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Return to work following injury: The role of economic, social, and job- related factors

Author

Listed:
  • MacKenzie, E.J.
  • Morris Jr., J.A.
  • Jurkovich, G.J.
  • Yasui, Y.
  • Cushing, B.M.
  • Burgess, A.R.
  • DeLateur, B.J.
  • McAndrew, M.P.
  • Swiontkowski, M.F.

Abstract

Objectives. This study examined factors influencing return to work (RTW) following severe fracture to a lower extremity. Methods. This prospective cohort study followed 312 individuals treated for a lower extremity fracture at 3 level-1 trauma centers. Kaplan-Meier estimates of the proportion of RTW were computed, and a Cox proportional hazards model was used to examine the contribution of multiple risk factors on RTW. Results. Cumulative proportions of RTW at 3, 6, 9, and 12 months post-injury were 0.26, 0.49, 0.60, and 0.72. After accounting for the extent of impairment, characteristics of the patient that correlated with higher rates of RTW included younger age, higher education, higher income, the presence of strong social support, and employment in a white-collar job that was not physically demanding. Receipt of disability compensation had a strong negative effect on RTW. Conclusions. Despite relatively high rates of recovery, one quarter of persons with lower extremity fractures did not return to work by the end of 1 year. The analysis points to subgroups of individuals who are at high risk of delayed RTW, with implications for interventions at the patient, employer, and policy levels.

Suggested Citation

  • MacKenzie, E.J. & Morris Jr., J.A. & Jurkovich, G.J. & Yasui, Y. & Cushing, B.M. & Burgess, A.R. & DeLateur, B.J. & McAndrew, M.P. & Swiontkowski, M.F., 1998. "Return to work following injury: The role of economic, social, and job- related factors," American Journal of Public Health, American Public Health Association, vol. 88(11), pages 1630-1637.
    • Handle: RePEc:aph:ajpbhl:1998:88:11:1630-1637_2
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    Cited by:

    1. repec:mpr:mprres:8158 is not listed on IDEAS
    2. Inna Petrunyk & Christian Pfeifer & Sebastian Fischer & Anita Wiemer, 2015. "Before-After Differences in Labor Market Outcomes for Participants in Medical Rehabilitation in Germany," Schmollers Jahrbuch : Journal of Applied Social Science Studies / Zeitschrift für Wirtschafts- und Sozialwissenschaften, Duncker & Humblot, Berlin, vol. 135(4), pages 537-562.
    3. McAllister, Susan & Derrett, Sarah & Audas, Rick & Herbison, Peter & Paul, Charlotte, 2013. "Do different types of financial support after illness or injury affect socio-economic outcomes? A natural experiment in New Zealand," Social Science & Medicine, Elsevier, vol. 85(C), pages 93-102.
    4. Changjae Lee & Byunghyun Lee & Ilyoung Choi & Jaekyeong Kim, 2023. "Exploring Determinants of Job Satisfaction: A Comparison Between Survey and Review Data," SAGE Open, , vol. 13(4), pages 21582440231, December.
    5. McLaren, Christopher F. & Reville, Robert T. & Seabury, Seth A., 2017. "How effective are employer return to work programs?," International Review of Law and Economics, Elsevier, vol. 52(C), pages 58-73.
    6. Sjöberg, Ola, 2017. "Positive welfare state dynamics? Sickness benefits and sickness absence in Europe 1997–2011," Social Science & Medicine, Elsevier, vol. 177(C), pages 158-168.
    7. Richard J. Butler & William G. Johnson, 2011. "Loss Reduction Through Worker Satisfaction: The Case of Workers’ Compensation," Risk Management and Insurance Review, American Risk and Insurance Association, vol. 14(1), pages 1-26, March.
    8. Amanda E Young & YoonSun Choi & Elyssa Besen, 2015. "An Exploration of the Factors Considered When Forming Expectations for Returning to Work following Sickness Absence Due to a Musculoskeletal Condition," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-17, November.
    9. Nathan N O’Hara & Marckenley Isaac & Gerard P Slobogean & Niek S Klazinga, 2020. "The socioeconomic impact of orthopaedic trauma: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-22, January.
    10. Nan L. Maxwell & Nathan Wozny, "undated". "Risk Factors Associated with Disability Following Work-Related Injuries," Mathematica Policy Research Reports 3cd8cee9c4814af5a406f839c, Mathematica Policy Research.
    11. Deborah Graefe & Gordon Jong & Dee May, 2006. "Work disability and migration in the early years of welfare reform," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 25(4), pages 353-368, August.

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