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Urban-Rural Differences in the Duration of Injury-Related Work Disability in Six Canadian Provinces
Robert A Macpherson1, Benjamin C Amick, Alex Collie
1Partnership for Work, Health and Safety, School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada (Macpherson, Koehoorn, McLeod); Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas (Amick); Institute for Work and Health, Toronto, Ontario, Canada (Amick, Hogg-Johnson, Smith, McLeod); Insurance, Work and Health Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia (Collie); Canadian Memorial Chiropractic College, Toronto, Ontario, Canada (Hogg-Johnson); Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada (Hogg-Johnson, Smith) and Monash Centre of Occupational and Environmental Health, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia (Smith).
Objective:
To examine associations between injury-related work disability duration and urban-rural place of residence and whether associations differed across the disability distribution and by industry sector.
Methods:
Workers' compensation claims from six Canadian provinces were extracted between 2011 and 2015. Multivariable quantile regression models tested the associations between urban-rural place of residence and disability days paid between the 50th and 95th percentiles of the distribution.
Results:
Compared to workers residing in metropolitan areas, those in all other areas experienced more disability days paid. Urban-rural differences increased toward the upper end of disability distribution and were largest in the construction, and transportation and warehousing sectors.
Conclusion:
Tailored interventions for workers in rural areas, particularly those in sectors associated with mobile work environments, may be warranted to reduce inequities in injury-related work disability duration by place of residence.
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