School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada
Occup Environ Med. 2020 Mar;77(3):160-167. doi: 10.1136/oemed-2019-106211. Epub 2020 Jan 20.
This study examined time to return-to-work (RTW) among direct healthcare and social workers with violence-related incidents compared with these workers with non-violence-related incidents in British Columbia, Canada.
Accepted workers' compensation lost-time claims were extracted between 2010 and 2014. Workers with violence-related incidents and with non-violence-related incidents were matched using coarsened exact matching (n=5762). The outcome was days until RTW within 1 year after the first day of time loss, estimated with Cox regression using piecewise models, stratified by injury type, occupation, care setting and shift type.
Workers with violence-related incidents, compared with workers with non-violence-related incidents, were more likely to RTW within 30 days postinjury, less likely within 61-180 days, and were no different after 181 days. Workers with psychological injuries resulting from a violence-related incident had a lower likelihood to RTW during the year postinjury (HR 0.61, 95% CI 0.43 to 0.86). Workers with violence-related incidents in counselling and social work occupations were less likely to RTW within 90 days postinjury (HR 31-60 days: 0.67, 95% CI 0.48 to 0.95 and HR 61-90 days: 0.46, 95% CI 0.30 to 0.69). Workers with violence-related incidents in long-term care and residential social services were less likely to RTW within 91-180 days postinjury.
Workers with psychological injuries, and those in counselling and social work occupations and in long-term care and residential social services, took longer to RTW following a violence-related incident than workers with non-violence-related incidents. Future research should focus on identifying risk factors to reduce the burden of violence and facilitate RTW.
本研究比较了加拿大不列颠哥伦比亚省与非暴力相关事件相比，与暴力相关事件相关的直接医疗保健和社会工作者重返工作岗位（RTW）的时间。
在 2010 年至 2014 年期间提取了已受理的工人赔偿旷职索赔。使用粗化精确匹配（n=5762）对与暴力相关事件和非暴力相关事件的工人进行匹配。使用分段模型的 Cox 回归估计了受伤后 1 年内 RTW 的天数，按损伤类型、职业、护理环境和班次类型分层。
与非暴力相关事件相比，与暴力相关事件的工人在受伤后 30 天内更有可能重返工作岗位，在 61-180 天内不太可能重返工作岗位，在 181 天后则没有差异。因暴力相关事件导致心理伤害的工人在受伤后一年内重返工作岗位的可能性较低（HR 0.61，95%CI 0.43 至 0.86）。从事咨询和社会工作职业的与暴力相关事件的工人在受伤后 90 天内重返工作岗位的可能性较低（HR 31-60 天：0.67，95%CI 0.48 至 0.95 和 HR 61-90 天：0.46，95%CI 0.30 至 0.69）。在长期护理和住宅社会服务中发生暴力相关事件的工人在受伤后 91-180 天内重返工作岗位的可能性较低。
与非暴力相关事件相比，遭受心理伤害的工人，以及从事咨询和社会工作职业以及长期护理和住宅社会服务的工人，在遭受暴力相关事件后重返工作岗位的时间更长。未来的研究应重点确定降低暴力负担和促进重返工作岗位的风险因素。
