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Returning to work after a hand injury: Does ethnicity matter?
Batia S Marom1, Moshe Sharabi2, Rafael S Carel3
1Occupational Therapy Unit, Clalit Health Services, Tiberias, Israel.
Plos One
|March 11, 2020
Summary
Return-to-work after hand injuries is influenced by education and legal counseling, not directly by ethnicity. Manual workers with lower education or needing legal help require targeted support for successful work reintegration.
Area of Science:
- Occupational Health
- Rehabilitation Medicine
- Sociomedical Sciences
Background:
- Hand injuries (HI) are prevalent and can impede work participation.
- Understanding factors influencing return-to-work (RTW) is crucial for manual laborers.
- This study investigates prognostic variables affecting RTW in male manual workers post-acute HI.
Purpose of the Study:
- To examine the impact of ethnicity on RTW among male manual workers.
- To identify other prognostic variables influencing RTW after acute HI.
- To develop a predictive model for RTW.
Main Methods:
- A cohort of 178 male manual workers (90 Arabs, 88 Jews) aged 22-65 was studied.
- Occupational therapists used validated questionnaires to assess personal, environmental, functional, and activity-related factors.
- RTW status at 3 months post-injury was determined via telephone interviews; logistic regression analyzed predictive variables.
Main Results:
- A significant difference in RTW rates was observed between ethnic groups at 3 months (Jews: 45.5%, Arabs: 28.9%, p=0.03).
- Univariate analysis showed ethnicity was associated with RTW (OR=2.05; CI: 1.10-3.81).
- Multivariate analysis identified legal counseling, educational attainment, and disability severity as significant predictors of RTW.
Conclusions:
- RTW in manual workers post-HI is directly linked to education and legal counseling, with an indirect relationship to ethnicity.
- Individuals with lower educational attainment or requiring legal counseling need focused support.
- Targeted interventions can improve RTW outcomes for vulnerable manual workers.
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