Institute for Work & Health, Toronto, Ontario M5G 2E9, Canada,
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario M5T 3M7, Canada.
Occup Med (Lond). 2016 Dec;66(9):698-705. doi: 10.1093/occmed/kqw168. Epub 2016 Dec 7.
One explanation for why older age is associated with greater duration of wage replacement following a work-related injury may be that older workers sustain more severe injuries and different types of injury compared with their younger counterparts.
To examine the role of injury-related characteristics in explaining the impact of age on wage replacement duration, and whether the relationship between age and wage replacement duration is consistent across injury types and levels of severity.
A secondary analysis of workers' compensation claims in the Australian state of Victoria. In Victoria, only injuries which have accumulated >10 days of wage replacement, or have health care expenditures above a financial threshold, are eligible for compensation. Nested regression models were used to examine the relative contribution of injury-related characteristics to age differences in wage replacement duration.
Older age was associated with greater days of wage replacement among men and women, even after adjusting for injury characteristics. Adjustment for differences in injury types and compensation reporting practices resulted in moderate attenuation of the age-duration relationship among men and small attenuation among women. The age-duration relationship was consistent across injury types/severity.
The relationship between older age and greater duration of wage replacement is ubiquitous across injuries of different types and severity. Future research is required to understand better why older age is consistently associated with worse compensation outcomes following work-related injury.
年龄与工作相关伤害后工资替代时间较长相关的一个解释可能是,与年轻工人相比,老年工人遭受的伤害更严重,类型也不同。
研究伤害相关特征在解释年龄对工资替代持续时间的影响中的作用,以及年龄与工资替代持续时间之间的关系是否在不同伤害类型和严重程度上一致。
对澳大利亚维多利亚州工人赔偿索赔的二次分析。在维多利亚州,只有累计超过 10 天工资替代或医疗支出超过财务门槛的伤害才有资格获得赔偿。使用嵌套回归模型来检查伤害相关特征对工资替代持续时间的年龄差异的相对贡献。
即使在调整了伤害特征后,年龄较大与男性和女性的工资替代天数增加有关。对伤害类型和赔偿报告做法的差异进行调整,导致男性的年龄-持续时间关系适度减弱,而女性的关系则略有减弱。年龄-持续时间关系在不同类型/严重程度的伤害中是一致的。
不同类型和严重程度的伤害中,年龄较大与工资替代持续时间较长之间的关系普遍存在。需要进一步研究以更好地理解为什么年龄较大与工作相关伤害后的补偿结果较差始终相关。