Vocational Rehabilitation and Length of Stay at Work after Work-Related Musculoskeletal Disorders: A Longitudinal Study in Brazil

Cristiano Barreto de Miranda (), João Silvestre Silva-Junior, Klauss Kleydmann Sabino Garcia, Flávia Nogueira e Ferreira de Sousa and Frida Marina Fischer
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Cristiano Barreto de Miranda: Department of Environmental Health and Graduate Program in Public Health, School of Public Health, University of São Paulo (FSP-USP), São Paulo 01246-904, Brazil
João Silvestre Silva-Junior: Department of Forensic Medicine, Bioethics, Occupational Medicine and Physical Medicine and Rehabilitation, University of São Palo Medicine School (FMUSP), São Paulo 01246-903, Brazil
Klauss Kleydmann Sabino Garcia: General Coordinator of Occupational Health, Ministry of Health, Graduate Program in Tropical Medicine, University of Brasília (UnB), Brasília 70910-900, Brazil
Flávia Nogueira e Ferreira de Sousa: General Coordinator of Occupational Health, Ministry of Health, Graduate Program in Tropical Medicine, University of Brasília (UnB), Brasília 70910-900, Brazil
Frida Marina Fischer: Department of Environmental Health and Graduate Program in Public Health, School of Public Health, University of São Paulo (FSP-USP), São Paulo 01246-904, Brazil

IJERPH, 2023, vol. 20, issue 3, 1-11

Abstract: Vocational rehabilitation is an intervention to enhance the return to work and improve quality of life. The aim of this study was to evaluate sociodemographic and occupational factors associated with the length of stay at work among workers with work-related musculoskeletal disorders (WRMDs) who had undergone rehabilitation through the Brazilian public social security system. This was a longitudinal study among 680 workers with histories of disability due to WRMDs who returned to the formal job market after vocational rehabilitation between 2014 and 2018. Survival analysis was performed to identify the factors influencing permanence in work. Job dismissal occurred for 29.26% of the workers. The average duration of employment after returning to the formal job position was 56 months. The following factors were associated with shorter length of employment: living in the southeastern region (HR: 2.78; 95% CI 1.12–6.91) or southern region (HR: 2.68; 95% CI 1.04–6.90) of Brazil; working in transportation, storage or postal services (HR: 2.57; 95% CI 1.07–6.17); or working in financial activities, insurance or related services (HR: 2.70; 95% CI 1.05–6.89). These findings may contribute to the discussion about prevention of disability and interventions to ensure health care for workers with WRMD disabilities who undergo rehabilitation.

Keywords: vocational rehabilitation; return to work; work-related musculoskeletal disorders; occupational health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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