Under-reporting of non-fatal occupational injuries among precarious and non-precarious workers in Sweden
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
Under-reporting of non-fatal occupational injuries among precarious and non-precarious workers in Sweden. / Kreshpaj, Bertina; Bodin, Theo; Wegman, David H; Matilla-Santander, Nuria; Burstrom, Bo; Kjellberg, Katarina; Davis, Letitia; Hemmingsson, Tomas; Jonsson, Johanna; Håkansta, Carin; Orellana, Cecilia.
In: Occupational and Environmental Medicine, Vol. 79, No. 1, 2022, p. 3-9.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Under-reporting of non-fatal occupational injuries among precarious and non-precarious workers in Sweden
AU - Kreshpaj, Bertina
AU - Bodin, Theo
AU - Wegman, David H
AU - Matilla-Santander, Nuria
AU - Burstrom, Bo
AU - Kjellberg, Katarina
AU - Davis, Letitia
AU - Hemmingsson, Tomas
AU - Jonsson, Johanna
AU - Håkansta, Carin
AU - Orellana, Cecilia
N1 - © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ.
PY - 2022
Y1 - 2022
N2 - BACKGROUND: Under-reporting of occupational injuries (OIs) among precariously employed workers in Sweden challenges effective surveillance of OIs and targeted preventive measures.OBJECTIVE: To estimate the magnitude of under-reporting of OIs among precarious and non-precarious workers in Sweden in 2013.METHODS: Capture-recapture methods were applied using the national OIs register and records from a labour market insurance company. Employed workers 18-65 resident in Sweden in 2013 were included in the study (n=82 949 OIs). Precarious employment was operationalised using the national labour market register, while injury severity was constructed from the National Patient Register. Under-reporting estimates were computed stratifying by OIs severity and by sociodemographic characteristics, occupations and precarious employment.RESULTS: Under-reporting of OIs followed a dose-response pattern according to the levels of precariousness (the higher the precarious level, the higher the under-reporting) being for the precarious group (22.6%, 95% CI 21.3% to 23.8%), followed by the borderline precarious (17.6%, 95% CI 17.1% to 18.2%) and lastly the non-precarious (15.0%, 95% CI 14.7% to 15.3%). Under-reporting of OIs, decreased as the injury severity increased and was higher with highest level of precariousness in all groups of severity. We also observed higher under-reporting estimates among all occupations in the precarious and borderline precarious groups as compared with the non-precarious ones.CONCLUSIONS: This is the first register-based study to empirically demonstrate in Sweden that under-reporting of OIs is 50% higher among precariously employed workers. OIs under-reporting may represent unrecognised injuries that especially burden precariously employed workers as financial, health and social consequences shift from the employer to the employee.
AB - BACKGROUND: Under-reporting of occupational injuries (OIs) among precariously employed workers in Sweden challenges effective surveillance of OIs and targeted preventive measures.OBJECTIVE: To estimate the magnitude of under-reporting of OIs among precarious and non-precarious workers in Sweden in 2013.METHODS: Capture-recapture methods were applied using the national OIs register and records from a labour market insurance company. Employed workers 18-65 resident in Sweden in 2013 were included in the study (n=82 949 OIs). Precarious employment was operationalised using the national labour market register, while injury severity was constructed from the National Patient Register. Under-reporting estimates were computed stratifying by OIs severity and by sociodemographic characteristics, occupations and precarious employment.RESULTS: Under-reporting of OIs followed a dose-response pattern according to the levels of precariousness (the higher the precarious level, the higher the under-reporting) being for the precarious group (22.6%, 95% CI 21.3% to 23.8%), followed by the borderline precarious (17.6%, 95% CI 17.1% to 18.2%) and lastly the non-precarious (15.0%, 95% CI 14.7% to 15.3%). Under-reporting of OIs, decreased as the injury severity increased and was higher with highest level of precariousness in all groups of severity. We also observed higher under-reporting estimates among all occupations in the precarious and borderline precarious groups as compared with the non-precarious ones.CONCLUSIONS: This is the first register-based study to empirically demonstrate in Sweden that under-reporting of OIs is 50% higher among precariously employed workers. OIs under-reporting may represent unrecognised injuries that especially burden precariously employed workers as financial, health and social consequences shift from the employer to the employee.
KW - Adult
KW - Data Collection/methods
KW - Employment/statistics & numerical data
KW - Female
KW - Humans
KW - Insurance Claim Reporting
KW - Male
KW - Middle Aged
KW - Occupational Injuries/statistics & numerical data
KW - Patient Acuity
KW - Registries
KW - Socioeconomic Factors
KW - Sweden/epidemiology
U2 - 10.1136/oemed-2021-107856
DO - 10.1136/oemed-2021-107856
M3 - Journal article
C2 - 34544894
VL - 79
SP - 3
EP - 9
JO - Occupational and Environmental Medicine
JF - Occupational and Environmental Medicine
SN - 1351-0711
IS - 1
ER -
ID: 327061457