Department of Forensic Medicine, Bioethics, Occupational Medicine and Physical and Rehabilitation Medicine, University of São Paulo Medical School (FMUSP), São Paulo, Brazil.
Department of Medicine, São Camilo University Center, São Paulo, Brazil.
BMC Public Health. 2023 Sep 28;23(1):1881. doi: 10.1186/s12889-023-16789-z.
Musculoskeletal disorders and injuries (MSDI) are conditions that affect the locomotor system characterized by pain and impairment of functionality. They are the leading cause of years lived with disability. The aim of this study was to analyze the factors that influence the return to work (RTW) among workers on sick leave due to MSDI. METHODS: A longitudinal study was conducted in the city of São Paulo, Brazil, between 2020-2022. The participants were 216 workers who required social security compensation due to MSDI. They filled out online questionnaires about their sociodemographic characteristics, health risk behaviors, work characteristics and health conditions. They were followed for 365 days after their first day of sick leave. A Cox regression was performed to identify the factors that influenced their first RTW.
Most participants were male (53.0%), mean age was 39.5 years (SD 10.6), 70.4% returned to work within the one-year follow-up period. The mean duration of sick leave was 192.6 days. Factors associated with a lower RTW were age 40 years and older (HR 0.54; 95%CI 0.39-0.76) and the interaction between perceptions of the need for improvement in the physical and psychological domains of quality of life (HR 0.67; 95%CI 0.48-0.94).
Occupational healthcare professionals should pay greater attention to patients who are aging and those with perceived worse physical and psychological conditions, in order to facilitate the reintegration process and promote sustained RTW after sick leave due to musculoskeletal disorder or injury.
肌肉骨骼疾病和损伤（MSDI）是影响运动系统的疾病，其特征是疼痛和功能障碍。它们是导致残疾年数的主要原因。本研究旨在分析影响因 MSDI 休病假的工人重返工作岗位（RTW）的因素。
这是一项在巴西圣保罗市进行的纵向研究，时间为 2020-2022 年。参与者为 216 名因 MSDI 需要社会保障补偿的工人。他们在线填写了有关其社会人口统计学特征、健康风险行为、工作特征和健康状况的问卷。他们在首次病假后的 365 天内接受了随访。使用 Cox 回归分析确定影响他们首次 RTW 的因素。
大多数参与者为男性（53.0%），平均年龄为 39.5 岁（SD 10.6），70.4%在一年的随访期内重返工作岗位。病假的平均持续时间为 192.6 天。与 RTW 较低相关的因素包括 40 岁及以上的年龄（HR 0.54；95%CI 0.39-0.76）和生活质量的身体和心理领域的改善需求感知之间的相互作用（HR 0.67；95%CI 0.48-0.94）。
职业健康医疗保健专业人员应更加关注年龄较大和感知身体和心理状况较差的患者，以促进重返工作岗位的过程，并促进因肌肉骨骼疾病或损伤休病假后的持续 RTW。
