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Do work ability and well-being matter for return to work?: Cut-off points for Work Ability Index and Life Satisfaction questionnaire among women with long-term musculoskeletal pain
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational Health Science and Psychology, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research.ORCID iD: 0000-0001-7558-4168
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational Health Science and Psychology, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research.ORCID iD: 0000-0002-5055-0698
University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.ORCID iD: 0000-0002-1864-5777
(English)Manuscript (preprint) (Other academic)
Abstract [en]

Objectives: To determine whether work ability and well-being predict return to work (RTW) among women with long-term neck/shoulder and/or back pain at a 1-year follow-up, and to assess the ability of the Work Ability Index (WAI) and Life Satisfaction questionnaire (LiSat-11) to discriminate between those who did RTW and those who did not RTW. 

Methods: A survey was sent to 600 women receiving time-loss benefits from the Swedish Social Insurance Agency. In total, 208 women responded at baseline, and 141 at a 1-year follow-up. To identify whether work ability and well-being predicted RTW, multiple logistic regression analyses were performed with and without adjustment for type of work and pain intensity. To assess the discriminative ability of the WAI and LiSat-11 for women who did RTW and those who did not RTW, Receiver Operating Characteristic curves were fitted.  

Results: Work ability predicted RTW, and the results remained significant after adjusting for type of work and pain intensity (OR 1.12, 95% CI: 1.04-1.22). Well-being was not significant. The WAI at baseline adequately discriminated between RTW and no RTW after one year (AUC 0.78, 95% CI 0.70-0.86), but the LiSat-11 did not.

Conclusions: Our results indicate that work ability is an important factor for RTW among women on SL for long-term neck/shoulder and/or back pain. The WAI has adequate discriminatory ability in this population, but the LiSat-11 has not.  

 

Keywords: Life satisfaction, Musculoskeletal pain, Sickness absence, Work status

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Occupational Health and Environmental Health Public Health, Global Health, Social Medicine and Epidemiology
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URN: urn:nbn:se:hig:diva-30960OAI: oai:DiVA.org:hig-30960DiVA, id: diva2:1370165
Available from: 2019-11-14 Created: 2019-11-14 Last updated: 2019-11-22Bibliographically approved
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Rashid, MamunurHeiden, MarinaNilsson, AnnikaKristofferzon, Marja-Leena

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