Chibnall John T, Tait Raymond C, Andresen Elena M, Hadler Nortin M
Department of Psychiatry, St. Louis University School of Medicine, St. Louis, Missouri 63104, USA.
J Occup Environ Med. 2006 Jul;48(7):733-40. doi: 10.1097/01.jom.0000214357.14677.5a.
The objective of this study was to identify clinical and social predictors of application for Social Security Disability Insurance (SSDI) in workers' compensation claimants with low back pain.
Archival and interview data were analyzed for 1372 Missouri claimants who were, on average, nearly 42 months postinjury.
Two hundred sixty-five (19.3%) claimants were receiving SSDI (8.0%) or had applied for SSDI (11.3%). Logistic regression indicated that black race, older age, herniated disc diagnosis, surgery, and longer time since injury were associated with increased odds of SSDI. Higher preinjury wage, more education, and higher satisfaction with medical treatment and/or treatment by employer were associated with decreased odds of SSDI.
Application for SSDI among claimants with occupational low back pain is associated with social factors like race, satisfaction, and socioeconomics as well as clinical factors like diagnosis and surgery.
本研究的目的是确定患有腰痛的工伤索赔者申请社会保障残疾保险(SSDI)的临床和社会预测因素。
对1372名密苏里州索赔者的档案和访谈数据进行了分析,这些索赔者平均受伤后近42个月。
265名(19.3%)索赔者正在领取SSDI(8.0%)或已申请SSDI(11.3%)。逻辑回归表明,黑人种族、年龄较大、椎间盘突出症诊断、手术以及受伤后时间较长与申请SSDI的几率增加有关。受伤前工资较高、受教育程度较高以及对医疗治疗和/或雇主治疗的满意度较高与申请SSDI的几率降低有关。
职业性腰痛索赔者申请SSDI与种族、满意度和社会经济等社会因素以及诊断和手术等临床因素有关。