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. 2024 Oct 23;19(10):e0308816.
doi: 10.1371/journal.pone.0308816. eCollection 2024.

Resuming work roles after injury in a low-income context: Multiple factors influencing the return to work outcomes

Ansha Nega Ahmed  1   2 , Marcia Finlayson  1 , Adamu Addissie  2 , Ayalew Zewdie  3 , Rosemary Lysaght  1
Affiliations

Resuming work roles after injury in a low-income context: Multiple factors influencing the return to work outcomes

Ansha Nega Ahmed et al. PLoS One. .

Abstract

Background: Return to work (RTW) is an important outcome indicator for the effectiveness of rehabilitation services, and the functional status and overall recovery among individuals who have experienced injury. Despite the rising incidence of traumatic injury among economically productive citizens in Ethiopia, there is a paucity of evidence about the RTW status of injury survivors. This study examined factors associated with RTW success and determinants of time to RTW after injury in Ethiopia.

Methods: An institution-based cross-sectional study was conducted to collect data retrospectively one year after patients arrived at the study setting due to traumatic injuries. Medical records of all patients who visited the emergency room of a large public hospital in Addis Ababa were reviewed. Data were collected from survivors of traumatic injury, interviewed by telephone one year post-injury. Multivariable logistic regression and survival analysis were carried out to explore factors.

Results: Of the 251 participants, 75% were young adults (age </ = 39 years), 78% were male, 78% were urban residents, 41% were injured by road traffic collisions, and 59% returned to work within one year. The logistic regression model revealed short inpatient admission (AOR = 4.20; 95% CI: 2.10-8.50; p ≤ 0.001), no disability (AOR = 4.44; 95% CI: 2.10-9.60; p ≤ 0.001), motivation to RTW (AOR = 3.50; 95% CI: 1.61-7.50; p = 0.002), no chronic illness (AOR = 2.31; 95% CI: 1.14-4.70; p = 0.020), being in an administrative position (AOR = 5.32; 95% CI: 1.11-25.78; p = 0.038) and receiving injury compensation (AOR = 3.10; 95% CI: 1.22-7.73; p = 0.017) as factors for successful RTW within a year after injury. Further, the Cox regression analysis identified immediate access to healthcare after injury (AHR = 1.54; 95% CI: 1.05-2.25; p ≤ 0.026) and having injury of penetrative to internal organ, strain, sprain, dislocation or soft tissue (AHR = 1.81; 95% CI: 1.20-2.80; p = 0.007) as determinants of early RTW after traumatic injury.

Conclusion: The study uncovers factors crucial to RTW planning and interventions, and provides insights to minimize barriers, foster a smooth transition to employment, and optimize survivors' lives after injury.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. RTW by the level of functional restriction of injury survivors, 2022 (n = 251).
Fig 2
Fig 2. Kaplan-Meier survival function of time to RTW after traumatic injury, 2022 (n = 251).
Fig 3
Fig 3. Kaplan-Meier survival function of important variables that show difference in time to RTW after traumatic injury, 2022 (n = 251).
(A) STI = Soft Tissue Injury. (B) TBI = Traumatic Brain Injury.
See this image and copyright information in PMC

References

    1. Collie A., et al., Patterns and predictors of return to work after major trauma: A prospective, population-based registry study. Annals of surgery, 2019. 269(5): p. 972–978. doi: 10.1097/SLA.0000000000002666 - DOI - PubMed
    1. Schultz I.Z. and Gatchel R.J., Handbook of return to work: From research to practice. Vol. 1. 2015: Springer.
    1. Frank J., et al., Work as a social determinant of health in high-income countries: past, present, and future. The Lancet, 2023. 402(10410): p. 1357–1367. doi: 10.1016/S0140-6736(23)00871-1 - DOI - PubMed
    1. Wipfli B., et al., Work as a social determinant of health: a necessary foundation for occupational health and safety. Journal of occupational and environmental medicine, 2021. 63(11): p. e830–e833. doi: 10.1097/JOM.0000000000002370 - DOI - PubMed
    1. Cullen K.L., et al., Effectiveness of workplace interventions in return-to-work for musculoskeletal, pain-related and mental health conditions: an update of the evidence and messages for practitioners. Journal of occupational rehabilitation, 2018. 28(1): p. 1–15. doi: 10.1007/s10926-016-9690-x - DOI - PMC - PubMed