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The relationship of unions to prevalence and claim filing for work-related upper-extremity musculoskeletal disorders.

Authors
Morse-T; Punnett-L; Warren-N; Dillon-C; Warren-A
Source
Am J Ind Med 2003 Jul; 44(1):83-93
NIOSHTIC No.
20041925
Abstract
BACKGROUND: Unionization has been found to be related to higher filing of workers' compensation (WC) claims, but the extent of the relationship and the relationships to other variables have not been previously reported. METHODS: Telephone interviews were conducted with both a population-based and WC-based samples of musculoskeletal disorder (MSD) cases. RESULTS: Workers at unionized facilities were 5.7 times (95% CI 2.5-13.1) more likely to file a claim for WC, despite a comparable rate of MSD cases. Higher filing was also associated with several measures of MSD severity (1.8-14.1 odds ratios), economic sector (OR = 10.1 for manufacturing), hourly (vs. salary) wages (OR = 2.6), and for having a personal physician (OR = 2.5). Unions appeared to have a protective effect on social effects of work-related MSD. CONCLUSIONS: Unions appear to improve filing of work-related MSD, particularly for less severe conditions. The higher filing does not appear to be a case of "moral hazard," but rather improved and earlier reporting, as is advocated by early intervention approaches to reducing MSD.
Keywords
Musculoskeletal-system-disorders; Extremities; Body-regions; Work-organization; Work-environment; Worker-health; Industrial-environment; Group-behavior; Ergonomics; Cumulative-trauma-disorders; Physicians; Sociological-factors; Author Keywords: musculoskeletal disorders; cumulative trauma disorder; ergonomics; workers' compensation; unions; claim filing
Contact
Tim Morse, Ergonomic Technology Center, University of Connecticut Health Center, Farmington, CT 06030-6210, USA
CODEN
AJIMD8
Publication Date
20030701
Document Type
Journal Article
Email Address
tmorse@nso.uchc.edu
Funding Type
Grant
Fiscal Year
2003
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-CCR-112118
Issue of Publication
1
ISSN
0271-3586
Source Name
American Journal of Industrial Medicine
State
CT; MA; MD
Performing Organization
Ergonomics Technology Center, University Connecticut Health Center, Farmington, Connecticut
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