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Journal of Occupational & Environmental Medicine:
doi: 10.1097/JOM.0b013e3181b2f3c1
Original Articles

A Multivariate Analysis of Factors Associated With Early Offer and Acceptance of a Work Accommodation Following an Occupational Musculoskeletal Injury

Franche, Renée-Louise PhD; Severin, Colette N. MHSc; Hogg-Johnson, Sheilah PhD; Lee, Hyunmi MSc; Côté, Pierre DC, PhD; Krause, Niklas MD, PhD

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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.

©2009The American College of Occupational and Environmental Medicine


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