Strunin Lee, Boden Leslie I
Social and Behavioral Sciences Department, School of Public Health, Boston University, 715 Albany Street, TW2, Boston, MA 02118-2526, USA.
Soc Sci Med. 2004 Apr;58(7):1385-93. doi: 10.1016/S0277-9536(03)00333-2.
This paper considers occupational back injuries as they are described by injured workers, including the impact on their abilities to function in family and social roles. In this study, we interviewed people with work-related back injuries in Florida and Wisconsin. The sample was chosen from among workers who either lost more than 28 days from work or who received workers' compensation permanent partial disability benefits. Respondents indicated a wide range of limitations on family and social roles, including physical impacts that hampered respondents' ability to do household chores, to take part in raising children, and to engage in leisure activities with their spouses. Spouses and children took over family responsibilities once carried on by injured workers. The impacts of limitations resulted in a restructuring of family and social roles, relationships, and self-identities. In addition, these impacts led to depression and anger among the injured workers and to stress and strain in family relationships. Unlike the effects on work, many of these outcomes are not valued in the marketplace and, as a consequence, are less visible. They are nonetheless important and suggest that priorities based only on economic outcomes may understate the importance of preventive activities. Moreover, they suggest that attention should be focused on social structural factors such as the provision of medical services and social support to reduce the impact of chronic back pain on family members.
本文探讨了受伤工人所描述的职业性背部损伤，包括对他们在家庭和社会角色中发挥功能的能力的影响。在这项研究中，我们采访了佛罗里达州和威斯康星州患有与工作相关背部损伤的人。样本是从那些缺勤超过28天或领取了工伤永久性部分残疾福利的工人中选取的。受访者表示在家庭和社会角色方面存在广泛的限制，包括身体上的影响，这些影响阻碍了受访者做家务、抚养孩子以及与配偶进行休闲活动的能力。配偶和孩子承担起了曾经由受伤工人承担的家庭责任。这些限制的影响导致了家庭和社会角色、关系以及自我认同的重新调整。此外，这些影响导致受伤工人出现抑郁和愤怒情绪，并给家庭关系带来压力和紧张。与对工作的影响不同，这些结果中的许多在市场上并不被重视，因此不太明显。然而，它们很重要，表明仅基于经济结果的优先事项可能会低估预防活动的重要性。此外，它们表明应关注社会结构因素，如提供医疗服务和社会支持，以减少慢性背痛对家庭成员的影响。
