Work restrictions and Unfitness to work: Prevalence and risk factors a cross-sectional study on 70 000 occupational visits

Luther Dogbla, Cédric Gouvenelle, Anne-Sophie Escobar, Florence Thorin, Jiao Jiao, Marek Zak, Julien S Baker, Bruno Pereira and Frédéric Dutheil

PLOS ONE, 2026, vol. 21, issue 7, 1-17

Abstract: Background: Few studies have assessed work restrictions and unfitness to work simultaneously, particularly on large populations, and evidence on their main influencing factors remains limited. Objective: To assess prevalence and risk factors of work restrictions and unfitness to work. Method: We included all visits conducted in occupational health departments of the Cher, over two consecutive years. Visits had to have a conclusion: fitness to work, temporary work restrictions, permanent work restrictions, and unfitness to work. Mixed multinomial models with individual random effects were used. Results: Among the 71,848 occupational health visits, 62,436 had a conclusion. Most (90.6%, 95 CI 90.4 to 90.8%) were fit to work, 3.2% (3.1 to 3.3%) had temporary restrictions, 4.9% (4.7 to 5.1%) had permanent restrictions, and 1.3% (1.2 to 1.4%) were unfit to work. The risk of temporary restrictions was multiplied by 1.69 (1.16 to 2.48) in workers over 55 vs

Date: 2026
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0353939

DOI: 10.1371/journal.pone.0353939

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