Work absence due to compensable RTCs in Victoria, Australia

2018 ◽  
Vol 26 (1) ◽  
pp. 11-17
Author(s):  
Shannon Elise Gray ◽  
Belinda J Gabbe ◽  
Alex Collie

IntroductionRTC burden is commonly measured using fatality or hospitalisation statistics. However, non-fatal and less severe injuries contribute substantial economic and human costs, including work absence. In Victoria, Australia, two major compensation systems provide income support to employed people injured in RTCs; workers’ compensation (if RTC occurred during work) and an RTC-specific compensation system. This study aimed to describe the number and rate of episodes of work absence due to compensable RTC and determine factors associated with work-related RTC resulting in work absence.MethodsAdministrative data for working-age people (15–65 years) with accepted compensation claims between 1 July 2003 and 30 June 2013 were extracted from Victoria’s Compensation Research Database and analysed. Injured people receiving at least one day of income support were retained. Rate calculations used Victoria’s labour force as the denominator and negative binomial regression determined any time-based trend changes. Multivariable logistic regression was used to determine odds of the RTC being work-related.ResultsThere were 40 677 claims made by workers with an RTC injury that consequently missed work, averaging 4068 claims per year at a rate of 12.9 per 100 000 working population. Work-related cases contributed 17.4% (N=7061). Males, older adults and RTCs involving heavy vehicles, buses, trains and trams had higher odds of a work-related RTC resulting in work absence. More severe injuries tended not to be work-related.ConclusionsWork absence due to RTC injury constitutes a substantial burden, and this measure could provide a valuable addition to conventional RTC statistics.

Author(s):  
Jianjun Xiang ◽  
Murthy Mittinty ◽  
Michael Xiaoliang Tong ◽  
Dino Pisaniello ◽  
Peng Bi

To characterise the burden of work-related injuries in South Australia, workers’ compensation claim data were obtained from SafeWork South Australia between 2000 and 2014. Descriptive analyses were performed to investigate the burden of work-related injuries by age, gender, occupation, industry, and nature and mechanism of injury. Dunn’s test was used to compare the injury costs and working days lost by industry and occupation. Ordinary linear regression was used to investigate the age-injury cost association. A total of 464,139 workers’ compensation claims were reported during the 15-year period in South Australia, with an overall rate of 4.6 claims per 100 employees, resulting in a total of 20,861,001 working days lost and AU$14.9 billion dollars of compensation payment. Between 2000 to 2014, the annual claim rates, compensation payments, working days lost, and number of work-related death reduced by 59.3, 73.8, 87.1, and 78.6 percent, respectively, while the median compensation payment increased by 67.3% from AU$968 to AU$1620. A 1-year increase in age was associated with a 2.1% (Rate Ratio, RR = 1.021, 95% CI: 1.020–1.022) increase in compensation costs and a 1.3% (RR = 1.013, 95% CI: 1.012–1.020) increase in working days lost. Work-related injury rates are declining in most sectors, however some workers, especially young male technicians and labourers in the community services industry, remain at higher risk. Challenges for workers’ health and safety include the aging labour force, vehicle incidents, and severe injuries among new and foreign-born workers.


2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Lulu Mahdiyah Sandjadirja ◽  
Muhammad Nur Aidi ◽  
Akbar Rizki

Poisson regression can be used to model rare events that consist of count data. Poisson regression application is carried out to find out external factors that affect the number of poor people in Indonesia by the province in 2016. The assumptions that must be met in this analysis are equdispersion. However, in real cases there is often a problem of overdispersion, ie the value of the variance is greater than the average value. High diversity can be caused by outliers. Expenditures on outliers have not been able to deal with the problem of overdispersion in Poisson Regression. One way to overcome this problem is to replace the Poisson distribution assumption with the Negative Binomial distribution. The results of the analysis show that the Negative Binomial Regression model without outliers is better than the Poisson Regression without outliers model indicated by a smaller AIC value. Based on the Negative Binomial Regression model without this outlier the external factors that affect the number of poor people in Indonesia by the province in 2016 are the percentage of households with floor conditions of houses with soil by province, population by province, percentage of unemployment to the total workforce by province and the percentage of the workforce against the working age population.


2017 ◽  
Vol 63 (2) ◽  
pp. 161-168 ◽  
Author(s):  
Alexandra Brazinova ◽  
Norbert Moravansky ◽  
Gabriel Gulis ◽  
Igor Skodacek

Background: Suicide is a significant public health issue worldwide, resulting in loss of lives, and burdening societies. Aims: To describe and analyze the time trends of suicide rates (SRs) in the Slovak Republic in 1993–2015 for targeted suicide prevention strategies. Methods: Data for this study were obtained from the mortality database of the Statistical Office of the Slovak Republic. Crude and standardized annual SRs were calculated. Trends and relative risks of suicide according to age and sex were analyzed by joinpoint regression and negative binomial regression. Results: In total, there were 14,575 suicides in the Slovak Republic in the period 1993–2015 (85.3% were men). The overall average age-standardized SR for the study period was 11.45 per 100,000 person years. The rate increases with age, the highest is in men aged 75+ (42.74 per 100,000 person years). Risk of suicide is six times higher in men than in women and nine times higher in men than in women in the age group 25–34. The time trend of SRs is stable or decreasing from 1993 to 2007, but increasing after 2007, corresponding with increased unemployment rate in the country. Conclusion: The SR in the Slovak Republic is slightly below the average of Organisation for Economic Co-operation and Development (OECD) nations. Highest SR is observed in men of working age and in retirement. Society might benefit from a strategy of education for improving the recognition of suicide risks.


2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A23.2-A24
Author(s):  
Shannon Gray ◽  
Alex Collie

BackgroundThe burden of road traffic crashes (RTC) is commonly reported using fatalities and hospital admissions. Disruption to regular activities, such as work, is rarely reported, yet known to have significant economic and human costs. In the state of Victoria, Australia, people injured and unable to work due to RTC may have treatment and income support provided either through the RTC compensation system or through workers’ compensation. By examining data from both systems, this study sought to determine the rate (per 1 00 000 working population) of RTC injury resulting in work absence, and to quantify the amount of working time lost to RTC injury.MethodsData from each compensation system were harmonised. Analysis included claims from RTCs that occurred between July 1 2003 and June 30 2013 by 15–65 year olds who received at least one day of income support. Fatalities and rejected claims were excluded. Time lost was calculated as the total weeks of income support. Non-parametric tests were performed to determine differences between exposure variables (e.g. male versus female).ResultsThere were 36 640 workers meeting inclusion criteria (average 305 cases per month; mean rate per month of 11.6 per 1 00 000 working population). A total of 1,121,863 lost working weeks were compensated, with a median of 10 weeks. Thirty-two percent of cases did not have a record of attending hospital. The lowest median duration of time loss was among those involved in a train or tram crash (2.9 weeks) and the highest among those with quadriplegia (142.2 weeks). Duration of income support was significantly different within age, sex, injury type, severity, crash type, and compensation system groups.ConclusionsResults showed that RTC injuries of all severities caused considerable work absence. Measures of work absence can complement existing measures of RTC burden.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
Y Chang

Abstract Background Cardiovascular diseases (CVD) were related to financial stress. Little was known about the effects of financial crisis on cardiovascular health by occupations. This study examined CVD hospitalisations before and during the 2008 financial crisis among five occupational groups in Taiwan. Methods Data were collected from the Taiwan Survey on Hypertension, Hyperglycemia and Hyperlipidaemia 2007, including 4,673 participants aged 20 and above, categorized into five types of occupations, i.e., professional & manager (PM), office clerk & administrative staff (OA), skilled work (SW), unskilled worker (UW) and non-worker (NW). We abstracted their CVD hospitalisation records in the three years before (September 2005 to August 2008) and during the 2008 financial crisis (September 2008 to August 2011) from the National Health Insurance Research Database. Using incidence rate ratios (IRRs), we compared CVD hospitalisation of the first, second, third year from September 2008 to the three-year average before September 2008 for five occupational groups. Random effect negative binomial models were performed to estimate IRRs. Results After adjusting for covariates including age, sex, education, smoking, alcohol drinking, exercise and body mass index, there was an increase of CVD hospitalisation incidence for NW in the first year of the financial crisis (IRR=1.46, 95% Confidence Interval [95% CI]=1.19-1.77); in the second year, SW had a raised risk of CVD hospitalisation (IRR= 2.71, 95% CI = 1.59-4.60). For all occupational groups, the incidence rates of CVD hospitalisation reached the peak in the third year (PM: IRR=2.68, 95% CI = 1.05-6.83; OA: IRR=2.70, 95% CI = 1.18-6.19; SW: IRR=5.13, 95% CI = 2.89-9.09; UW: IRR=2.12, 95% CI = 1.02-4.41; NW: IRR=1.85, 95% CI = 1.18-2.67). Conclusions CVD hospitalisation of all occupations were affected by the financial crisis; when non-workers were the early victims, skilled workers may be the most vulnerable in the 2008 financial crisis. Key messages This study investigated the effects of the 2008 financial crisis on cardiovascular disease hospitalization by five occupational types in Taiwan. All occupations, particularly skilled workers, were affected by the financial crisis.


2021 ◽  
pp. jech-2020-215039 ◽  
Author(s):  
Anders Malthe Bach-Mortensen ◽  
Michelle Degli Esposti

IntroductionThe COVID-19 pandemic has disproportionately impacted care homes and vulnerable populations, exacerbating existing health inequalities. However, the role of area deprivation in shaping the impacts of COVID-19 in care homes is poorly understood. We examine whether area deprivation is linked to higher rates of COVID-19 outbreaks and deaths among care home residents across upper tier local authorities in England (n=149).MethodsWe constructed a novel dataset from publicly available data. Using negative binomial regression models, we analysed the associations between area deprivation (Income Deprivation Affecting Older People Index (IDAOPI) and Index of Multiple Deprivation (IMD) extent) as the exposure and COVID-19 outbreaks, COVID-19-related deaths and all-cause deaths among care home residents as three separate outcomes—adjusting for population characteristics (size, age composition, ethnicity).ResultsCOVID-19 outbreaks in care homes did not vary by area deprivation. However, COVID-19-related deaths were more common in the most deprived quartiles of IDAOPI (incidence rate ratio (IRR): 1.23, 95% CI 1.04 to 1.47) and IMD extent (IRR: 1.16, 95% CI 1.00 to 1.34), compared with the least deprived quartiles.DiscussionThese findings suggest that area deprivation is a key risk factor in COVID-19 deaths among care home residents. Future research should look to replicate these results when more complete data become available.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hai-Yang Zhang ◽  
An-Ran Zhang ◽  
Qing-Bin Lu ◽  
Xiao-Ai Zhang ◽  
Zhi-Jie Zhang ◽  
...  

Abstract Background COVID-19 has impacted populations around the world, with the fatality rate varying dramatically across countries. Selenium, as one of the important micronutrients implicated in viral infections, was suggested to play roles. Methods An ecological study was performed to assess the association between the COVID-19 related fatality and the selenium content both from crops and topsoil, in China. Results Totally, 14,045 COVID-19 cases were reported from 147 cities during 8 December 2019–13 December 2020 were included. Based on selenium content in crops, the case fatality rates (CFRs) gradually increased from 1.17% in non-selenium-deficient areas, to 1.28% in moderate-selenium-deficient areas, and further to 3.16% in severe-selenium-deficient areas (P = 0.002). Based on selenium content in topsoil, the CFRs gradually increased from 0.76% in non-selenium-deficient areas, to 1.70% in moderate-selenium-deficient areas, and further to 1.85% in severe-selenium-deficient areas (P < 0.001). The zero-inflated negative binomial regression model showed a significantly higher fatality risk in cities with severe-selenium-deficient selenium content in crops than non-selenium-deficient cities, with incidence rate ratio (IRR) of 3.88 (95% CIs: 1.21–12.52), which was further confirmed by regression fitting the association between CFR of COVID-19 and selenium content in topsoil, with the IRR of 2.38 (95% CIs: 1.14–4.98) for moderate-selenium-deficient cities and 3.06 (1.49–6.27) for severe-selenium-deficient cities. Conclusions Regional selenium deficiency might be related to an increased CFR of COVID-19. Future studies are needed to explore the associations between selenium status and disease outcome at individual-level.


2021 ◽  
Vol 15 (1) ◽  
pp. 30-48
Author(s):  
Shireen J. Jejeebhoy ◽  
A. K. Shiva Kumar

Female labour force participation among young women in India is disturbingly low, and yet little evidence is available regarding the factors likely to affect the school-to-work transition among the young. Data from 325 girls aged 15–19 years and in-depth interviews with 10 of these girls and 9 of their mothers in one block of Jodhpur district, obtained from a mixed-methods study in Rajasthan, explore girls’ aspirations for professional, administrative or technical careers and factors likely constraining or facilitating their articulation of such aspirations. Findings show that girls who aspired for a professional, administrative or technical career were more likely than others to display better learning outcomes (odds ratio = 1.31), greater work-related agency and a readiness to overcome community obstacles (odds ratio, 1.28) than those who did not aspire for a professional, administrative or technical career. They were also more likely to be unmarried or married but residing in the natal home (odds ratio = 2.97) and have supportive parents (odds ratio = 1.37). In-depth interviews corroborate these obstacles. Findings underscore the need to empower girls and break down traditional norms held by girls, parents and communities. On the programme front, it is important to ensure empowerment programmes for girls and address the quality and girl-friendliness of education and vocational training opportunities.


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