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Effects of Residential Location and Work-Commuting on Long-Term Work Disability



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  • Personal Author:
  • Description:
    Purpose: Little is known about the independent effect of workers' residential location and work-commuting on their long-term disability due to work-related injuries. We examined 149,110 incident claims while adjusting for multiple risk factors in a large, population-based sample of Washington State workers' compensation State Fund claims during 2002-2008. Methods: Claimants' residential addresses were geocoded with census tract and aggregated into four category classification of the Rural Urban Commuting Area Codes (RUCAs) which takes into account for tract-level work-commuting. We used logistic regressions to assess the association between RUCAs and whether or not a person was off work for more than 180 days due to injury; Quantile regressions to predict various percentiles of cumulative lost workdays by RUCAs. Results: Compared to those who live in the Urban Core, workers in other areas experienced longer average paid time loss days due to work-related injury. The association between residential location and long-term disability was significant, odds ratio (OR) 1.19 (95 % confidence interval (CI) 1.11-1.27) for residents of Small Town and Isolated Rural and OR 1.17 (95 % CI 1.12-1.22) for those of Sub Urban, and persisted after controlling for injury nature, socio-demographic, employment-related, and claim administrative characteristics. The impact of residential location and work-commuting elevated as the duration of disability increased. Conclusions: This study shows that residential location and work-commuting has a significant and time-varying impact on duration of work disability. Workers living in Sub Urban and Small Town and Isolated Rural areas represent a particularly vulnerable group with respect to risk of long-term work disability. [Description provided by NIOSH]
  • Subjects:
  • Keywords:
  • ISSN:
    1053-0487
  • Document Type:
    Text
  • Funding:
    Grant
  • Genre:
    Journal Article
  • Place as Subject:
  • CIO:
    National Institute for Occupational Safety and Health (NIOSH)
  • Topic:
    Workplace Safety & Health
  • Location:
    North America
  • Volume:
    23
  • Issue:
    4
  • NIOSHTIC Number:
    nn:20056386
  • Citation:
    J Occup Rehabil 2013 Dec; 23(4):610-620
  • Contact Point Address:
    Z. Joyce Fan, Washington State Department of Labor and Industries, Safety and Health Assessment and Research for Prevention, PO Box 44330, Olympia, WA 98504-4330, USA
  • Email:
    fanj235@Ini.wa.gov
  • Federal Fiscal Year:
    2014
  • Performing Organization:
    University of Washington
  • Peer Reviewed:
    True
  • Start Date:
    20050701
  • Source Full Name:
    Journal of Occupational Rehabilitation
  • End Date:
    20250630
  • Collection(s):
  • Main Document Checksum:
    urn:sha-512:8d2b141addf0b9b2b4bc65aad58df047afa3ba5ee442e067ecf3cd806706860a1d9df37934f9a62737ccf2ad22a2074bcfce3774d3cf584b3ed7f81c080e23a3
  • Download URL:
  • File Type:
    Filetype[PDF - 478.52 KB ]
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