You could be reading the full-text of this article now if you...

If you have access to this article through your institution,
you can view this article in

Multilevel Analysis of Individual and Contextual Factors as Predictors of Return to Work

Labriola, Merete MPH; Lund, Thomas PhD; Christensen, Karl B. PhD; Kristensen, Tage S. DrMedSci

Journal of Occupational & Environmental Medicine:
doi: 10.1097/01.jom.0000243359.52562.a5
Original Articles
Abstract

Objective: The objective of this study was to examine if individual and contextual levels of work environment factors predict return to work (RTW).

Methods: Baseline data from 52 workplaces was linked to a national absence register. Four hundred twenty-eight persons with more than 2 weeks of sickness absence during a 2-year period were identified. Follow up was 1 year to examine three RTW outcomes. Multilevel logistic and Poisson regression models were used.

Results: At the individual level, significant associations were found between one psychosocial and four physical factors and RTW within 4 weeks. Two physical factors predicted RTW within 1 year. Two psychosocial and two physical factors significantly prolonged duration of sickness absence. No significant contextual level risk factors were found.

Conclusion: At the individual level, both the psychosocial and physical work environment factors are important independent predictors of RTW.

Author Information

From the National Institute of Occupational Health; Research Unit on Absence and Early Retirement, Copenhagen, Denmark.

Address correspondence to: Merete Labriola, MPH, National Institute of Occupational Health, Lerso Parkall, 105, DK-2100 Copenhagen, Denmark; E-mail: mla@ami.dk.

©2006The American College of Occupational and Environmental Medicine