反复受伤、慢性健康状况和行为健康：工人赔偿索赔原因中的性别差异。
Reoccurring Injury, Chronic Health Conditions, and Behavioral Health: Gender Differences in the Causes of Workers' Compensation Claims.
机构信息
Center for Health, Work & Environment and Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, Colorado (Dr Schwatka, Ms Shore, Ms Dally, Dr Newman, Ms Tenney); Department of Health Systems, Management & Policy, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, Colorado (Dr Atherly); Center for Health, Work & Environment and Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, Colorado (Dr Weitzenkamp); Segue Consulting, Denver, Colorado (Ms Brockbank); Johns Hopkins University Bloomberg School of Public Health, Institute for Health and Productivity Studies, and IBM Watson Health, Bethesda, Maryland (Dr Goetzel); Integrated Benefits Institute, and Institute for Health and Aging, University of California, San Francisco, California (Dr Jinnett); Pinnacol Assurance, Denver, Colorado (Mr McMillen); and Department of Epidemiology, Colorado School of Public Health, and Department of Medicine, School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, Coloardo (Dr Newman).
出版信息
J Occup Environ Med. 2018 Aug;60(8):710-716. doi: 10.1097/JOM.0000000000001301.
OBJECTIVE
The aim of this study was o examine how work and nonwork health-related factors contribute to workers' compensation (WC) claims by gender.
METHODS
Workers (N = 16,926) were enrolled in the Pinnacol Assurance Health Risk Management study, a multiyear, longitudinal research program assessing small and medium-sized enterprises in Colorado. Hypotheses were tested using gender-stratified logistic regression models.
RESULTS
For both women and men, having incurred a prior WC claim increased the odds of a future claim. The combination of incurring a prior claim and having metabolic health conditions resulted in lower odds of a future claim. Behavioral health risk factors increased the odds of having a claim more so among women than among men.
CONCLUSION
This study provides data to support multifactorial injury theories, and the need for injury prevention efforts that consider workplace conditions as well as worker health.
目的
本研究旨在探讨工作和非工作相关健康因素如何导致男女工人的工人补偿（WC）索赔。
方法
参与者（N=16926）参加了皮纳科尔保险健康风险管理研究，这是一个多年的纵向研究计划，评估科罗拉多州的小型和中型企业。假设使用性别分层逻辑回归模型进行了检验。
结果
对于女性和男性来说，先前发生 WC 索赔都会增加未来索赔的可能性。先前发生索赔和代谢健康状况的结合导致未来索赔的可能性降低。行为健康风险因素增加了索赔的可能性，在女性中比男性中更为明显。
结论
本研究提供了数据支持多因素伤害理论，以及需要预防伤害的努力，既要考虑工作场所条件，也要考虑工人健康。
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