A multivariate analysis of factors associated with early offer and acceptance of a work accommodation following an occupational musculoskeletal injury

J Occup Environ Med. 2009 Aug;51(8):969-83. doi: 10.1097/JOM.0b013e3181b2f3c1.

Abstract

Objective: To identify factors associated with offer and acceptance of work accommodation.

Methods: In 401 claimants with musculoskeletal injuries, two logistic regressions identified individual and workplace factors associated with work accommodation offer and acceptance.

Results: Unionized status, strong disability management policies and practices, low supervisor support, and pink collar occupation were associated with work accommodation offer. Job tenure over 1 year and lighter physical work were associated with acceptance. Younger age and more repetitive physical work demands were positively associated with both outcomes. Pink-collar status was positively associated with offers, but negatively with acceptance. Gender, mental health, pain, job satisfaction, firm size, people-oriented culture, safety climate, and ergonomic practices were not significant predictors.

Conclusions: One month post-injury, workplace factors and age are determinants of offer and acceptance of work accommodation, while individual health factors play no significant role.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Cross-Sectional Studies
  • Employment*
  • Female
  • Humans
  • Interviews as Topic
  • Logistic Models
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Musculoskeletal Diseases / physiopathology*
  • Occupational Exposure / adverse effects*
  • Ontario
  • Young Adult