Quality of life at 6 years after occupational injury
Occupational injuries have considerable impact on workers’ lives. However, data regarding workers’ health-related quality of life (HRQOL) at several years after the injury are lacking. This study assessed workers’ HRQOL at 6 years after occupational injury and determined related factors in each HRQOL domain.
Workers who sustained an occupational injury in 2009 and who responded to a previous survey at 3 or 12 months after their injury were followed up in 2015. A total of 1715 participants were candidates for this study. The Taiwanese version of the World Health Organization Quality of Life scale-abbreviated version (WHOQOL-BREF) was used to assess their HRQOL. Multiple linear regression analysis identified predictive factors for HRQOL at 6 years after occupational injury.
A total of 563 workers completed the questionnaire (response rate, 32.8%). Adverse life events and additional severe occupational injuries that occurred within the follow-up period, and decreased salary after the injury were significant factors for low scores in all domains of the WHOQOL-BREF. In addition, unmarried participants had low scores in the social relationship domain. Workers with family members requiring care scored low in the physical and environment domains. Workers whose injuries had major effects on their physical appearance had low scores in the physical and psychological domains. Workers with unstable employment had low scores in physical, psychological, and environment domains.
At 6 years after occupational injury, workers’ HRQOL was poor among those whose salaries decreased after the injury, after adjustment for other factors.
KeywordsQuality of life Occupational injury Workers Unemployment Decreased salary
Our special thanks to all participating nurses for their time and efforts, to make this study possible.
This work was supported by Ministry of Science and Technology, R.O.C. (Taiwan) Grant MOST 103-2314-B-002-042.
- 3.The Internal Labour Orgnization. (2011). ILO introductory report: Global trends and challenges on occupational safety and health: XIX World Congress on Safety and Health at Work: Istanbul, Turkey, 11–15 September 2011, 19th World Congress on Safety and Health at Work Istanbul, Turkey 2011. Geneva: ILO.Google Scholar
- 4.Larsson, T. J., & Björnstig, U. (1995). Persistent medical problems and permanent impairment five years after occupational injury. Scandinavian Journal of Public Health, 23(2), 121–128.Google Scholar
- 6.Lin, K.-H., Shiao, J. S.-C., Guo, N.-W., Liao, S.-C., Kuo, C.-Y., Hu, P.-Y., Hsu, J.-H., Hwang, Y.-H., & Guo, Y. L. (2014). Long-term psychological outcome of workers after occupational injury: Prevalence and risk factors. Journal of Occupational Rehabilitation, 24(1), 1–10.CrossRefPubMedGoogle Scholar
- 11.The World Health Organization. (1997). WHOQOL: Measuring quality of life. The World Health Organization Quality of Life Instruments (The WHOQOL-100 and The WHOQOL-BREF) Retrieved Oct 20th, 2016, from http://www.who.int/mental_health/media/68.pdf.
- 14.Salah Eldin, W., Hirshon, J. M., Smith, G. S., Kamal, A.-A. M., Abou-El-Fetouh, A., & El-Setouhy, M. (2012). Health-related quality of life after serious occupational injury in Egyptian workers: A cross-sectional study. British Medical Journal Open, 2(6), e000413.Google Scholar
- 26.SAS Institute Inc. (2012). JMP 10.0 Cary, North Carolina SAS Institute Inc.Google Scholar
- 27.Aberg, F., Rissanen, A. M., Sintonen, H., Roine, R. P., Höckerstedt, K., & Isoniemi, H. (2009). Health-related quality of life and employment status of liver transplant patients. Liver transplantation: Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society, 15(1), 64–72.CrossRefGoogle Scholar
- 28.Rueda, S., Raboud, J., Plankey, M., Ostrow, D., Mustard, C., Rourke, S. B., Jacobson, L. P., Bekele, T., Bayoumi, A., Lavis, J., Detels, R., & Silvestre, A. J. (2012). Labor force participation and health-related quality of life in HIV-positive men who have sex with men: The multicenter AIDS cohort study. AIDS and Behavior, 16(8), 2350–2360.CrossRefPubMedPubMedCentralGoogle Scholar
- 29.Yang, S.-C., Lai, W.-W., Hsiue, T.-R., Su, W.-C., Lin, C.-K., Hwang, J.-S., & Wang, J.-D. (2016). Health-related quality of life after first-line anti-cancer treatments for advanced non-small cell lung cancer in clinical practice. Quality of Life Research, 25(6), 1441–1449.CrossRefPubMedGoogle Scholar
- 30.Chiang, C.-C., Guo, S.-E., Huang, K.-C., Lee, B.-O., & Fan, J.-Y. (2016). Trajectories and associated factors of quality of life, global outcome, and post-concussion symptoms in the first year following mild traumatic brain injury. Quality of Life Research, 25(8), 2009–2019.CrossRefPubMedGoogle Scholar
- 32.Yang, S.-C., Kuo, P.-W., Wang, J.-D., Lin, M.-I., & Su, S. (2005). Quality of life and its determinants of hemodialysis patients in Taiwan measured with WHOQOL-BREF(TW). American Journal of Kidney Diseases, 46(4), 635–641.Google Scholar