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First-time decisions regarding work injury annuity due to occupational disease: A gender perspective

机译：关于职业病造成的工伤年金的首次决定：性别观点

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Objectives: This study presents an investigation of first-time decisions regarding work injury annuity due to occupational disease. Focus is a number of potential underlying factors behind the gender gap, where women are disadvantaged, in the granting of work injury annuity. Methods: All 99 subjects (80 men and 19 women) who met the conditions of long-lasting reduction of work ability due to occupational disease (not occupational accident) in the Swedish Work Injury Insurance Act and were granted work injury annuity in 2010, together with a random sample of 118 subjects (55 men and 63 women) who were denied annuity in the same year, were selected for analysis. Each subject's case file from the Social Insurance Agency was examined with regards to cause of disease, diagnosis and the Social Insurance Agency' s management and decision making of claims. The data were analysed by logistic regression analysis. Results: Men had a higher probability of being granted work injury annuity than women for musculoskeletal disorders (OR 4.16), mental disorders (OR 7.93) and diseases in other diagnostic chapters (OR 3.65). After adjustment for age, country of birth, diagnosis, work exposure factors and decision support factors, the higher probability for men of being granted work injury annuity remained (full model: OR 2.67, 95% CI 1.20 to 5.94). Conclusions: Actions are necessary in order to establish equitable and gender-neutral treatment of work injury insurance claims. There is a need for more detailed knowledge of exposures in female-dominated jobs and the relationship between these exposures and occupational disease.
机译：目的：本研究对因职业病引起的工伤年金的首次决策进行了调查。在准予工伤年金的过程中，重点是导致性别处于劣势的性别差距背后的许多潜在潜在因素。方法：符合《瑞典工伤保险法》中因职业病（非职业事故）导致的因职业病（非职业事故）导致的工作能力长期降低的所有99名受试者（80名男性和19名女性），并于2010年获得工伤年金随机抽取118位受试者（55位男性和63位女性）在同一年拒绝年金的样本进行分析。社会保险局对每个受试者的案卷进行了检查，包括疾病原因，诊断以及社会保险局对索赔的管理和决策。数据通过逻辑回归分析进行分析。结果：男性因肌肉骨骼疾病（OR 4.16），精神疾病（OR 7.93）和其他诊断章节中的疾病（OR 3.65）而获得工伤年金的可能性高于女性。在调整了年龄，出生国，诊断，工作暴露因素和决策支持因素后，男性获得工伤年金的可能性仍然较高（完整模型：OR 2.67，95％CI 1.20至5.94）。结论：必须采取行动，以建立对工伤保险理赔的公平且不分性别的待遇。需要更详细地了解女性主导的工作中的接触以及这些接触与职业病之间的关系。

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