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Int Arch Occup Environ Health. 2019 Jul;92(5):709-716. doi: 10.1007/s00420-019-01406-7. Epub 2019 Feb 13.

Association between the return-to-work hierarchy and self-rated health, self-esteem, and self-efficacy.

Author information

1
Department of Occupational and Environmental Medicine, Ajou University School of Medicine, Suwon, South Korea.
2
Department of Preventive Medicine and Public Health, Graduate School of Public Health, Institute for Occupational Health, Yonsei University College of Medicine, Seoul, South Korea.
3
Incheon Workers' Health Center, Incheon, South Korea.
4
Department of Occupational and Environmental Medicine, Dangook University College of Medicine, Cheonan, South Korea.
5
Department of Preventive Medicine and Public Health, Graduate School of Public Health, Institute for Occupational Health, Yonsei University College of Medicine, Seoul, South Korea. juwon@yuhs.ac.
6
Incheon Workers' Health Center, Incheon, South Korea. juwon@yuhs.ac.

Abstract

PURPOSE:

This study aimed to examine whether change of employer and/or job upon return-to-work after work-related injuries and diseases is related to health outcomes; self-rated health, self-esteem, and self-efficacy were used as indicators.

METHODS:

Data from the Panel Study of Workers' Compensation Insurance in Korea were used. A total of 1,610 workers who had returned to work after work-related injuries and diseases were included. The workers were divided into four groups according to their return-to-work characteristics: same employer, same job (n = 660); same employer, different job (n = 57); different employer, same job (n = 318); and different employer, different job (n = 575). Self-rated health, Rosenberg Self-Esteem Scale, and Self-Efficacy Scale scores were used as outcome variables. Logistic regression analysis was used.

RESULTS:

Compared to workers who had returned to the same employer and same job, those who had returned to the same employer but a different job were less likely to report good self-rated health (odds ratio [OR] 0.54; confidence interval [CI] 0.30-0.97). Those returning to a different employer but the same job were less likely to report good self-rated health (0.47, 0.35-0.64) and high self-esteem (0.73, 0.55-0.96). Those returning to a different employer and different job were less likely to report good self-rated health (0.49, 0.38-0.63), high self-esteem (0.68, 0.54-0.86), and high self-efficacy (0.66, 0.52-0.83).

CONCLUSIONS:

Change of employer and/or job related to health outcomes. Returning to the same employer and same job should be set as a goal in the vocational rehabilitation process.

KEYWORDS:

Occupational health; Return-to-work; Self-efficacy; Self-esteem; Vocational rehabilitation

PMID:
30758655
DOI:
10.1007/s00420-019-01406-7

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