Legal sequelae of occupational back injuries: a longitudinal analysis of Missouri judicial records.
Legal sequelae of occupational back injuries: a longitudinal analysis of Missouri judicial records.
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职业性背伤的法律后遗症：密苏里州司法记录的纵向分析。
DOI：
10.1097/brs.0b013e3181ebacab
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发表时间：
2011
期刊：
影响因子：
3
通讯作者：
Chibnall,JohnT
中科院分区：
文献类型：
--
作者：
Tait,RaymondC;Chibnall,JohnT
研究设计：电话调查和对密苏里州工人赔偿（WC）索赔人队列的司法数据库的纵向分析。目的：比较非裔美国人和白色WC索赔人在安置前与安置后所经历的法律的困难。背景资料概要。回顾性研究表明，工人与职业性背部受伤的经验，索赔后的财务和个人胁迫。本研究通过比较5年预安置与5年后安置的财务和国内法院行动来审查这些问题。社会人口统计学差异也进行了examined.Methods。密苏里州的司法记录进行了审查，为非洲裔美国人（n= 580）和非西班牙裔白色（n= 892）WC索赔人，以确定频率与四种类型的情况下发生：一般金融，国内金融，居住金融，和国内行为。在索赔结算前5年的司法活动的平均年度水平进行了比较，为每五postsettlement年的活动，变化的意义进行了评估与单变量和多变量重复测量analysis.Results.Statistically显着（P< 0.001）postsettlement增加法律的案件中注意到的四类案件。有显着的种族和时间之间的相互作用，一般金融和国内金融案件。一般金融案件的年龄和时间之间发生了显着的相互作用。显着的三种方式的相互作用（种族×收入变化×时间）出现一般和国内financial cases.Conclusion.The结果证实，工人与职业性背部损伤，特别是非洲裔美国人和年轻的成年人，遇到长期的财务和家庭胁迫，似乎逐年升级后，索赔解决。这一模式表明，短期研究低估了定居后的困难，特别是在选定的人口群体中。
Study Design.Telephone survey and longitudinal analysis of judicial database for cohort of worker's compensation (WC) claimants in Missouri.Objective.To compare legal difficulties experienced by African American and white WC claimants presettlement versus postsettlement.Summary of Background Data.Retrospective studies suggest that workers with occupational back injuries experience financial and personal duress after claim settlement. This study examined these issues by comparing financial and domestic court actions for the 5-year presettlement against 5-year postsettlement. Sociodemographic differences also were examined.Methods.Missouri judicial records were reviewed for African American (n= 580) and non-Hispanic white (n= 892) WC claimants to determine the frequency with which four types of cases occurred: general financial, domestic financial, residence financial, and domestic behavior. Average annual level of judicial activity during the 5 years before claim settlement was compared to activity for each of five postsettlement years; significance of change was evaluated with univariate and multivariate repeated measures analyses.Results.Statistically significant (P< 0.001) postsettlement increases in legal cases were noted for each of the four categories of cases. There were significant interactions between race and time for general financial and domestic financial cases. A significant interaction between age and time occurred for general financial cases. Significant three-way interactions (race× income change× time) emerged for general and domestic financial cases.Conclusion.The results confirm that workers with occupational back injuries, especially African American and younger adults, encounter long-term financial and domestic duress that appears to escalate with each passing year after claim settlement. This pattern suggests that short-term studies underestimate postsettlement difficulties, particularly among selected demographic cohorts.