Do Differences in Work Disability Duration Between Men and Women Vary by Province in Canada?

MacPherson, Robert; Koehoorn, Mieke; Fan, Jonathan; Quirke, William; Amick, Benjamin C.; Kraut, Allen; Mustard, Cameron; McLeod, Chris

doi:10.1007/s10926-018-9819-1

Cited by 14 publications

(16 citation statements)

References 25 publications

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“…In this study, the WSIB group tended to be comprised of males, which is consistent with the distribution of WSIB claims; for example, between 2006 and 2016, males represented 57-64% of all WSIB claims (21). Similar distributions have been reported in other provinces (22). The age distribution across all WSIB claims within the same time frame, however, is different.…”

Section: Discussionsupporting

confidence: 81%

Brief Report: Characteristics and Needs of Persons Admitted to an Inpatient Psychiatric Hospital With Workers' Compensation Coverage

2021

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The rise of mental health issues in the workplace is widely known. Though mental health issues were not covered by the Workplace Safety Insurance Board (WSIB) in Ontario (Canada) until 2018, it was listed as responsible for payment of inpatient psychiatric hospital stays between 2006 and 2016. This population-level observational analytic study compares the clinical and service needs of 1,091 individuals admitted to inpatient psychiatry with WSIB coverage to all other admissions (n = 449,128). Secondary analysis was based on the interRAI Mental Health assessment. The WSIB group differed from all other admissions on almost all characteristics considered. Most notably, depression (65.08 vs. 57.02%), traumatic life events (25.48 vs. 15.58%), substance use (58.02 vs. 46.92%), daily pain (38.31 vs. 12.15%) and sleep disturbance (48.95 vs. 37.12%) were much higher in the WSIB group. Females with WSIB coverage had more depression (74.36 vs. 59.91%) and traumatic life events (30.00 vs. 22.97%), whereas males had more substance issues (63.62 vs. 47.95%). In addition, persons under the age of 55 had more substance issues (<25 = 75.47%; 25–54 = 61.64%: 55 ± 40.54%) and traumatic life events (<25 = 26.41%; 25–54 = 28.18%; 55 ± 15.31%), while those 25–54 years had more daily pain (41.67% vs. <25 = 3.77% and 55 ± 34.23%) and sleep disturbance (50.74% vs. <25 = 33.96% and 55 ± 45.94%). All variables differed significantly by sex and age within the comparison group, though not always following the patterns observed in the WSIB group. Future research examining mental health needs and outcomes among injured workers receiving inpatient psychiatric services is needed, and should take into account sex and age.

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Section: Discussionsupporting

confidence: 81%

Brief Report: Characteristics and Needs of Persons Admitted to an Inpatient Psychiatric Hospital With Workers' Compensation Coverage

2021

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“…This effect was likely attributable to the lower likelihood of sustainable RTW for women who were not provided with GRTW over the longest disability durations, as shown in other studies. [37][38][39] By industry, larger effects were found for the Table 3 Adjusted quantile regression for differences in time-loss days until full sustainable RTW 1 year after the first time-loss day,* by gender…”

Section: Resultsmentioning

confidence: 99%

Does gradually returning to work improve time to sustainable work after a work-acquired musculoskeletal disorder in British Columbia, Canada? A matched cohort effectiveness study

2021

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ObjectiveThis study investigates if gradual return to work (GRTW) is associated with full sustainable return to work (RTW) for seriously injured workers with a musculoskeletal disorder (MSD), in British Columbia, Canada.MethodsThis is an effectiveness study using a retrospective cohort study design. Accepted workers’ compensation lost-time claims were extracted for workers with an MSD who were on full work disability for at least 30 days, between 2010 and 2015 (n=37 356). Coarsened exact matching yielded a final matched cohort of 12 494 workers who experienced GRTW at any point 30 days post-injury and 12 494 workers without any GRTW. The association between GRTW and sustainable RTW through to end of 12 months was estimated with multivariable quantile regression.ResultsWorkers who were provided with GRTW experienced more time-loss days until sustainable RTW between the 2nd and 5th months after the first time-loss day (<50th quantile of time loss), but less time-loss days until sustainable RTW between the 6th and 12th months of work disability (70th quantile of time loss), with the largest effect for women, workers with soft-tissue injuries and workers in the manufacturing or trades sector (all in the 60th and 70th percentile, after 6–7 months of time loss).ConclusionsFor seriously injured workers with at least 30 days of disability due to a work-acquired MSD, the effect of GRTW becomes apparent at longer disability durations (more than 6 months), with larger beneficial effects for women, workers with soft-tissue injuries and for trade and manufacturing sectors.

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“…The primary outcome was work disability days defined by the total number of calendar days while on an accepted short-term disability workers' compensation claim from the date of injury to the date of claim closure, with a follow-up period capped at 365 days. This measure differs from paid wage-replacement days used in other research when detailed return to work (RTW) data are unavailable [49,50] and represents an appropriate measure of the overall burden of work disability.…”

Section: Methodsmentioning

confidence: 99%

Differences in Work Disability Duration for Immigrants and Canadian-Born Workers in British Columbia, Canada

Senthanar

Koehoorn

Tamburic

et al. 2021

IJERPH

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This study aimed to investigate differences in work disability duration among immigrants (categorized as economic, family member or refugee/other classification upon arrival to Canada) compared to Canadian-born workers with a work-related injury in British Columbia. Immigrants and Canadian-born workers were identified from linked immigration records with workers’ compensation claims for work-related back strain, connective tissue, concussion and fracture injuries requiring at least one paid day of work disability benefits between 2009 to 2015. Quantile regression investigated the relationship between immigration classification and predicted work disability days (defined from injury date to end of compensation claim, up to 365 days) and modeled at the 25th, 50th and 75th percentile of the distribution of the disability days. With a few exceptions, immigrants experienced greater predicted disability days compared to Canadian-born workers within the same injury cohort. The largest differences were observed for family and refugee/other immigrant classification workers, and, in particular, for women within these classifications, compared to Canadian-born workers. For example, at the 50th percentile of the distribution of disability days, we observed a difference of 34.1 days longer for refugee/other women in the concussion cohort and a difference of 27.5 days longer for family classification women in the fracture cohort. Economic immigrants had comparable disability days with Canadian-born workers, especially at the 25th and 50th percentiles of the distribution. Immigrant workers’ longer disability durations may be a result of more severe injuries or challenges navigating the workers’ compensation system with delays in seeking disability benefits and rehabilitation services. Differences by immigrant classification speak to vulnerabilities or inequities upon arrival in Canada that persist after entry to the workforce and warrant further investigation for early mitigation strategies.

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Do Differences in Work Disability Duration Between Men and Women Vary by Province in Canada?

Cited by 14 publications

References 25 publications

Brief Report: Characteristics and Needs of Persons Admitted to an Inpatient Psychiatric Hospital With Workers' Compensation Coverage

Brief Report: Characteristics and Needs of Persons Admitted to an Inpatient Psychiatric Hospital With Workers' Compensation Coverage

Does gradually returning to work improve time to sustainable work after a work-acquired musculoskeletal disorder in British Columbia, Canada? A matched cohort effectiveness study

Differences in Work Disability Duration for Immigrants and Canadian-Born Workers in British Columbia, Canada

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