Association between the return-to-work hierarchy and self-rated health, self-esteem, and self-efficacy

  • Inchul Jeong
  • Jin-Ha Yoon
  • Jaehoon Roh
  • Jeongbae Rhie
  • Jong-Uk WonEmail author
Original Article



This study aimed to examine whether change of employer and/or job upon return-to-work after work-related injuries and diseases is related to health outcomes; self-rated health, self-esteem, and self-efficacy were used as indicators.


Data from the Panel Study of Workers’ Compensation Insurance in Korea were used. A total of 1,610 workers who had returned to work after work-related injuries and diseases were included. The workers were divided into four groups according to their return-to-work characteristics: same employer, same job (n = 660); same employer, different job (n = 57); different employer, same job (n = 318); and different employer, different job (n = 575). Self-rated health, Rosenberg Self-Esteem Scale, and Self-Efficacy Scale scores were used as outcome variables. Logistic regression analysis was used.


Compared to workers who had returned to the same employer and same job, those who had returned to the same employer but a different job were less likely to report good self-rated health (odds ratio [OR] 0.54; confidence interval [CI] 0.30–0.97). Those returning to a different employer but the same job were less likely to report good self-rated health (0.47, 0.35–0.64) and high self-esteem (0.73, 0.55–0.96). Those returning to a different employer and different job were less likely to report good self-rated health (0.49, 0.38–0.63), high self-esteem (0.68, 0.54–0.86), and high self-efficacy (0.66, 0.52–0.83).


Change of employer and/or job related to health outcomes. Returning to the same employer and same job should be set as a goal in the vocational rehabilitation process.


Return-to-work Self-efficacy Self-esteem Vocational rehabilitation Occupational health 



The authors would like to thank the Labor Welfare Research Center of Korea Workers’ Compensation and Welfare Service for making this study possible by providing the data from the Panel Study of Workers Compensation Insurance.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Research involving human participants

The Institutional Review Board of Yonsei University Health System approved this study (Y-2017-0017).

Informed consent

Informed consent was obtained from all of the participants.

Supplementary material

420_2019_1406_MOESM1_ESM.docx (21 kb)
Supplementary material 1 (DOCX 21 KB)


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Occupational and Environmental MedicineAjou University School of MedicineSuwonSouth Korea
  2. 2.Department of Preventive Medicine and Public Health, Graduate School of Public Health, Institute for Occupational HealthYonsei University College of MedicineSeoulSouth Korea
  3. 3.Incheon Workers’ Health CenterIncheonSouth Korea
  4. 4.Department of Occupational and Environmental MedicineDangook University College of MedicineCheonanSouth Korea

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