School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
Centre of Research Excellence in Recovery following Road Traffic Injury, Monash University, Melbourne, Victoria, Australia.
Inj Prev. 2020 Feb;26(1):11-17. doi: 10.1136/injuryprev-2018-043019. Epub 2018 Dec 15.
RTC burden is commonly measured using fatality or hospitalisation statistics. However, non-fatal and less severe injuries contribute substantial economic and human costs, including work absence. In Victoria, Australia, two major compensation systems provide income support to employed people injured in RTCs; workers' compensation (if RTC occurred during work) and an RTC-specific compensation system. This study aimed to describe the number and rate of episodes of work absence due to compensable RTC and determine factors associated with work-related RTC resulting in work absence.
Administrative data for working-age people (15-65 years) with accepted compensation claims between 1 July 2003 and 30 June 2013 were extracted from Victoria's Compensation Research Database and analysed. Injured people receiving at least one day of income support were retained. Rate calculations used Victoria's labour force as the denominator and negative binomial regression determined any time-based trend changes. Multivariable logistic regression was used to determine odds of the RTC being work-related.
There were 40 677 claims made by workers with an RTC injury that consequently missed work, averaging 4068 claims per year at a rate of 12.9 per 100 000 working population. Work-related cases contributed 17.4% (N=7061). Males, older adults and RTCs involving heavy vehicles, buses, trains and trams had higher odds of a work-related RTC resulting in work absence. More severe injuries tended not to be work-related.
Work absence due to RTC injury constitutes a substantial burden, and this measure could provide a valuable addition to conventional RTC statistics.
RTC 负担通常通过死亡率或住院统计数据来衡量。然而，非致命性和较不严重的伤害会造成巨大的经济和人力成本，包括旷工。在澳大利亚维多利亚州，两个主要的赔偿系统为在 RTC 中受伤的受雇人员提供收入支持；工人赔偿（如果 RTC 发生在工作期间）和特定于 RTC 的赔偿系统。本研究旨在描述因可赔偿的 RTC 而导致的工作缺勤的次数和比率，并确定与导致工作缺勤的与工作相关的 RTC 相关的因素。
从维多利亚州的赔偿研究数据库中提取了 2003 年 7 月 1 日至 2013 年 6 月 30 日期间接受过赔偿申请的工作年龄人群（15-65 岁）的管理数据，并进行了分析。保留了至少领取一天收入支持的受伤人员。率计算使用维多利亚州的劳动力作为分母，负二项回归确定任何基于时间的趋势变化。多变量逻辑回归用于确定 RTC 是否与工作相关的可能性。
有 40677 份由患有 RTC 伤害而缺勤的工人提出的赔偿申请，每年平均有 4068 份，发病率为每 10 万人中有 12.9 人。与工作相关的病例占 17.4%（N=7061）。男性、年龄较大的成年人以及涉及重型车辆、公共汽车、火车和电车的 RTC 发生的可能性更高，导致工作缺勤的与工作相关的 RTC。更严重的伤害往往与工作无关。
因 RTC 伤害而缺勤的情况构成了巨大的负担，这种衡量标准可能是对传统 RTC 统计数据的有价值的补充。
