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Ergonomic and socioeconomic risk factors for hospital workers' compensation injury claims.

Authors
Boyer-J; Galizzi-M; Cifuentes-M; d'Errico-A; Gore-R; Punnett-L; Slatin-C
Source
Am J Ind Med 2009 Jul; 52(7):551-562
NIOSHTIC No.
20035991
Abstract
BACKGROUND: Hospital workers are a diverse population with high rates of musculoskeletal disorders (MSDs). The risk of MSD leading to workers' compensation (WC) claims is likely to show a gradient by socioeconomic status (SES) that may be partly explained by working conditions. METHODS: A single community hospital provided workforce demographics and WC claim records for 2003-2005. An ergonomic job exposure matrix (JEM) was developed for these healthcare jobs from direct observation of physical workload and extraction of physical and psychosocial job requirements from the O*NET online database. Occupational exposures and SES categories were assigned to workers through their O*NET job titles. Univariate and multivariate Poisson regression analyses were performed to estimate the propensity to file an injury claim in relation to individual factors, occupational exposures, and SES. RESULTS: The jobs with the highest injury rates were nurses, semi-professionals, and semi-skilled. Increased physical work and psychological demands along with low job tenure were associated with an increase in risk, while risk decreased with psychosocial rewards and supervisor support. Both occupational and individual factors mediated the relationship between SES and rate of injury claims. CONCLUSIONS: Physical and organizational features of these hospital jobs along with low job tenure predicted WC injury claim risk and explained a substantial proportion of the effects of SES. Further studies that include lifestyle risk factors and control for prior injuries and co-morbidities are warranted to strengthen the current study findings.
Keywords
Analytical-processes; Demographic-characteristics; Ergonomics; Health-care; Health-care-facilities; Health-care-personnel; Health-services; Job-stress; Musculoskeletal-system; Musculoskeletal-system-disorders; Nurses; Occupational-hazards; Occupational-health-services; Physical-stress; Physiological-effects; Physiological-factors; Physiological-response; Posture; Psychological-adaptation; Psychological-effects; Psychological-factors; Psychological-reactions; Psychological-responses; Sociological-factors; Sociology; Statistical-analysis; Stress; Work-analysis; Work-environment; Worker-health; Work-organization; Work-performance; Work-practices; Author Keywords: occupational health disparities; musculoskeletal injuries; socioeconomic status; ergonomic exposures; workers' compensation claims; job exposure matrix; healthcare sector
Contact
Jon Boyer, Department of Work Environment, University of Massachusetts Lowell, One University Avenue, Kitson Building, Room 200H, Lowell, MA 01854
CODEN
AJIMD8
Publication Date
20090701
Document Type
Journal Article
Email Address
Jon_Boyer@uml.edu
Funding Type
Grant
Fiscal Year
2009
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-007381; Grant-Number-T42-OH-008416
Issue of Publication
7
ISSN
0271-3586
Source Name
American Journal of Industrial Medicine
State
MA
Performing Organization
University of Massachusetts - Lowell
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