与短期残疾发作相关的因素。
Factors associated with short-term disability episodes.
机构信息
Work and Well-being Research and Evaluation Program, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
出版信息
J Occup Environ Med. 2009 Dec;51(12):1394-402. doi: 10.1097/JOM.0b013e3181bc3f7c.
OBJECTIVE
This study examines factors associated with a mental/behavioral disorder-related short-term disability episode versus a physical disorder-related disability episode using administrative longitudinal data.
METHODS
Logistic regression models were used to estimate the association between worker characteristics and different types of disability episodes.
RESULTS
A previous disability episode is significantly associated with a current disability. Nevertheless, mental/behavioral disorders are related to higher odds of another episode. A worker with a previous disability episode related to a mental/behavioral disorder is almost 7x more likely to have another disability episode related to a mental disorder/behavioral disorder.
CONCLUSIONS
One of the critical factors associated with a disability episode is a history of a previous disability episode. Relapse is a critical factor and should be considered in the design of occupational health programs.
目的
本研究使用行政纵向数据，考察与精神/行为障碍相关的短期残疾发作与与身体障碍相关的残疾发作相关的因素。
方法
使用逻辑回归模型来估计工人特征与不同类型残疾发作之间的关联。
结果
先前的残疾发作与当前残疾显著相关。然而，精神/行为障碍与更高的再次发作的可能性相关。先前与精神/行为障碍相关的残疾发作的工人再次发生与精神障碍/行为障碍相关的残疾发作的可能性几乎是 7 倍。
结论
与残疾发作相关的关键因素之一是先前残疾发作的病史。复发是一个关键因素，应在职业健康计划的设计中加以考虑。
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