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首页> 外文期刊>International journal of occupational medicine and environmental health. >The association between rurality and return to work for workers’ compensation claimants with work-related musculoskeletal injuries: An analysis of workers who failed to return to work within typical healing time frames
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The association between rurality and return to work for workers’ compensation claimants with work-related musculoskeletal injuries: An analysis of workers who failed to return to work within typical healing time frames

机译：农村地区与工伤性肌肉骨骼损伤的工伤索赔人重返工作之间的关联：对在典型的康复时间内未能重返工作岗位的工人的分析

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Objectives: The objectives of this study have been to: 1) describe and compare urban and rural injured worker populations in Alberta, Canada; 2) identify return-to-work outcomes in urban and rural populations; 3) examine the relationship between geographic location of residence and recovery from work-related musculoskeletal injury; and 4) investigate if this relationship is attenuated after controlling for other known risk factors. Material and Methods: This study was a secondary analysis utilizing data of a population of musculoskeletal injury claimants who underwent clinical/RTW (return to work) assessment between December 2009 and January 2011 collected by the Workers’ Compensation Board of Alberta. Descriptive statistics were computed for 32 variables and used for comparing urban and rural workers. The logistic regression analysis was performed to test the association between geographic location of residence and likelihood of return-to-work. Results: Data on 7843 claimants was included, 70.1% of them being urban and 29.9% – rural. Rural claimants tended to have spent less time in formal education, have a blue-collar job, have no modified work available, have a diagnosed comorbidity, and not been enrolled in a specialized rehabilitation program. They were 1.43 (1.12–1.84) times the odds more likely than urban claimants to be continuing to receive full disability benefits 90 days after their RTW assessment, and 1.68 (1.06–2.67) times the odds as likely to report a recurrence of receiving disability benefits. Conclusions: Rural residence was associated with prolonged work disability, even after controlling for age, job type, education level, health utilization and other potential confounders. Further research is required to explore why injured workers in rural settings experience prolonged reception of disability benefits and have greater rates of recurrence of receiving disability benefits. Int J Occup Med Environ Health 2017;30(5):715–729
机译：目的：本研究的目的是：1）描述和比较加拿大艾伯塔省的城市和农村受伤工人人数; 2）确定城乡人口的工作重返成果; 3）研究居住地点与工作相关的肌肉骨骼损伤的恢复之间的关系;和4）研究在控制其他已知风险因素后这种关系是否减弱。资料和方法：本研究是第二次分析，利用了艾伯塔省工人赔偿委员会在2009年12月至2011年1月之间接受临床/ RTW（恢复工作）评估的一组肌肉骨骼损伤索偿者的数据。计算了32个变量的描述性统计数据，并将其用于比较城乡工人。进行逻辑回归分析以检验居住地理位置与重返工作可能性之间的关联。结果：包括了7843个索赔人的数据，其中70.1％为城市居民，29.9％为农村居民。农村索偿者往往花在正规教育上的时间更少，有蓝领工作，没有经过改良的工作，被诊断患有合并症，并且没有参加专门的康复计划。他们是RTW评估后90天继续领取全残津贴的几率是城市索赔人的1.43（1.12-1.84）倍，是报告再次发生残疾的几率的1.68（1.06-2.67）倍。好处。结论：即使在控制了年龄，工作类型，教育水平，健康利用和其他潜在的混杂因素之后，农村居民也会与长期的工作残疾相关。需要进行进一步的研究，以探索为什么农村地区的受伤工人经历了长期领取残疾补助金的情况，并且获得残疾补助金的复发率更高。 2017年国际占领医学与环境健康杂志》; 30（5）：715–729

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