School of Population and Public Health, The University of British Columbia, Vancouver, British Columbia, Canada.
Institute for Work and Health, Toronto, Ontario, Canada.
BMJ Open. 2021 Dec 6;11(12):e050829. doi: 10.1136/bmjopen-2021-050829.
To compare differences in work disability durations of immigrant men and women injured at work to comparable Canadian-born injured workers in British Columbia, Canada.
Data on accepted workers compensation claims and immigration status from 1995 and 2012 were used to compare the number of work disability days paid at the 25%, 50% and 75% for immigrant and Canadian-born injured workers stratified by gender and recency of immigration.
Immigrant workers comprised 8.9% (78 609) of the cohort. In adjusted quantile regression models, recent and established immigrant women received 1.3 (0.8, 1.9) and 4.0 (3.4, 4.6) more paid disability days at the 50% of the disability distribution than Canadian-born counterparts. For recent and established immigrant men, this difference was 2.4 (2.2, 2.6) and 2.7 (2.4, 4.6). At the 75%, this difference increased for recent immigrant men and established immigrant men and women but declined for recent immigrant women.
Injured immigrants receive more work disability days than their Canadian-born counterparts except for recent immigrant women. Both immigrant status and gender matter in understanding health disparities in work disability after work injury. KEYWORDS WORK DISABILITY: immigrant health; linked administrative data.
比较加拿大不列颠哥伦比亚省的工作受伤移民男性和女性与可比的加拿大出生的受伤工人之间的工作残疾持续时间差异。
使用 1995 年至 2012 年的工人赔偿索赔和移民身份数据,按性别和最近移民情况对工作残疾天数进行分层,比较移民和加拿大出生的受伤工人在 25%、50%和 75%时的支付残疾天数。
移民工人占队列的 8.9%(78609 人)。在调整后的分位数回归模型中,近期和长期移民女性在残疾分布的 50%处获得的带薪残疾天数比加拿大出生的同行多 1.3(0.8,1.9)和 4.0(3.4,4.6)。对于近期和长期移民男性,这一差异分别为 2.4(2.2,2.6)和 2.7(2.4,4.6)。在 75%时,近期移民男性和长期移民男女的这一差异增加,但近期移民女性的这一差异减少。
受伤移民获得的工作残疾天数多于加拿大出生的同龄人,除了近期移民女性。在理解工作伤害后工作残疾方面的健康差异时,移民身份和性别都很重要。关键词:工作残疾:移民健康;关联行政数据。