work-related well-being on life well-being, but not the reverse. Relationships based on the longitudinal data were considerably weaker than their respective cross-sectional associations. This study contributes to our understanding of the nature of the relationship between aspects of well-being in the arenas of life and work. Findings from this study may facilitate the development of novel workplace programs promoting working conditions that enable lifelong flourishing in life and at work.

Increased risk of unintentional injuries in adults with disabilities: a systematic review and meta-analysis

BACKGROUND

An increased risk of unintentional injuries among individuals with disability has been reported in many studies, yet quantitative syntheses of findings from previous studies have not been done.

OBJECTIVES

We conducted a systematic review and meta-analysis to characterize the relationship between pre-existing disability and unintentional injuries.

METHODS

We searched 14 electronic databases to identify original research published between Jan 1, 1990 and Feb 28, 2013. Included studies reported the odds ratio (OR) or relative risk (RR) of unintentional injuries in adults 18+ years of age with pre-existing disabilities compared with adults without disabilities. Twenty six eligible studies were included covering 54,586 individuals with disabilities. We conducted quality assessments and then analyzed the pooled effects using random-effect models.

RESULTS

The pooled OR of unintentional injuries was 1.77 (95% CI 1.51-2.07) for all studies in individuals with disabilities compared with individuals without disabilities. The pooled ORs were 1.87 (95% CI 1.52-2.30) for overall unintentional injuries, 1.64 (95% CI 1.39-1.94) for falls-related injuries, 1.62 (95% CI 1.24-2.13) for occupational injuries, and 1.91 (95% CI 1.59-2.30) for non-occupational injuries.

CONCLUSIONS

Compared with adults without disabilities, individuals with disabilities are at a significantly higher risk of unintentional injuries. Evidence about the association between cognitive disabilities and unintentional injuries is weak. Future researchers are encouraged to use International Classification of Functioning, Disability and Health (ICF) to classify disability and use rigorous evaluation methods to assess and implement the most appropriate injury prevention efforts to mitigate the risks identified.

Have young workers more injuries than older ones? An international literature review

PROBLEM

Two questions were posed in this global literature review: Do young workers have a higher occupational injury rate? Are the injuries of young workers more often fatal than those of older workers?

METHOD

The studies of nonfatal and fatal injuries were collected based on the following criteria: (a) published in peer-reviewed journals; (b) the young workers were under 25 years of age; (c) the injury rate or fatality rate of young workers and the overall rate was published; and (d) description of the population and the number of injuries was presented.

RESULTS

The majority of 63 nonfatal studies reported showed that young workers had a higher injury rate than older workers. Twenty-nine out of 45 studies on fatal occupational injuries indicated that young workers had a lower fatality rate than older workers. These results are clearer for men than for women.

IMPACT ON INDUSTRY

The results showed that young men were a risk group for occupational injuries. However, the injuries of young workers were reported as less often fatal than those of older workers.