Reoccurring Injury, Chronic Health Conditions, and Behavioral Health: Gender Differences in the Causes of Workers' Compensation Claims.

Reoccurring Injury, Chronic Health Conditions, and Behavioral Health: Gender Differences in the Causes of Workers' Compensation Claims.
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DOI:
10.1097/jom.0000000000001301
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发表时间:
2018-08
影响因子:
3.2
通讯作者:
Newman LS
Newman LS
中科院分区:
医学4区
文献类型:
--
作者:
Schwatka NV;Shore E;Atherly A;Weitzenkamp D;Dally MJ;Brockbank CVS;Tenney L;Goetzel RZ;Jinnett K;McMillen J;Newman LS

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审查工作和非工作健康相关因素如何有助于按性别提出的工人赔偿要求。工人(N=16,926)参加了Pinnacol AsInsurance Health Risk Management研究,这是一个评估科罗拉多州中小型企业的多年纵向研究计划。假设采用性别分层Logistic回归模型进行检验。对于女性和男性来说,以前发生过厕所索赔增加了未来索赔的几率。优先索赔和具有某些代谢健康状况相结合,导致未来索赔的几率较低。行为健康风险因素在女性中比在男性中更容易增加索赔的几率。这项研究提供了支持多因素伤害理论的数据,以及考虑工作场所条件和工人健康的伤害预防努力的必要性。
To examine how work and non-work health-related factors contribute to workers’ compensation (WC) claims by gender. Workers (N=16,926) were enrolled in the Pinnacol Assurance Health Risk Management study, a multiyear, longitudinal research program assessing small and medium-sized enterprises in Colorado. Hypotheses were tested using gender stratified logistic regression models. For both females and males, having incurred a prior WC claim increased the odds of a future claim. The combination of incurring a prior claim and having certain metabolic health conditions resulted in lower odds of a future claim. Behavioral health risk factors increased the odds of having a claim more so among females than among males. This study provides data to support multifactorial injury theories, and the need for injury prevention efforts that consider workplace conditions as well as worker health.