Won-Tae Lee, Sung-Shil Lim, Min-Seok Kim, Seong-Uk Baek, Jin-Ha Yoon, Jong-Uk Won
{"title":"通过职业伤害职工医疗后就业状况变化分析生活质量下降。","authors":"Won-Tae Lee, Sung-Shil Lim, Min-Seok Kim, Seong-Uk Baek, Jin-Ha Yoon, Jong-Uk Won","doi":"10.35371/aoem.2022.34.e17","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate the decline in quality of life (QOL) by examining changes in the employment status of workers who had completed medical treatment after an industrial accident.</p><p><strong>Methods: </strong>This study utilized the Panel Study of Worker's Compensation Insurance cohort (published in October 2020) containing a sample survey of 3,294 occupationally injured workers who completed medical care in 2017. We divided this population into four groups according to changes in working status. A multivariate logistic regression model was utilized for evaluating QOL decline by adjusting for the basic characteristics and working environment at the time of accident. Subgroup analysis evaluated whether QOL decline differed according to disability grade and industry group.</p><p><strong>Results: </strong>The QOL decline in the \"maintained employment,\" \"employed to unemployed,\" \"remained unemployed,\" and \"unemployed to employed\" groups were 15.3%, 28.1%, 20.2%, and 11.9%, respectively. The \"maintained employment\" group provided a reference. As a result of adjusting for the socioeconomic status and working environment, the odds ratios (ORs) of QOL decline for the \"employed to unemployed\" group and the \"remained unemployed\" group were 2.13 (95% confidence interval [CI], 1.51-3.01) and 1.47 (95% CI, 1.13-1.90), respectively. The \"unemployed to employed\" group had a non-significant OR of 0.76 (95% CI, 0.54-1.07).</p><p><strong>Conclusions: </strong>This study revealed that continuous unemployment or unstable employment negatively affected industrially injured workers' QOL. Policy researchers and relevant ministries should further develop and improve \"return to work\" programs that could maintain decent employment avenues within the workers' compensation system.</p>","PeriodicalId":46631,"journal":{"name":"Annals of Occupational and Environmental Medicine","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2022-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8d/23/aoem-34-e17.PMC9436793.pdf","citationCount":"1","resultStr":"{\"title\":\"Analyzing decline in quality of life by examining employment status changes of occupationally injured workers post medical care.\",\"authors\":\"Won-Tae Lee, Sung-Shil Lim, Min-Seok Kim, Seong-Uk Baek, Jin-Ha Yoon, Jong-Uk Won\",\"doi\":\"10.35371/aoem.2022.34.e17\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>This study aimed to investigate the decline in quality of life (QOL) by examining changes in the employment status of workers who had completed medical treatment after an industrial accident.</p><p><strong>Methods: </strong>This study utilized the Panel Study of Worker's Compensation Insurance cohort (published in October 2020) containing a sample survey of 3,294 occupationally injured workers who completed medical care in 2017. We divided this population into four groups according to changes in working status. A multivariate logistic regression model was utilized for evaluating QOL decline by adjusting for the basic characteristics and working environment at the time of accident. Subgroup analysis evaluated whether QOL decline differed according to disability grade and industry group.</p><p><strong>Results: </strong>The QOL decline in the \\\"maintained employment,\\\" \\\"employed to unemployed,\\\" \\\"remained unemployed,\\\" and \\\"unemployed to employed\\\" groups were 15.3%, 28.1%, 20.2%, and 11.9%, respectively. The \\\"maintained employment\\\" group provided a reference. As a result of adjusting for the socioeconomic status and working environment, the odds ratios (ORs) of QOL decline for the \\\"employed to unemployed\\\" group and the \\\"remained unemployed\\\" group were 2.13 (95% confidence interval [CI], 1.51-3.01) and 1.47 (95% CI, 1.13-1.90), respectively. The \\\"unemployed to employed\\\" group had a non-significant OR of 0.76 (95% CI, 0.54-1.07).</p><p><strong>Conclusions: </strong>This study revealed that continuous unemployment or unstable employment negatively affected industrially injured workers' QOL. Policy researchers and relevant ministries should further develop and improve \\\"return to work\\\" programs that could maintain decent employment avenues within the workers' compensation system.</p>\",\"PeriodicalId\":46631,\"journal\":{\"name\":\"Annals of Occupational and Environmental Medicine\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2022-07-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8d/23/aoem-34-e17.PMC9436793.pdf\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of Occupational and Environmental Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.35371/aoem.2022.34.e17\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Occupational and Environmental Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.35371/aoem.2022.34.e17","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Analyzing decline in quality of life by examining employment status changes of occupationally injured workers post medical care.
Background: This study aimed to investigate the decline in quality of life (QOL) by examining changes in the employment status of workers who had completed medical treatment after an industrial accident.
Methods: This study utilized the Panel Study of Worker's Compensation Insurance cohort (published in October 2020) containing a sample survey of 3,294 occupationally injured workers who completed medical care in 2017. We divided this population into four groups according to changes in working status. A multivariate logistic regression model was utilized for evaluating QOL decline by adjusting for the basic characteristics and working environment at the time of accident. Subgroup analysis evaluated whether QOL decline differed according to disability grade and industry group.
Results: The QOL decline in the "maintained employment," "employed to unemployed," "remained unemployed," and "unemployed to employed" groups were 15.3%, 28.1%, 20.2%, and 11.9%, respectively. The "maintained employment" group provided a reference. As a result of adjusting for the socioeconomic status and working environment, the odds ratios (ORs) of QOL decline for the "employed to unemployed" group and the "remained unemployed" group were 2.13 (95% confidence interval [CI], 1.51-3.01) and 1.47 (95% CI, 1.13-1.90), respectively. The "unemployed to employed" group had a non-significant OR of 0.76 (95% CI, 0.54-1.07).
Conclusions: This study revealed that continuous unemployment or unstable employment negatively affected industrially injured workers' QOL. Policy researchers and relevant ministries should further develop and improve "return to work" programs that could maintain decent employment avenues within the workers' compensation system.
期刊介绍:
Annals of Occupational and Environmental Medicine (AOEM) is an open access journal that considers original contributions relevant to occupational and environmental medicine and related fields, in the form of original articles, review articles, short letters and case reports. AOEM is aimed at clinicians and researchers working in the wide-ranging discipline of occupational and environmental medicine. Topic areas focus on, but are not limited to, interactions between work and health, covering occupational and environmental epidemiology, toxicology, hygiene, diagnosis and treatment of diseases, management, organization and policy. As the official journal of the Korean Society of Occupational and Environmental Medicine (KSOEM), members and authors based in the Republic of Korea are entitled to a discounted article-processing charge when they publish in AOEM.