OBJECTIVE:The objective of this study was to identify clinical and social predictors of application for Social Security Disability Insurance (SSDI) in workers' compensation claimants with low back pain. METHODS:Archival and interview data were analyzed for 1372 Missouri claimants who were, on average, nearly 42 months postinjury. RESULTS:Two hundred sixty-five (19.3%) claimants were receiving SSDI (8.0%) or had applied for SSDI (11.3%). Logistic regression indicated that black race, older age, herniated disc diagnosis, surgery, and longer time since injury were associated with increased odds of SSDI. Higher preinjury wage, more education, and higher satisfaction with medical treatment and/or treatment by employer were associated with decreased odds of SSDI. CONCLUSIONS:Application for SSDI among claimants with occupational low back pain is associated with social factors like race, satisfaction, and socioeconomics as well as clinical factors like diagnosis and surgery.

译文

目的:本研究的目的是确定在腰背痛的工伤索赔人中申请社会保障残疾保险的临床和社会预测指标。
方法:分析了密苏里州1372名索赔人的档案和访谈数据,他们平均受伤后将近42个月。
结果:265名(19.3%)索赔人正在接受SSDI(8.0%)或已申请SSDI(11.3%)。 Logistic回归表明,黑人种族,年龄较大,椎间盘突出症,手术以及自受伤以来的较长时间与SSDI几率增加相关。更高的伤害前工资,更多的教育以及对医疗和/或雇主待遇的更高满意度与降低SSDI的几率相关。
结论:在职业性下腰痛的索赔人中申请SSDI与种族,满意度和社会经济学等社会因素以及诊断和手术等临床因素有关。

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