Analysis of factors related to granting sickness benefits to industry workers on leave due to Work-related Musculoskeletal Disorders (WMSD)
DOI:
https://doi.org/10.33448/rsd-v10i2.12346Keywords:
Musculoskeletal diseases; Occupational health; Social security.Abstract
Background: Sickness absence represents a serious problem for industry and Social Security, since many of these workers become beneficiaries by the National Social Security Institute. The relationship between the factors that lead to dismissal and granting benefits to workers in the industry has yet to be studied. Objective: To determine the relationship between social and occupational factors to granting sickness benefits to industrial workers affected by Work-related Musculoskeletal Disorders. Methods: This is a retrospective cross-sectional with quantitative approach study involving industrial workers. The data contained in the evaluation form of workers who were admitted between 2016 and 2020 in a Reference Centers in Occupational Health were used. The data were descriptively evaluated and a logistic regression model was used to estimate the factors which are related to the type of assistance granted to the workers. Results: 108 medical records of industry workers were evaluated and 56.5% received the accident-related sickness assistance benefit (B-91). Most are workers from industry with light demand (95.4%), who perform repetitive work (93.5%), intense work pace (83.3%), with the shoulder being the region most frequently affected (85.2%). The factors that were significantly related to grating accidental-related sickness benefit: time in the current occupation (OR = 1.01), work involving cervical spine flexion (OR = 4.68), participation in the rehabilitation program (OR = 31.27) and referral to specialist consultations (OR = 3.10). Conclusion: The creation of institutional programs in the industry and the implementation of public health and social security policies are necessary to manage these factors.
References
Alexopoulos, E. C., Tanagra, D., Konstantinou, E., & Burdorf, A. (2006). Musculoskeletal disorders in shipyard industry: prevalence, health care use, and absenteeism. BMC musculoskeletal disorders, 7(1), 1-10.
Brage, S. et al. (2010) Musculoskeletal disorders as causes of sick leave and disability benefits. Norwegian Medical Association Journal: Journal of Practical Medicine, 130 (23): 2369-2370.
Brasil (1991) Lei nº 8.213, 24 de julho de 1991. Dispõe sobre os Planos de Benefícios da Previdência Social e dá outras providências. Diário Oficial da União. Brasília.
Brasil (2003) Ministério da Previdência Social. Instrução Normativa nº 98, de 5 de dezembro de 2003. Aprova Norma Técnica sobre Lesões por Esforços Repetitivos - LER ou Distúrbios Osteomusculares Relacionados ao Trabalho - DORT. Diário Oficial da União. Brasília.
Brasil (2006) Ministério da Saúde. Manual de gestão e gerenciamento: Rede Nacional de Atenção Integral à Saúde do Trabalhador. Brasília.
Brasil (2009) Ministério da Saúde. Portaria nº 2.728, de 11 de novembro de 2009. Dispõe sobre a Rede Nacional de Atenção Integral à Saúde do Trabalhador (RENAST) e dá outras providências. Diário Oficial da União. Brasília.
Brasil (2012) Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Vigilância em Saúde Ambiental e Saúde do Trabalhador. Dor relacionada ao trabalho: lesões por esforços repetitivos (LER): distúrbios osteomusculares relacionados ao Trabalho (DORT). Brasília: Editora do Ministério da Saúde.
Brasil (2014) Ministério da Economia. Receita Federal do Brasil. Classificação Nacional de Atividades Econômicas (CNAE). Brasília.
Brasil (2018) Instituto Nacional de Seguridade Social - INSS. Secretaria de Políticas de Previdência Social. Coordenação-Geral de Estatística, Demografia e Atuária. Boletim Estatístico Da Previdência Social. Brasília.
Côté, P. et al. (2008) The burden and determinants of neck pain in workers. European Spine Journal, (17) 1, 60-74.
Coury, H. J. C. G., Porcatti, I. A., Alem, M. E., & Oishi, J. (2002). Influence of gender on work-related musculoskeletal disorders in repetitive tasks. International journal of industrial ergonomics, 29(1), 33-39.
Gabbay, M., Taylor, L., Sheppard, L., Hillage, J., Bambra, C., Ford, F., ... & Kelly, M. P. (2011). NICE guidance on long-term sickness and incapacity. British Journal of General Practice, 61(584), e118-e124.
Gjesdal, S., & Bratberg, E. (2003). Diagnosis and duration of sickness absence as predictors for disability pension: results from a three-year, multi-register based* and prospective study. Scandinavian journal of public health, 31(4), 246-254.
Goorts, K., Vandenbroeck, S., Rusu, D., Du Bois, M., & Godderis, L. (2018). Screening for the risk on long-term sickness absence. Journal of public health research, 7(2).
Hämmig, O., & Bauer, G. F. (2014). Work, work–life conflict and health in an industrial work environment. Occupational Medicine, 64(1), 34-38.
Hosmer, D. W., & Lemeshow, S. (2000). Applied Logistic Regression. John Wiley & Sons. New York.
Jay, K., Thorsen, S. V., Sundstrup, E., Aiguadé, R., Casaña, J., Calatayud, J., & Andersen, L. L. (2018). Fear avoidance beliefs and risk of long-term sickness absence: prospective cohort study among workers with musculoskeletal pain. Pain research and treatment, 2018.
Leinonen, T., Viikari-Juntura, E., Husgafvel-Pursiainen, K., & Solovieva, S. (2018). Cause-specific sickness absence trends by occupational class and industrial sector in the context of recent labour market changes: a Finnish panel data study. BMJ open, 8(4).
Lowe, B. D., Shaw, P. B., Wilson, S. R., Whitaker, J. R., Witherspoon, G. J., Hudock, S. D., ... & Wurzelbacher, S. J. (2017). Evaluation of a workplace exercise program for control of shoulder disorders in overhead assembly work. Journal of occupational and environmental medicine, 59(6), 563.
Maeland, S., Werner, E. L., Rosendal, M., Jonsdottir, I. H., Magnussen, L. H., Ursin, H., & Eriksen, H. R. (2012). Diagnoses of patients with severe subjective health complaints in Scandinavia: a cross sectional study. International Scholarly Research Notices, 47(4), 311-318.
Mekonnen, T. H., Lamessa, S. K., & Wami, S. D. (2019). Sickness-related absenteeism and risk factors associated among flower farm industry workers in Bishoftu town, Southeast Ethiopia, 2018: a cross-sectional study. BMC research notes, 12(1), 181.
Micheletti, J. K., Bláfoss, R., Sundstrup, E., Bay, H., Pastre, C. M., & Andersen, L. L. (2019). Association between lifestyle and musculoskeletal pain: cross-sectional study among 10,000 adults from the general working population. BMC musculoskeletal disorders, 20(1), 1-8.
Miranda, C. B. (2008) Aspectos do cenário atual da reabilitação profissional no Brasil: avanços e retrocessos. Cadernos de Saúde Pública, 34: 218717.
Negri, J. R., Cerveny, G. C. O., Montebelo, M. I. L., & Teodori, R. M. (2015) Perfil sociodemográfico e ocupacional de trabalhadores com LER/DORT: estudo epidemiológico. Revista Baiana de Saúde Pública, 38(3): 555-570.
Nilsen, S., Werner, E. L., Maeland, S., Eriksen, H. R., & Magnussen, L. H. (2011). Considerations made by the general practitioner when dealing with sick-listing of patients suffering from subjective and composite health complaints. Scandinavian journal of primary health care, 29(1), 7-12.
Nourollahi-Darabad, M. N., Mazloumi, A., Saraji, G.N., Afshari D. & Foroushani. A. R. (2018) Full shift assessment of back and head postures in overhead crane operators with and without symptoms. Journal of occupational health, 60: 46-54.
Oenning, N. S. X., Carvalho, F. M., & Lima, V. M. C. (2014). Risk factors for absenteeism due to sick leave in the petroleum industry. Revista de saude publica, 48, 103-122.
Oliveira, M. T. O. & Oliveira, A. P. (2020). A ergonomia na indústria da cerâmica: Uma avaliação ergonômica em trabalhadores. Research, Society and Development, 9(12), e25291210971.
Øyeflaten, I., Lie, S. A., Ihlebæk, C. M., & Eriksen, H. R. (2014). Prognostic factors for return to work, sickness benefits, and transitions between these states: a 4-year follow-up after work-related rehabilitation. Journal of occupational rehabilitation, 24(2), 199-212.
Palheta, C. F., & Guimarães, M. G. V. (2017) Absenteísmo por motivo de doença: um estudo em uma indústria do polo industrial de Manaus. Qualitas Revista Eletrônica, 18 (1): 01-17.
Palmer, K. T., & Smedley, J. (2007). Work relatedness of chronic neck pain with physical findings—a systematic review. Scandinavian journal of work, environment & health, 165-191.
Park, B. C., Cheong, H. K., Kim, E. A., & Kim, S. G. (2010). Risk factors of work-related upper extremity musculoskeletal disorders in male shipyard workers: structural equation model analysis. Safety and health at work, 1(2), 124-133.
Pestana, B. M., Valença, J.M, Graeser, A. E. M, & Alencar, M. C. B. (2017) The return to work of individuals with musculoskeletal disorders. Cadernos Brasileiros de Terapia Ocupacional, 25 (4), 735-742.
Putz-Anderson, V. (Ed.). (2017). Cumulative trauma disorders. CRC Press.
Silva, L. R., Galvan, L., Sakae, T. M., & Magajewski, F. R. L. (2011) Nexo técnico epidemiológico previdenciário: perfil dos benefícios previdenciários e acidentários concedidos pelo INSS na região do Vale do Itajaí (SC) antes e depois da norma. Rev Bras Med Trab, 9(2): 69-77.
Takahashi, M. A. B. C., Simonelli, A.P., Sousa, H. P., Mendes, R. W. B., & Alvarenga, M. V. A. (2010) Programa de reabilitação profissional para trabalhadores com incapacidades por LER/DORT: relato de experiência do CEREST-Piracicaba, SP. Revista Brasileira de Saúde Ocupacional, 35 (121): 100-111.
Viegas, L. R. T., & Almeida, M. M. C. (2016) Perfil epidemiológico dos casos de LER/DORT entre trabalhadores da indústria no Brasil no período de 2007 a 2013. Revista Brasileira de Saúde Ocupacional, 41.
Virtanen, M., Ervasti, J., Head, J., Oksanen, T., Salo, P., Pentti, J., ... & Kivimäki, M. (2018). Lifestyle factors and risk of sickness absence from work: a multicohort study. The Lancet Public Health, 3(11), e545-e554.
von Elm E., Altman D. G., Egger M., Pocock S. J., Gøtzsche P. C., Vandenbroucke J. P., & STROBE Initiative. (2008) Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol., 61(4): 344-349.
Zebis, M. K., Andersen, L. L., Pedersen, M. T., Mortensen, P., Andersen, C. H., Pedersen, M. M., & Sjøgaard, G. (2011). Implementation of neck/shoulder exercises for pain relief among industrial workers: a randomized controlled trial. BMC musculoskeletal disorders, 12(1), 1-9.
Zhou Y. C., Zheng H. Y., Liu H. Z., Pan W. N., Feng J. Q., Liu X. X. (2018) The correlation of Occupational musculoskeletal disorders and occupational safety behaviors in assembly line workers. Chinese journal of industrial hygiene and occupational diseases, 36(7):516-519.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Leonildo Santos do Nascimento Júnior; Roberta de Fátima Carreira Moreira Padovez; Lorenna Marinho Ferreira; Eleazar Marinho de Freitas Lucena; Catarina de Oliveira Sousa
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
