An Approach to Assess the Burden of Work-Related Injury, Disease, and Distress

American Journal of Public Health
Paul SchulteG R Wagner

Abstract

The true burden (morbidity, mortality, disability, cost, pain, distress) of occupational and work-related diseases and injuries is unknown, and what is reported as burden is significantly underestimated. This underestimation affects the way decision-makers view investments in research and worker protection, which in turn has a substantial impact on national welfare and public health. To better describe the societal and individual burdens of occupational and work-related diseases and injuries, we propose an approach to gauge what is known about burden and where new assessments may be made. This approach consists of 4 elements to consider in burden assessments: (1) utilizing multiple domains, including the individual worker, the worker's family, the community in which the workplace is located, the employer, and society as a whole; (2) taking a broader view of the work-relatedness of disease and injury; (3) assessing the impact of the entire working-life continuum; and (4) applying the comprehensive concept of "well-being" as an indicator in addressing contemporary changes in the nature of work, the workplace, and the workforce. Further research on burden and enhanced surveillance is needed to develop these elements.

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Citations

Feb 9, 2018·Journal of Occupational and Environmental Medicine·Paul A SchulteSara L Tamers
Oct 11, 2017·American Journal of Industrial Medicine·Paul A SchulteLauren Menger-Ogle
Mar 5, 2019·Journal of Occupational and Environmental Medicine·Kyoung-Sae Na, Eunkyong Kim
Jan 30, 2020·Annals of Work Exposures and Health·Andrew KalweitDiana M Ceballos
Apr 26, 2019·Medical Care Research and Review : MCRR·Jeanne M SearsNorma B Coe
Jan 19, 2018·American Journal of Public Health·Emily Quinn AhonenMichael Flynn
May 14, 2019·Anthropology of Work Review : AWR·Michael A Flynn
Mar 28, 2019·Annals of Work Exposures and Health·Sarah A FelknorJohn Howard
Feb 27, 2020·Contact Dermatitis·Valerie AndreesUNKNOWN ROQ-Study group
Dec 11, 2019·International Journal of Environmental Research and Public Health·Paul A SchulteL Casey Chosewood
Jan 20, 2020·American Journal of Lifestyle Medicine·Rebecca J Guerin, David A Sleet

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