Psychosocial job factors and return-to-work after compensated low back injury: a disability phase-specific analysis

Details

• Personal Author:
  Brand RJ ; Dasinger LK ; Deegan LJ ; Krause N ; Rudolph L
• Description:
  Background: Job characteristics may constitute a barrier to return-to-work (RTW) after compensated disabling low back pain (LBP). This study examines the impact of psychosocial job factors on time to RTW separately during the acute and subacute/chronic disability phases. Methods: This is a retrospective cohort study of 433 LBP workers' compensation claimants with 1+/-4 years of follow-up. The association of psychosocial job factors with duration of work disability was estimated with Cox regression models, adjusting for injury history and severity, physical workload, and demographic and employment factors. Results: High physical and psychological job demands and low supervisory support are each associated with about 20% lower RTW rates during all disability phases. High job control, especially control over work and rest periods, is associated with over 30% higher RTW rates, but only during the subacute/chronic disability phase starting 30 days after injury. Job satisfaction and coworker support are unrelated to time to RTW. Conclusions: Duration of work disability is associated with psychosocial job factors independent of injury severity and physical workload. The impact of these risk factors changes significantly over the course of disability. [Description provided by NIOSH]
• Subjects:
  Construction Industry Demography Mental Health Musculoskeletal Diseases Musculoskeletal System Occupational Health Risk Assessment Risk Factors Safety Stress, Psychological Workplace

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• Keywords:
  Author Keywords: Back Pain Back-injuries Construction-industry Construction-workers Demographic-characteristics Disability Disabled-workers Injuries Job-analysis Job-stress Musculoskeletal-system Musculoskeletal-system-disorders Occupational Injury Physical-capacity Psychological-factors Psychosocial Factors Rehabilitation Risk-factors Social Support Sociological-factors Work-capability Work-environment Worker-health Workers' Compensation Work Organization Work Stress

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• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  374-392
• Volume:
  40
• Issue:
  4
• NIOSHTIC Number:
  nn:20041087
• Citation:
  Am J Ind Med 2001 Oct; 40(4):374-392
• Contact Point Address:
  Niklas Krause, School of Public Health, Division of Epidemiology, 140 Warren Hall, University of California, Berkeley, CA 94720-7360
• Email:
  nkrause@uclink4.berkeley.edu
• Federal Fiscal Year:
  2002
• NORA Priority Area:
  Research Tools and Approaches: Health Services Research
• Performing Organization:
  State of California, San Francisco, California
• Peer Reviewed:
  True
• Start Date:
  19950130
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  19990929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:3b0643a53d03ae9915115606838138527a017bf95809d9173a74ff78dfbdbf5f19642d00c2a66826294ca3617aeaac99682224153824b165aa1625fb66403828
• Download URL:
  https://stacks.cdc.gov/view/cdc/193738/cdc_193738_DS1.pdf
• File Type:
  [PDF - 190.69 KB ]