Return to work after sick leave due to musculoskeletal disorder or injury: a longitudinal study conducted in Brazil.
Longitudinal study
Musculoskeletal system
Occupational health
Return to work
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
28 09 2023
28 09 2023
Historique:
received:
27
03
2023
accepted:
19
09
2023
medline:
2
10
2023
pubmed:
29
9
2023
entrez:
28
9
2023
Statut:
epublish
Résumé
Musculoskeletal disorders and injuries (MSDI) are conditions that affect the locomotor system characterized by pain and impairment of functionality. They are the leading cause of years lived with disability. The aim of this study was to analyze the factors that influence the return to work (RTW) among workers on sick leave due to MSDI. METHODS: A longitudinal study was conducted in the city of São Paulo, Brazil, between 2020-2022. The participants were 216 workers who required social security compensation due to MSDI. They filled out online questionnaires about their sociodemographic characteristics, health risk behaviors, work characteristics and health conditions. They were followed for 365 days after their first day of sick leave. A Cox regression was performed to identify the factors that influenced their first RTW. Most participants were male (53.0%), mean age was 39.5 years (SD 10.6), 70.4% returned to work within the one-year follow-up period. The mean duration of sick leave was 192.6 days. Factors associated with a lower RTW were age 40 years and older (HR 0.54; 95%CI 0.39-0.76) and the interaction between perceptions of the need for improvement in the physical and psychological domains of quality of life (HR 0.67; 95%CI 0.48-0.94). Occupational healthcare professionals should pay greater attention to patients who are aging and those with perceived worse physical and psychological conditions, in order to facilitate the reintegration process and promote sustained RTW after sick leave due to musculoskeletal disorder or injury.
Sections du résumé
BACKGROUND
Musculoskeletal disorders and injuries (MSDI) are conditions that affect the locomotor system characterized by pain and impairment of functionality. They are the leading cause of years lived with disability. The aim of this study was to analyze the factors that influence the return to work (RTW) among workers on sick leave due to MSDI. METHODS: A longitudinal study was conducted in the city of São Paulo, Brazil, between 2020-2022. The participants were 216 workers who required social security compensation due to MSDI. They filled out online questionnaires about their sociodemographic characteristics, health risk behaviors, work characteristics and health conditions. They were followed for 365 days after their first day of sick leave. A Cox regression was performed to identify the factors that influenced their first RTW.
RESULTS
Most participants were male (53.0%), mean age was 39.5 years (SD 10.6), 70.4% returned to work within the one-year follow-up period. The mean duration of sick leave was 192.6 days. Factors associated with a lower RTW were age 40 years and older (HR 0.54; 95%CI 0.39-0.76) and the interaction between perceptions of the need for improvement in the physical and psychological domains of quality of life (HR 0.67; 95%CI 0.48-0.94).
CONCLUSIONS
Occupational healthcare professionals should pay greater attention to patients who are aging and those with perceived worse physical and psychological conditions, in order to facilitate the reintegration process and promote sustained RTW after sick leave due to musculoskeletal disorder or injury.
Identifiants
pubmed: 37770862
doi: 10.1186/s12889-023-16789-z
pii: 10.1186/s12889-023-16789-z
pmc: PMC10540424
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1881Informations de copyright
© 2023. BioMed Central Ltd., part of Springer Nature.
Références
Am J Ind Med. 2010 Mar;53(3):285-323
pubmed: 19753591
J Bone Joint Surg Am. 2019 Aug 7;101(15):1366-1374
pubmed: 31393427
Phys Med Rehabil Clin N Am. 2017 Nov;28(4):705-711
pubmed: 29031337
Occup Environ Med. 2001 Aug;58(8):546-52
pubmed: 11452053
Scand J Work Environ Health. 2017 Jul 1;43(4):358-366
pubmed: 28463382
J Neurosurg Spine. 2021 Oct 08;36(3):399-407
pubmed: 34624839
BMJ Open. 2018 Mar 14;8(3):e017543
pubmed: 29540405
PLoS One. 2021 Nov 23;16(11):e0260490
pubmed: 34813601
Neurosurgery. 2020 Oct 15;87(5):1037-1045
pubmed: 32521016
J Occup Environ Med. 2019 Dec;61(12):1065-1071
pubmed: 31651601
Lancet. 2021 Dec 19;396(10267):2006-2017
pubmed: 33275908
Arch Environ Occup Health. 2021;76(6):338-347
pubmed: 33092496
Chiropr Man Therap. 2016 Sep 08;24(1):32
pubmed: 27610218
J Occup Rehabil. 2021 Sep;31(3):491-511
pubmed: 33355911
BMC Public Health. 2018 Aug 15;18(1):1014
pubmed: 30111291
Cad Saude Publica. 2008 Jan;24(1):219-24
pubmed: 18209850
J Occup Rehabil. 2023 Jun;33(2):277-287
pubmed: 36103063
Rev Saude Publica. 2000 Apr;34(2):178-83
pubmed: 10881154
J Rehabil Med. 2018 Feb 13;50(2):193-199
pubmed: 29206274