@article{ref1,
title="Examining associations between work-related injuries and all-cause healthcare use among middle-aged and older workers in Canada using CLSA data",
journal="Journal of safety research",
year="2022",
author="Shooshtari, Shahin and Menec, Verena and Stoesz, Brenda M. and Bhajwani, Dimple and Turner, Nick and Piotrowski, Caroline",
volume="83",
number="",
pages="371-378",
abstract="INTRODUCTION: Prior studies examining the relationship between work- related injuries and healthcare use among middle-aged and older workers were mainly cross-sectional and reported inconsistent results. <br><br>OBJECTIVE: The objective of this study was to examine the associations between work-related injuries and 10 types of healthcare service use for any cause among middle-aged and older Canadian workers using longitudinal data. <br><br>METHODS: Our study involved longitudinal analysis of baseline and 18-month follow-up Maintaining Contact Questionnaire data from the Canadian Longitudinal Survey on Aging (CLSA) for a national sample of Canadian males and females aged 45-85 years who worked or were recently retired (N = 24,748). <br><br>RESULTS: Among CLSA participants who worked or were recently retired, 361 per 10,000 reported a work-related injury within the year prior to the survey. Work-related injuries decreased with increasing age. Work-related injury was associated with emergency department visits, overnight hospitalization, visits to dentists, and visits to physiotherapists, occupational therapists, or chiropractors at follow-up in bivariate analyses. Compared to those with no work-related injuries, Canadians with work-related injuries had used, on average, a significantly higher number of health services within the last 12 months prior their survey. When controlling for the contribution of various socio-demographic, work-related, and health-related characteristics, work-related injuries remained a significant predictor of emergency department visits and visits to physiotherapists, occupational therapists, or chiropractors. <br><br>CONCLUSIONS: The relationship between work-related injuries, emergency department visits, and visits to physiotherapists, occupational therapists, or chiropractors in middle-aged and older workers in Canada suggests that workplace injuries can be associated with ongoing health problems.   PRACTICAL APPLICATIONS: Healthcare services used by injured employees must be considered priorities for employment insurance coverage, if not already covered. Future research should more fully examine whether pre-existing health conditions predict both work-related injury and subsequent health problems. Injury-specific healthcare use following work-related injuries in middle-aged and older workers, as well as economic costs, should also be examined.<p /> <p>Language: en</p>",
language="en",
issn="0022-4375",
doi="10.1016/j.jsr.2022.09.012",
url="http://dx.doi.org/10.1016/j.jsr.2022.09.012"
}