Musculoskeletal disorders and associated healthcare costs among family members of injured workers

Am J Ind Med. 2015 Nov;58(11):1205-16. doi: 10.1002/ajim.22500. Epub 2015 Aug 31.

Abstract

Background: Research has infrequently looked beyond the injured worker when gauging the burden of occupational injury.

Objectives: We explored the relationship between occupational injury and musculoskeletal disorders (MSDs) among family members of injured workers.

Data and methods: We used 2005 and 2006 Truven Health Analytics databases, which contain information on workers' compensation and family healthcare claims. We used descriptive analyses, and negative binomial and two-part models.

Results: Family members of severely injured workers had a 15% increase in the total number of MSD outpatient claims and a 34% increase in the mean cost of MSD claims compared to family members of non-severely injured workers within 3 months after injury. Extrapolating cost results to the national level implies that severe occupational injury would be associated with between $29 and $33 million additional cost of family member outpatient MSD claims.

Conclusion: Occupational injury can impose a formerly unrecognized health burden on family members of injured workers.

Keywords: family health; musculoskeletal disorders; negative binomial; occupational injury; two-part model.

MeSH terms

  • Adult
  • Ambulatory Care / economics
  • Cost of Illness*
  • Family*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Musculoskeletal Diseases / economics*
  • Musculoskeletal Diseases / etiology
  • Occupational Diseases / economics*
  • Occupational Diseases / etiology
  • Occupational Injuries / economics*
  • Occupational Injuries / etiology
  • Regression Analysis
  • United States
  • Workers' Compensation / economics