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Predictors for return to work for those with occupational respiratory disease: Clinical and structural factors
Author(s) -
Zoeckler Jeanette M.,
Cibula Donald A.,
Morley Christopher P.,
Lax Michael B.
Publication year - 2013
Publication title -
american journal of industrial medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.7
H-Index - 104
eISSN - 1097-0274
pISSN - 0271-3586
DOI - 10.1002/ajim.22251
Subject(s) - medicine , occupational disease , disease , occupational medicine , respiratory system , occupational exposure , respiratory disease , environmental health , physical therapy , intensive care medicine , lung
Background Few occupational researchers have examined “return to work” among patients with work‐related respiratory diseases. In addition, prior studies have emphasized individual patient characteristics rather than a more multi‐dimensional approach that includes both clinical and structural factors. Methods A retrospective chart review identified patients with occupational respiratory diseases in the Occupational Health Clinical Center, Syracuse, NY between 1991 and 2009. We assessed predictors of work status using an exploratory, sequential mixed methods research design, multinomial (n = 188) and Cox regressions (n = 130). Results The findings suggest that patients with an increased number of diagnoses, non‐union members, and those who took more than a year before clinical presentation had significantly poorer work status outcomes, after adjusting for age, education level, and relevant diagnoses. Conclusions Efforts to prevent slow return to work after developing occupational respiratory disease should recognize the importance of timely access to occupational health services, disease severity, union membership, and smoking status. Am. J. Ind. Med. 56:1371–1382, 2013. © 2013 Wiley Periodicals, Inc.