作为重返工作岗位预测因素的个体和情境因素的多层次分析。
Multilevel analysis of individual and contextual factors as predictors of return to work.
作者信息
Labriola Merete, Lund Thomas, Christensen Karl B, Kristensen Tage S
机构信息
Research Unit on Absence and Early Retirement, National Institute of Occupational Health, Lerso Parkall 105, DK-2100 Copenhagen, Denmark.
出版信息
J Occup Environ Med. 2006 Nov;48(11):1181-8. doi: 10.1097/01.jom.0000243359.52562.a5.
OBJECTIVE
The objective of this study was to examine if individual and contextual levels of work environment factors predict return to work (RTW).
METHODS
Baseline data from 52 workplaces was linked to a national absence register. Four hundred twenty-eight persons with more than 2 weeks of sickness absence during a 2-year period were identified. Follow up was 1 year to examine three RTW outcomes. Multilevel logistic and Poisson regression models were used.
RESULTS
At the individual level, significant associations were found between one psychosocial and four physical factors and RTW within 4 weeks. Two physical factors predicted RTW within 1 year. Two psychosocial and two physical factors significantly prolonged duration of sickness absence. No significant contextual level risk factors were found.
CONCLUSION
At the individual level, both the psychosocial and physical work environment factors are important independent predictors of RTW.
目的
本研究的目的是检验工作环境因素的个体和情境层面是否能预测重返工作岗位（RTW）。
方法
来自52个工作场所的基线数据与国家缺勤登记册相关联。确定了在两年期间病假超过2周的428人。随访1年以检查三种重返工作岗位的结果。使用了多水平逻辑回归和泊松回归模型。
结果
在个体层面，发现一种心理社会因素和四种身体因素与4周内重返工作岗位之间存在显著关联。两种身体因素预测了1年内的重返工作岗位情况。两种心理社会因素和两种身体因素显著延长了病假时长。未发现显著的情境层面风险因素。
结论
在个体层面，心理社会和身体工作环境因素都是重返工作岗位的重要独立预测因素。
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