Health Care Utilization for Musculoskeletal Back Disorders, Washington State Union Carpenters, 1989–2003

Details

• Personal Author:
  Cameron W ; Dement, John M. ; Kucera KL ; Lipscomb HJ ; Silverstein B
• Description:
  OBJECTIVE: Private health care utilization rates for musculoskeletal back disorders were contrasted to rates of work-related injuries or disorders for a large cohort of union carpenters over a 15-year period. METHODS: Yearly utilization rates were compared with rates of work-related back injuries or disorders. Negative binomial regression with generalized estimating equations was used to assess utilization rates based on age, gender, union tenure, type of work, and previous work-related back injuries. RESULTS: Private utilization rates were over twice as high in 2003 as in 1989 whereas compensation rates declined substantially. Utilization was higher among carpenters with less union tenure and increased with the number of work-related injuries. CONCLUSIONS: Patterns of utilization across private and workers' compensation delivery systems are not independent; we need to look broadly at sources of health care coverage to better understand the health of working populations. [Description provided by NIOSH]
• Subjects:
  Biomechanical Phenomena Construction Industry Demography Musculoskeletal Diseases Musculoskeletal System Occupational Exposure Occupational Health Risk Assessment Risk Factors Safety Workplace

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• Keywords:
  Back-injuries Biomechanics Construction Construction-workers Demographic-characteristics Floors Health-care Injuries Injury-prevention Musculoskeletal-system Musculoskeletal-system-disorders Occupational-hazards Physical-therapy Risk-factors Statistical-analysis Work-operations Work-practices Workplace-studies

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• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Maryland ; North Carolina ; OSHA Region 10 ; OSHA Region 3 ; OSHA Region 4 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  51
• Issue:
  5
• NIOSHTIC Number:
  nn:20035808
• Citation:
  J Occup Environ Med 2009 May; 51(5):604-611
• Contact Point Address:
  Dr Hester J Lipscomb, Division of Occupational and Environmental Medicine, Department of Community and Family Medicine, Box 3834, Duke University Medical Center, Durham, NC 27710
• Email:
  Hester.lipscomb@duke.edu
• Federal Fiscal Year:
  2009
• NORA Priority Area:
  Disease and Injury: Musculoskeletal Disorders of the Upper Extremities
• Performing Organization:
  Duke University
• Peer Reviewed:
  True
• Start Date:
  20040601
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20081231
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:55ab39cb4b7c56ff5f7e24036d5c3ea2dd5c82ca464e0fcb43313ba8f55e52eac3bd72b88ee2c00882a86e1528b33ce425329bb9cdd0c20f29ffb344931cd892
• Download URL:
  https://stacks.cdc.gov/view/cdc/187526/cdc_187526_DS1.pdf
• File Type:
  [PDF - 224.46 KB ]