职业性肌肉骨骼损伤后与工作适应性早期提供和接受相关因素的多变量分析。

A multivariate analysis of factors associated with early offer and acceptance of a work accommodation following an occupational musculoskeletal injury.

作者信息

Franche Renée-Louise, Severin Colette N, Hogg-Johnson Sheilah, Lee Hyunmi, Côté Pierre, Krause Niklas

机构信息

Occupational Health and Safety Agency for Healthcare, Vancouver, British Columbia, Canada.

出版信息

J Occup Environ Med. 2009 Aug;51(8):969-83. doi: 10.1097/JOM.0b013e3181b2f3c1.

DOI:10.1097/JOM.0b013e3181b2f3c1

PMID:19620886

Abstract

OBJECTIVE

To identify factors associated with offer and acceptance of work accommodation.

METHODS

In 401 claimants with musculoskeletal injuries, two logistic regressions identified individual and workplace factors associated with work accommodation offer and acceptance.

RESULTS

Unionized status, strong disability management policies and practices, low supervisor support, and pink collar occupation were associated with work accommodation offer. Job tenure over 1 year and lighter physical work were associated with acceptance. Younger age and more repetitive physical work demands were positively associated with both outcomes. Pink-collar status was positively associated with offers, but negatively with acceptance. Gender, mental health, pain, job satisfaction, firm size, people-oriented culture, safety climate, and ergonomic practices were not significant predictors.

CONCLUSIONS

One month post-injury, workplace factors and age are determinants of offer and acceptance of work accommodation, while individual health factors play no significant role.

摘要

目的

确定与工作场所适应性调整的提供和接受相关的因素。

方法

在401名肌肉骨骼损伤索赔者中，通过两个逻辑回归分析确定了与工作场所适应性调整的提供和接受相关的个人因素和工作场所因素。

结果

工会会员身份、强有力的残疾管理政策和做法、主管支持度低以及粉领职业与工作场所适应性调整的提供相关。工作年限超过1年和体力工作较轻与接受适应性调整相关。年龄较小和体力工作重复性要求较高与这两个结果均呈正相关。粉领身份与适应性调整的提供呈正相关，但与接受呈负相关。性别、心理健康、疼痛、工作满意度、公司规模、以人为本的文化、安全氛围和工效学做法不是显著的预测因素。