@article{ref1,
title="Geographic variation in work injuries: a multilevel analysis of individual-level data and area-level factors within Canada",
journal="Annals of epidemiology",
year="2013",
author="Morassaei, Sara and Breslin, Frederick Curtis and Ibrahim, Selahadin A. and Smith, Peter M. and Mustard, Cameron A. and Amick, Benjamin C. and Shankardass, Ketan and Petch, Jeremy",
volume="23",
number="5",
pages="260-266",
abstract="PURPOSE: This study sought to examine provincial variation in work injuries and to assess whether contextual factors are associated with geographic variation in work injuries. METHODS: Individual-level data from the 2003 and 2005 Canadian Community Health Survey was obtained for a representative sample of 89,541 Canadians aged 15 to 75 years old who reported working in the past 12 months. A multilevel regression model was conducted to identify geographic variation and contextual factors associated with the likelihood of reporting a medically attended work injury, while adjusting for demographic and work variables. RESULTS: Provincial differences in work injuries were observed, even after controlling for other risk factors. Workers in western provinces such as Saskatchewan (adjusted odds ratio [AOR], 1.30; 95% confidence interval [CI], 1.09-1.55), Alberta (AOR, 1.31; 95% CI, 1.13-1.51), and British Columbia (AOR, 1.46; 95% CI, 1.26-1.71) had a higher risk of work injuries compared with Ontario workers. Indicators of area-level material and social deprivation were not associated with work injury risk. CONCLUSIONS: Provincial differences in work injuries suggest that broader factors acting as determinants of work injuries are operating across workplaces at a provincial level. Future research needs to identify the provincial determinants and whether similar large area-level factors are driving work injuries in other countries.<p /> <p>Language: en</p>",
language="en",
issn="1047-2797",
doi="10.1016/j.annepidem.2013.03.008",
url="http://dx.doi.org/10.1016/j.annepidem.2013.03.008"
}