PILOT STUDY--LONGITUDINAL STUDY OF MUSCULOSKELETAL CONDITIONS AND EMPLOYMENT

有肌肉骨骼疾病的人的工作失能正在上升 在其他慢性病患者中，无论是绝对的还是相对的 条件。与之前的努力不同，拟议的研究使用了 国家、社区为基础的纵向数据库，以研究原因和 肌肉骨骼疾病患者丧失工作能力的后果 条件。具体地说，该项目将：1)估计发病率 以及肌肉骨骼疾病患者中的工作残疾患病率 2)比较以下人群的工作残疾发生率和患病率 这类人和患有其他形式慢性病的人；3)检测 残疾人中工作残疾原因的模型 肌肉骨骼状况；以及4)，描述 影响家庭劳动力参与的肌肉骨骼状况 关于家庭成员和经济福祉的问题。 该项目将测试一个动态模型，在该模型中 经济因素在很大程度上解释了以下人群工作残障率的上升 有肌肉骨骼状况的人。这一过程是假设的 不成比例地取代有肌肉骨骼疾病的人 从就业比例下降的制造业工作岗位减少，而 未能为他们提供相应数量的服务工作 就业比例不断上升的部门。在这个模型中， 产业转型是独立于医疗或社会的 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 伤残津贴。该模型将使用来自 国家健康与招募研究(HRS)。HRS派生自 全国，年龄在51-61岁之间的13,500人的概率样本，谁将 从1992年到2004年通过两年一次的访谈和数据进行跟踪 从雇主、生命记录和社会保障系统收集。 HRS是专门设计来开发因果工作模型的 残疾。 这一项目的结果应该有助于公共政策的设计 减少有工作障碍的人中的工作残疾发生率 肌肉骨骼状况，特别是通过监测 1990年《美国残疾人法》中的就业条款，以及 通过将职业康复努力对准经济增长部门 经济舱。

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.