PILOT STUDY--LONGITUDINAL STUDY OF MUSCULOSKELETAL CONDITIONS AND EMPLOYMENT

试点研究——肌肉骨骼状况和就业的纵向研究

• 批准号: 6268311
• 负责人: EDWARD H YELIN
• 金额: $ 9.36万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-01-01 至 1998-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6268311
• 关键词: behavioral /social science research tag; chronic disease /disorder; data collection methodology /evaluation; disability insurance; employment /unemployment; functional ability; health care model; human data; income; interview; longitudinal human study; musculoskeletal disorder; public health; vital statistics; vocational rehabilitation

Work disability among persons with musculoskeletal conditions is rising both absolutely and relative to the rate among persons with other chronic conditions. In contrast to prior efforts, the proposed study uses a national, community-based longitudinal data base to study the causes and consequences of work disability among persons with musculoskeletal conditions. Specifically, the project will: 1) estimate the incidence and prevalence work disability among persons with musculoskeletal conditions; 2) compare the incidence and prevalence work disability of such persons and those with other forms of chronic disease; 3) test models of the causes of work disability among persons with musculoskeletal conditions; and 4), describe the impact of musculoskeletal conditions on the labor force participation of family members and on the economic well-being of the family. The project will test a dynamic model in which the transformation of the economy accounts for much of the rise in the work disability rate among persons with musculoskeletal conditions. This process is hypothesized to disproportionately displace persons with musculoskeletal conditions from manufacturing jobs with a declining share of employment, while failing to yield them a proportionate number of jobs in the service sector with a rising share of employment. In this model, the effect of industrial transformation is independent of the medical or social characteristics of these persons, the physical and social characteristics of their jobs, and their potential to replace lost earning with disability benefits. The model will be tested with data from the National Health and Recruitment Study (HRS). The HRS derives from a national, probability sample of 13,500 persons ages 51-61 years, who will be followed from 1992 through 2004 through bi-annual interviews, and data collected from employers, vital records, and the Social Security systems. The HRS is specifically designed to develop causal models of work disability. The results of this project should help in the design of public policies to reduce the prevalence of work disability among persons with musculoskeletal conditions, specifically by monitoring the equal employment provisions of the Americans with Disabilities Act of 1990, and by targeting vocational rehabilitation efforts on growth sectors of the economy.

肌肉骨骼疾病患者的工作残疾人数正在上升 无论是绝对的，还是相对于其他慢性病患者的比率， 条件 与先前的努力相比，拟议的研究使用了 国家、社区纵向数据库，以研究 有肌肉骨骼疾病的人的工作残疾后果 条件 具体而言，该项目将：1）估计发病率 有肌肉骨骼疾患者的职业残疾及 2）比较不同职业人群的职业残疾发生率和患病率， 这类人士及其他慢性病患者; 3）测试 残疾人工作残疾原因模型 肌肉骨骼状况; 4）描述 肌肉骨骼状况对家庭劳动力参与的影响 家庭成员和家庭的经济福利。 该项目将测试一个动态模型， 经济是造成工作残疾率上升的主要原因， 有肌肉骨骼疾病的人。 这个过程是假设的 不成比例地转移有肌肉骨骼疾病的人 从就业份额下降的制造业就业岗位，而 没有给他们提供相应数量的工作岗位 就业比例上升的行业。 在这个模型中， 产业转型独立于医疗或社会 这些人的特征，身体和社会特征 他们的工作，以及他们的潜力，以取代失去的收入， 残疾福利。 该模型将使用来自 国家健康和招募研究（HRS）。 HRS源于一个 全国13，500名年龄在51 - 61岁之间的人的概率样本， 从1992年到2004年，通过两年一次的访谈和数据， 从雇主、生命记录和社会保障系统收集。 HRS专门设计用于开发工作的因果模型 残疾。 这一项目的结果应有助于公共政策的设计 减少残疾人士因工致残的比例， 肌肉骨骼状况，特别是通过监测平等 1990年《美国残疾人法》的就业规定，以及 通过将职业康复工作的目标放在发展中国家的增长部门， 经济