The relationship between job insecurity and accident under-reporting: A test in two countries

Impact of benzodiazepine use on the risk of occupational accidents

Benzodiazepines (BZDs) are drugs commonly used for treating insomnia and anxiety. Although they are known to induce cognitive and psychomotor impairments, their effect on the risk of causing accidents at work remains understudied. The objective of this study is to estimate this risk by differentiating between the recommended use and overuse of these drugs (i.e., uninterrupted use for four months). The data come from the French National Health Data System, which provide a population composed of French people who had at least one work accident (WA) from 2017 to 2019 (approximately 2.5 million people). A linear probability model with two-way fixed effects is used to deal with time-constant heterogeneity and the time effect independent of individuals. The results show a reduction in the risk of WA after a short period of BZD use (one month) compared with no use at all, but the risk of WA increases when treatment exceeds the recommended duration. The intensity of use results in a greater risk of WAs: a 1% increase in BZD use (expressed as the amount reimbursed) leads to a 4.4% (p<0.001) increase in the monthly risk of WAs. Moreover, we see an increase in risk in the month following the treatment discontinuation (+3.6%, p<0.001), which could be due to rebounding and catch-up effects. Health professionals and BZD users should be made aware of the WA risk induced by the use of BZDs, particularly after prolonged use and after discontinuation of treatment. This study provides more evidence for the need to limit the duration of BZD treatment.

Formal evaluation of construction safety performance metrics and a case for a balanced approach

INTRODUCTION

Measuring safety performance is crucial to making informed decisions that improve construction safety management. Traditional approaches to construction safety performance measurement primarily focus on injury and fatality rates, but researchers have recently proposed and tested alternative metrics such as safety leading indicators and safety climate assessments. Although researchers tend to extol the benefits of alternative metrics, they are studied in isolation and the potential weaknesses are rarely discussed, leaving a critical gap in knowledge.

METHOD

To address this limitation, this study aimed to evaluate existing safety performance against a set of pre-determined criteria and explore how multiple metrics may be used together to optimize strengths and offset weaknesses. For a well-rounded evaluation, the study included three evidence-based assessment criteria (i.e., the extent to which the metric is predictive, objective, and valid) and three subjective criteria (i.e., the extent to which each metric is clear, functional, and important). The evidence-based criteria were evaluated using a structured review of existing empirical evidence in literature, while the subjective criteria were evaluated using expert opinion solicited through the Delphi method.

RESULTS

The results revealed that no construction safety performance measurement metric is strong in all evaluation criteria, but many weaknesses may be addressed through research and development. It was also demonstrated that combining multiple complementary metrics may result in a more complete evaluation of the safety systems because multiple metrics offset respective strengths and weaknesses.

PRACTICAL APPLICATIONS

The study provides a holistic understanding of construction safety measurement that may guide safety professionals in their selection of metrics and assist researchers who seek more reliable dependent variables for intervention testing and safety performance trending.

Measuring Safety Culture Using an Integrative Approach: The Development of a Comprehensive Conceptual Framework and an Applied Safety Culture Assessment Instrument

An exponential amount of academic research has been dedicated to the safety culture concept, but still, no consensus has been reached on its definition and content. In general, safety culture research lacks an interdisciplinary approach. Furthermore, although the concept of safety culture is characterised by complexity and multifacetedness, the safety culture concept has been characterised by reductionism, where models and theories simplify the concept in order to better grasp it, leading to confined approaches. In this article, the multifacetedness of safety culture is acknowledged, and the topic is addressed from a safety science perspective, combining insights from multiple academic disciplines. An integrative and comprehensive conceptual framework to assess safety culture in organisations is developed, taking into account the limitations of existing models, as well as the needs of the work field. This conceptual framework is called the 'Integrated Safety Culture Assessment' (ISCA), where the 'assessment' refers to its practical usability. The practical rendition of ISCA can be used to map the safety culture of an organisation and to formulate recommendations in this regard, with the ultimate goal of bringing about a change towards a positive safety culture. The comprehensiveness of ISCA lies in the inclusion of technological factors, organisational or contextual factors and human factors interacting and interrelating with each other, and in considering both observable or objective safety-related aspects in an organisation, and non-observable or subjective safety-related aspects. When using ISCA, organisational safety culture is assessed in an integrative way by using a variety of research methods involving the entire organisation, and by taking into account the specific context of the organisation.

Differences in workers' compensation claim rates for within-province and out-of-province workers in British Columbia, Canada, 2010-2017

BACKGROUND

Little is known about the work-related injury and illness risk of out-of-province workers. This study examines whether there are differences in work-related injury and illness claim rates between within-province and out-of-province workers in British Columbia (BC), Canada.

METHODS

Workers' compensation claim data for injuries and illnesses in BC from 2010 to 2017 were linked with denominator data from Statistics Canada. Multivariable negative binomial regression estimated the claim rate ratio (RR) and 95% confidence intervals (CI) for out-of-province workers with all, health care-only (HCO), short-term disability, long-term disability, and fatality (SLF), and serious injury (SI) claims, compared to within-province workers.

RESULTS

Compared to within-province workers, out-of-province workers had a lower total claim rate (RR: 0.54, 95% CI: 0.52-0.57), adjusting for sex, age, industry sector, and year. Differences in rates differed by claim type, with the largest differences for HCO claims (RR: 0.49, 95% CI: 0.47-0.52) and smallest differences for SI claims (RR: 0.85, 95% CI: 0.78-0.92). Sex-stratified models showed larger differences for males than females, with older female out-of-province workers having elevated SI claim rates. Industry-specific models showed that, even in sectors with high proportions of out-of-province workers' claims, these workers have lower claim rates than within-province workers.

CONCLUSIONS

Out-of-province workers generally have lower claim rates than within-province workers. The overall duration of work exposure, and underreporting or underclaiming, are factors that may explain these lower claim rates. Understanding the determinants and differences of these claim rates may improve the administration and adjudication of claims while also identifying where further prevention measures may be merited.

OUP accepted manuscript

Using data from the Swedish Products Register, hosted by the Swedish Chemicals Agency (KemI), national occupational injury and disease statistics, and call records from the Swedish Poisons Information Centre (PIC) we characterize health hazards of marketed cleaning products and recorded injuries, disease, and incidents linked to cleaning or disinfection agents. The results show that cleaning agents pose many kinds of health hazards, although corrosion and irritation hazards dominate, in particular for the eyes (54% of all included products). Few products were recognized as inhalation hazards. The nature of the health hazards is reflected in the occupational disease and injury statistics and PIC records for eyes and skin but not for the respiratory tract. Among occupational disease cases attributed to cleaning or disinfection agents, 61% concern skin and 26% the respiratory tract. Among occupational injury cases 64% concern chemical burns. However, only a small part (<0.5%) of all reported diseases and injuries were explicitly attributed to cleaning or disinfection agents. On average, there were 11 cases of disease attributed to cleaning or disinfection agents per million workers and year. For occupational injuries the corresponding number was 8. The data concern a broad range of sectors and occupations, but notable sectors were healthcare, accommodation and food service, and manufacturing. Women were more likely to suffer from disease, men and women equally likely to suffer from injury. PIC cases were evenly distributed between men and women, but the clear risk cases more frequently involved men. Occupational diseases increased many-fold in 2020 while injuries decreased, which could be due to COVID-19 changing use patterns of cleaning and disinfection agents at work. We conclude that cleaning agents pose a variety of risks to a large part of the workforce, although particular attention for preventive efforts may need to be directed to the healthcare, accommodation and food service, and manufacturing sectors.

Why Workers Hesitate to Report Their Work-Related Musculoskeletal Symptoms: A Survey at a Korean Semiconductor Company

Underreporting work-related musculoskeletal disorders (WRMSD) has been an issue in South Korea. The purpose of this survey was to figure out how many employees of a semiconductor and liquid crystal display company in South Korea experience WRMSDs and what the possible obstacles in reporting to the company are. A survey was developed with demographic questions, perceived WRMSD symptoms, and reasons for reporting or not reporting WRMSD. The survey was distributed via the company's intranet to all employees (24,380) whose employee identification number ended with an odd number. A total of 2862 employees completed the survey and the response rate was 11.7%. A total of 55.2% of respondents had felt at least one musculoskeletal symptom during the past year. More than 40% of workers who had experienced pain or discomfort during the past year thought their symptoms were more than 50%. work-related. More than one-fourth of respondents answered that they did not report their symptoms to the company more than once. The open-ended answers for not reporting WRMSD were categorized into seven common reasons. The reasons for not reporting WRMSD in previous studies show a combination of personal, organizational, socioeconomical, and cultural factors. To encourage and manage WRMSD effectively, seven recommendations of authors are described.

Under-reporting of non-fatal occupational injuries among precarious and non-precarious workers in Sweden

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.

Occupational Health Physiotherapy (OHP) Practice: A Comparison between Japan and Australia

OBJECTIVE

This study aimed to adapt a pre-existing cross-country comparison (CCC) model to Occupational Health Physiotherapy (OHP) practice as a basis for locating and examining contextual factors that may influence OHP practice in Japan and Australia.

METHOD

A secondary analysis was conducted of existing publicly-available data on OHP and related influential factors, following the five components of the CCC model: work-related legislation; labor market characteristics; culture; physiotherapy practice norms; and organization of OHP practice.

RESULTS

Legislation in both countries promotes safe work and rehabilitation of work injured/ill workers. 2019 unemployment was lower in Japan with higher employment protection than Australia. Both countries have an ageing workforce and rising retirement age. Cultural differences relate to higher long-term orientation and uncertainty avoidance in Japan. Australia has higher individualism and physiotherapists are autonomous practitioners with direct access, which differs from Japan. Both countries have a national OHP subgroup, to date only Australia has OHP professional practice standards.

DISCUSSION

This study is the first to compare OHP practice in Japan and Australia. Contextual similarities and differences observed may underpin OHP practitioner role and its enhancement in work-related musculoskeletal disorder prevention and management strategies, the return-to-work process, and development of this physiotherapy discipline nationally.

CONCLUSION

Adapting the CCC model to OHP practice enabled a structured exploration of resources and data, from which to extract and compare contextual factors that may shape OHP practice in Japan and Australia. This in turn may provide a useful springboard for further discussion about OHP practice internationally.

Masculine Gender Norms and Adverse Workplace Safety Outcomes: The Role of Sexual Orientation and Risky Safety Behaviors

The current study tested the proposition that higher conformity to masculine gender norms (CMGN) is associated with increased safety risk-taking behaviors, which in turn are related to more accidents, injuries, and higher levels of accident underreporting. Additionally, we proposed that sexual minority status would exacerbate the relationship between conformity to masculine gender norms and safety risk-taking behaviors. Using two-wave lagged survey data obtained from N = 403 working adults, findings supported the proposed moderated-mediation model. High conformity to masculine gender norms was associated with increased safety risk-taking behaviors, accidents, injuries, and accident underreporting. Moreover, the relationship between CMGN and safety-risk-taking behaviors was stronger among homosexual men compared to their heterosexual counterparts. Additionally, safety risk-taking behaviors mediated the relationship between CMGN and safety outcomes. Finally, this indirect effect was stronger among homosexual men. Combined, these findings suggest that CMGN adversely impacts employee safety outcomes via safety-related risk-taking. We discuss these implications as well as the need for interventions designed to decrease risk taking behaviors in light of CMGN, particularly among sexual minorities.

Developing, Validating and Implementing Performance Metrics to Evaluate the Health and Safety Performance of Sustainable Building Projects

IntroductionThis research aims to develop, validate and implement health and safety performance metrics to evaluate the health and safety performance of sustainable building projects throughout their design and construction in Manitoba.MethodsThirty-four metrics were developed following a detailed literature review and validated by expert judgment based on analytic soundness, practicality and predictability. Only 25 metrics satisfied these criteria, of which five metrics were implemented via data collected on seven sustainable buildings and seven non-sustainable ones.ResultsThe results showed that sustainable building projects had 12.7% higher recordable injuries rates than non-sustainable ones, although the difference was statistically insignificant. Findings from this research showed that for sustainable building and non-sustainable ones, PM19, "The percentage of workers with unsafe behaviour based on conducted safety observations" had a statistically significant and strong negative correlation with PM 8 "The percentage of workers who attended safety meetings" and with PM 21, "The percentage of the total workdays in which safety meeting were held".ConclusionThe findings of this research can be used by general contractors and safety practitioners looking to enact evidence-based guidance to manage safety proactively onsite and improve health and safety performance of their sustainable building projects.

Assessment of the effects of supervisor behaviour, safety motivation and perceived job insecurity on underground miner’s safety citizenship behaviour

Purpose

This paper aims to investigate the effect of mining supervisor behaviour, safety motivation and perceived job insecurity on Ghanaian underground miner’s safety citizenship behaviour.

Design/methodology/approach

The authors proposed a conceptual framework that tested supervisor behaviour as an independent variable, safety motivation as a mediator variable, perceived job insecurity as a moderator variable and safety citizenship behaviour as a dependent variable. The authors tested the hypothesized relationships using 351 valid responses collected through a structured questionnaire using hierarchical regression analysis.

Findings

Results revealed that both components of supervisor behaviour significantly influenced safety motivation and safety citizenship behaviour. Furthermore, safety motivation could mediate the relationships between both components of supervisor behaviour and safety citizenship behaviour. Also, perceived job insecurity failed to moderate the relationship between safety motivation and safety citizenship behaviour.

Originality/value

This current study is vital for managerial practices. The complex conceptual framework also contributes to offering different ways of understanding how supervisors’ behaviours can catalyze improvement or worsen safety outcomes.

Gender differences in experience and reporting of acute symptoms among cleaning staff

BACKGROUND

Cleaning tasks pose risks of hazardous chemical exposure and adverse health effects for cleaning workers. We examined gender differences among cleaning staff in the experience of chemical-related symptoms and in reporting to supervisors.

METHODS

We analyzed cross-sectional reports from 171 university hospital or campus cleaning staff on chemical exposures to cleaning products, experience of acute symptoms, reporting of symptoms to supervisors, as well as demographic and psychosocial factors (risk perception, job demand/control, supervisor/co-worker support, and safety climate). Results were analized using multivariable logistic regression, adjusting for demographic, job, and psychosocial factors. Interactions of gender and psychosocial variables were also examined.

RESULTS

Men and women reported different frequencies for exposure-related tasks. Acute symptoms of chemical exposure were more prevalent in women compared with men (46.0% vs. 25.4%; adjusted odds ratio [OR] = 2.63; 95% confidence interval [CI] 1.27-5.46). Women were more concerned about exposure to cleaning chemicals (p = 0.029) but reported symptoms to their supervisor less often than men (18.5% vs. 40.6%, adjusted OR = 0.28; 95% CI 0.09-0.93). More supervisor support was significantly associated with less frequent symptom experience among women (OR = 0.83; 95% CI 0.70-0.99). Asian workers and less educated workers were less likely than others to report symptoms to supervisors. Gender differences in symptom reporting to supervisors were not explained by psychosocial factors.

CONCLUSIONS

Women may have increased susceptibility or perception of symptoms from cleaning compared to men, but this may be mitigated by supervisor support. Female Asian workers with lower education may perceive more significant barriers in reporting work-related symptoms to supervisors. Further research is needed to explore factors related to underreporting.

Identifying Farmer Workplace Injury Risk Factors in Ireland Using Farm Accounts Data

Identification of occupational workplace injury risk factors is dependent on gaining sufficient and reliable data on both injury occurrence and associated workplace factors. Assessing workplace injury risk factors associated with farming is challenged by non-collection, non-reporting, or under-reporting by farmers, particularly those operating family farms in a self-employed manner. A supplementary (or add-on) farm operator (FO) workplace injury survey was undertaken in association with the Irish National Farm Survey (NFS), which is responsible for provision of Irish farm-level data to the European Commission (EC) Farm Accountancy Data Network (FADN). Data from this add-on survey were analyzed in association with farm and socio-economic data routinely collected by NFS as a component of the FADN. The combined data-set was analyzed using both descriptive and inferential statistical techniques including multivariate logistic regression to identify risk factors for occurrence of farm operator workplace injuries (FOWI). FOWI levels were significantly higher on farms where both the FO and their spouse engaged in Off Farm Employment (OFE). More generally, FO injury levels were associated with farm workload and investment levels. The study demonstrates how FADN farm and socio-economic data can be combined with additional FO workplace injury data to identify workplace injury risk factors. The study identifies a risk factor for FOWI occurrence where both FO and spouse engaged in OFE. More generally, it indicates that farm workplace injuries are associated with farm management-related factors.

Economic stress, emotional contagion and safety outcomes: A cross-country study

BACKGROUND

Economic instability produced by financial crises can increase employment-related (i.e., job insecurity) and income-related (i.e., financial stress) economic stress. While the detrimental impact of job insecurity on safety outcomes has been extensively investigated, no study has examined the concurrent role of financial stress let alone their emotion-related predictors.

OBJECTIVE

The present cross-country research sought to identify the simultaneous effects of affective job insecurity and financial stress in predicting employee safety injuries and accidents under-reporting, and to examine the extent to which emotional contagion of positive/negative emotions at work contribute to the level of experienced economic stress.

METHODS

We performed multi-group measurement and structural invariance analyses.

RESULTS

Data from employees in the US (N = 498) and Italy (N = 366) suggest that financial stress is the primary mediator between emotional contagion and poor safety outcomes. Moreover, greater anger-contagion predicted higher levels of financial strain and job insecurity whereas greater joy-contagion predicted reduced economic stress.

CONCLUSIONS

Our findings support the relevance of considering the concurrent role of income-and employment-related stressors as predictors of safety-related outcomes. Theoretical and practical implications for safety are discussed in light of the globally increasing emotional pressure and concerns of income- and employment-related economic stress in today's workplace, particularly given the recent pandemic spread of the coronavirus disease (COVID-19).

The institutionalization of part-time work: Cross-national differences in the relationship between part-time work and perceived insecurity

We propose an institutionalization of part-time work model to account for the cross-national variation in workers' perceptions of insecurity in their jobs and in the labor market, arguing that part-time work is institutionalized as high quality or marginal employment depending on the extent to which it is voluntary, gendered, and legally protected. Using heterogeneous choice models on 2005 ISSP data linked to country-level characteristics, we find that the relationship between part-time work and insecurity is gendered and contingent upon the type of insecurity (cognitive job insecurity, labor market insecurity, or affective job insecurity) and whether or not one works part-time on a voluntary basis. At the individual level, working in a part-time job is associated with greater cognitive job insecurity but lower labor market and affective job insecurity. At the national level, the expected negative association between the part-time work rate and insecurity is most consistent for affective job insecurity. The findings also indicate that the strength of the association between working in a part-time job and insecurity varies by the national institutional context of part-time work, including the degree of gender segregation of part-time work and legal protections for part-time workers. Overall, the results from this study provide support for our institutionalization of part-time work perspective. Part-time work is not inherently secure or insecure employment. The amount of insecurity associated with this type of non-standard work is contingent upon the prevailing local myths or scripts that structure the ways that the state, employers, and workers view part-time work.

Total disability days in interprovincial and home-province workers injured in Alberta, Canada: A mixed-methods study with matched-pair analysis of compensation data and participant interviews

INTRODUCTION

Workers moving between states or provinces to find employment are reported to take longer to return to work after the injury.

METHODS

The Alberta Workers Compensation Board (WCB) identified all workers from four Canadian Atlantic provinces who sustained a work injury in Alberta resulting in greater than 5 total temporary disability days (TTDDays) from January 2015 to June 2017. Each was matched on sex, age, and injury date with an Alberta claimant also with greater than 5 TTDDays. WCB information extracted included employment, injury, cost and place of treatment, and modified work. Cox regression identified factors associated with TTDDays. Semi-structured interviews were also undertaken.

RESULTS

Two-hundred forty pairs were identified and 60 interviews completed. Those from the Atlantic provinces had more TTDDays (median 63 days) than Alberta (median 22 days) with an unadjusted hazard ratio (HR) 0.50 (95% confidence interval [CI], 0.42-0.61). When adjusted for all factors, the HR moved closer to unity (HR = 0.62; 95% CI, 0.50-0.76). Total health care costs were the strongest predictor, with modified work, injury type, and claim status also explanatory factors. Among the Atlantic workers, leaving Alberta for treatment was strongly related to a lower likelihood of ending wage replacement (HR = 0.45; 95% CI, 0.32-0.62). Participants in the interview study emphasized the importance of returning to the family after injury and the financial difficulties of maintaining a second home with reduced income after the injury.

CONCLUSION

The higher costs of wage replacement associated with extended time off work may be inherent to the practice of employing out-of-province workers for jobs for which there is a shortage of local labor.

A review and critique of academic lab safety research

Over the past ten years, there have been several high-profile accidents in academic laboratories around the world, resulting in significant injuries and fatalities. The aftermath of these incidents is often characterized by calls for reflection and re-examination of the academic discipline's approach to safety research and policy. However, the study of academic lab safety is still underdeveloped and necessary data about changes in safety attitudes and behaviours has not been gathered. This Review article critically examines the state of academic chemical safety research from a multifactorial stance, including research on the occurrence of lab accidents, contributors to lab accidents, the state of safety training research and the cultural barriers to conducting safety research and implementing safer lab practices. The Review concludes by delineating research questions that must be addressed to minimize future serious academic laboratory incidents as well as stressing the need for committed leadership from our research institutions.

Comparing Data from the Poisons Information Centre with Employers' Accident Reports Reveal Under-Recognized Hazards at the Workplace

Records of injuries and incidents provide an important basis for injury prevention related to hazardous substances at the workplace. The present study aimed to review available data on injuries and incidents involving hazardous substances and investigate how data from the Poisons Information Centre could complement the records of the Swedish Work Environment Authority. We found two major obstacles for using injury/incident data based on employers' mandatory reporting. First, it was not possible to quickly and reliably identify injuries caused by hazardous substances, and second, data identifying substances or products are not systematically included. For two out of five investigated injuries with lost working days likely due to chemical injuries, we could not identify substances and/or products involved. The records based on calls to the Poisons Information Centre allow better understanding of chemical hazards and products. Besides the large share of unidentified chemical hazards in the injury statistics, the most striking difference was found for cleaning agents. Cleaning agents were implicated in one-third of the occupational cases that the consulting Poisons Information Centre expert judged to pose a major risk and in need of immediate healthcare. Only one in 10 injuries with lost days reported by employers was related to this type of product. The identification of exposures and symptoms by the Poisons Information Centre allow recognition of chemicals with problematic occupational uses. Hence, these records may serve as an important complement to official injury statistics related to incidents with hazardous substances at work.

Work injuries in internal migrants to Alberta, Canada. Do workers' compensation records provide an unbiased estimate of risk?

INTRODUCTION

It is not known whether out-of-province Canadians, who travel to Alberta for work, are at increased risk of occupational injury.

METHODS

Workers' compensation board (WCB) claims in 2013 to 2015 for those injured in Alberta were extracted by home province. Denominator data, from Statistics Canada, indicated the numbers from Alberta and Newfoundland and Labrador (NL) employed in Alberta in 2012. Both datasets were stratified by industry, age, and gender. Logistic regression estimated the risk of a worker from NL making a WCB claim in 2013 or 2014, stratified by time lost from work. Bias from under-reporting was examined in responses to injury questions in a cohort of trades' workers across Canada and in a pilot study in Fort McMurray, Alberta.

RESULTS

Injury reporting rate in workers from NL was lower than those from Alberta, with a marked deficit (odds ratio [OR] = 0.17; 95% confidence interval [CI], 0.12-0.27) for injuries resulting in 1 to 30 days off work. Among the 1520 from Alberta in the trades' cohort, 327 participants reported 444 work injuries: 34.5% were reported to the WCB, rising to 69.4% in those treated by a physician. A total of 52 injuries in Alberta were recorded by 151 workers in the Fort McMurray cohort. In logistic regression, very similar factors predicted WCB reporting in the trades and Fort McMurray cohorts, but those from out-of-province or recently settled in Alberta were much less likely to report (OR = 0.02; 95% CI, 0.00-0.40).

CONCLUSION

Differential rates of under-reporting explain in part the overall low estimates of injuries in interprovincial workers but not the deficit in time-loss 1 to 30 days.

Using Three Cross-Sectional Surveys to Compare Workplace Psychosocial Stressors and Associated Mental Health Status in Six Migrant Groups Working in Australia Compared with Australian-Born Workers

Migrant workers may be more likely to be exposed to workplace psychosocial stressors (WPS) which have an affect on physical and mental health. Given the relative lack of research on this topic, the study objectives were to estimate and compare the prevalence of WPS in migrant and Australian workers and investigate associated mental health problems. Three cross-sectional surveys, two with migrant workers and one with Australian workers, were pooled to provide estimates of prevalence. Regressions were conducted to investigate associations between workers and WPS. All WPS, except unfair pay, were associated with higher probability of mental health problems. The association between WPS and mental health did differ between some migrant groups. Compared with Australian-born workers, all other migrant groups tended to have a lower risk of mental health outcomes. Interactions between WPS and migrants showed variable levels in the risk of having a mental health problem, some attenuated and some increased. The study showed that country of birth does play a part in how treatment in the workplace is perceived and responded to. Any interventions to improve workplace conditions for migrant workers need to be aware of the different experiences related to migrant ethnicity.

Quantitative Job Insecurity and Well-Being: Testing the Mediating Role of Hindrance and Challenge Appraisals

The aim of this study is to determine the extent to which cognitive appraisals of job insecurity may mediate the link between job insecurity and well-being among employees. According to cognitive appraisal theory, the two cognitive appraisals of job insecurity, hindrance vs. challenge appraisals, were integrated into a conceptual model and examined as the mediators of job insecurity-wellbeing association. Well-being related outcomes were job satisfaction and emotional exhaustion. Hypotheses were tested using a total sample of 306 hospital staff¹. Respondents from diverse departments of this hospital were recruited and completed scales on quantitative job insecurity, hindrance vs. challenge appraisals of job insecurity, job satisfaction, and emotional exhaustion. Results indicated that hindrance appraisals of job insecurity mediated the association between job insecurity and emotional exhaustion. Challenge appraisals did not mediate the job insecurity-well-being association. In all, only one out of four mediation paths was found significant. As a result, employees hindered by job insecurity are more likely to be emotionally exhausted.

Do cognitive appraisals moderate the link between qualitative job insecurity and psychological-behavioral well-being?

Purpose

The purpose of this paper is to detect the association between qualitative job insecurity and well-being related outcomes and to determine the extent to which cognitive appraisals of job insecurity moderate this association. According to appraisal theory, it is anticipated a hindrance appraisal of job insecurity to amplify and a challenge appraisal of job insecurity to buffer this association.

Design/methodology/approach

To test the hypotheses, 250 healthcare employees from different departments of an Iranian large public hospital were recruited. Participants responded to scales on qualitative job insecurity, cognitive appraisals, job satisfaction, emotional exhaustion, absenteeism and presenteeism.

Findings

Results showed that qualitative job insecurity negatively influenced both psychological and behavioral well-being; however, this influence was greater for psychological well-being than for behavioral well-being. Besides, the moderation tests showed that only the hindrance appraisals of job insecurity amplified the link between job insecurity and psychological outcomes.

Research limitations/implications

This study sampled employees from a public hospital and did not include employees from private hospitals. This may limit the generalizability of the findings. Also, due to using a cross-sectional research design we encourage future studies to replicate the same findings using other different research designs.

Practical implications

The findings aid occupational health psychologists to design particular interventions for protecting those aspects of employee’s well-being that are more vulnerable when qualitative job insecurity is chronically perceived.

Originality/value

Together, these findings suggest that the hindrance appraisals of qualitative job insecurity are more likely to moderate the link between job insecurity and well-being outcomes.

Voices carry: Effects of verbal and physical aggression on injuries and accident reporting

Recent years have witnessed a staggeringly high number of workplace aggressive behaviors as well as employee accidents and injuries. Exposure to workplace aggression is associated with a host of negative psychological, emotional, and physiological outcomes, yet research relating workplace aggression to employee safety outcomes is lacking. This study aims to examine the association between exposure to workplace physical and verbal aggression with workplace injuries and underreporting of accidents and near misses. Furthermore, deriving from social exchange theory, we attempt to reveal an underlying mechanism in the association between workplace aggression and underreporting of accidents and near misses. Finally, borrowing from aggression research on intimate relationships, we compare the relative importance of exposure to physical and verbal aggression on workplace injuries and underreporting. Using survey data from 364 public transportation personnel, we found that both verbal and physical aggression significantly predict workplace injuries as well as underreporting. Moreover, mediation analyses found that the relationship between verbal and physical aggression and underreporting was largely explained by an increase in negative reporting attitudes (rather than decreases in safety knowledge or motivation). Compared to exposure to physical aggression, exposure to verbal aggression best predicted employee underreporting of accidents and near misses. However, physical aggression was a better predictor of injuries than verbal aggression. Given these findings, organizational leaders should strive to foster a safe working environment by minimizing interpersonal mistreatment and increasing employee attitudes for reporting accidents.

Comparing recall vs. recognition measures of accident under-reporting: A two-country examination

A growing body of research suggests that national injury surveillance data significantly underestimate the true number of non-fatal occupational injuries due to employee under-reporting of workplace accidents. Given the importance of accurately measuring such under-reporting, the purpose of the current research was to examine the psychometric properties of two different techniques used to operationalize accident under-reporting, one using a free recall methodology and the other a recognition-based approach. Moreover, in order to assess the cross-cultural generalizability of these under-reporting measures, we replicated our psychometric analyses in the United States (N=440) and Italy (N=592). Across both countries, the results suggest that both measures exhibited similar patterns of relationships with known antecedents, including job insecurity, production pressure, safety compliance, and safety reporting attitudes. However, the recall measures had more severe violations of normality and were less correlated with self-report workplace injuries. Considerations, implications, and recommendations for using these different types of accident measures are discussed.

Temporary jobs and the severity of workplace accidents

INTRODUCTION

From the point of view of workplace safety, it is important to know whether having a temporary job has an effect on the severity of workplace accidents. We present an empirical analysis on the severity of workplace accidents by type of contract.

METHOD

We used microdata collected by the Italian national institute managing the mandatory insurance against work related accidents. We estimated linear models for a measure of the severity of the workplace accident. We controlled for time-invariant fixed effects at worker and firm levels to disentangle the impact of the type of contract from the spurious one induced by unobservables at worker and firm levels.

RESULTS

Workers with a temporary contract, if subject to a workplace accident, were more likely to be confronted with severe injuries than permanent workers. When correcting the statistical analysis for injury under-reporting of temporary workers, we found that most of, but not all, the effect is driven by the under-reporting bias.

CONCLUSIONS

The effect of temporary contracts on the injury severity survived the inclusion of worker and firm fixed effects and the correction for temporary workers' injury under-reporting. This, however, does not exclude the possibility that, within firms, the nature of the work may vary between different categories of workers. For example, temporary workers might be more likely to be assigned dangerous tasks because they might have less bargaining power.

PRACTICAL IMPLICATIONS

The findings will help in designing public policy effective in increasing temporary workers' safety at work and limiting their injury under-reporting.

A method to account for and estimate underreporting in crash frequency research

Underreporting is a well-known issue in crash frequency research. However, statistical methods that can account for underreporting have received little attention in the published literature. This paper compares results from underreporting models to models that account for unobserved heterogeneity. The difference in the elasticities between the negative binomial underreporting model and random parameters negative binomial models, which accounts for unobserved heterogeneity in crash frequency models, are used as the basis for comparison. The paper also includes a comparison of the predicted number of unreported PDO crashes based on the negative binomial underreporting model with crashes that were reported to police but were not considered reportable to PennDOT to assess the ability of the underreporting models to predict non-reportable crashes. The data used in this study included 21,340 segments of two-lane rural highways that are owned and maintained by PennDOT. Reported accident frequencies over an eight year period (2005-2012) were included in the sample, producing a total of 170,468 segment-years of data. The results indicate that if a variable impacts both the true accident frequency and the probability of accidents being reported, statistical modeling methods that ignore underreporting produce biased regression coefficients. The magnitude of the bias in the present study (based on elasticities) ranged from 0.00-16.79%. If the variable affects the true accident frequency, but not the probability of accidents being reported, the results from the negative binomial underreporting models are consistent with analysis methods that do not account for underreporting.

Characterizing emergency department patients who reported work-related injuries and illnesses

BACKGROUND

Per a Congressional directive and funding, this study describes worker and workplace characteristics of emergency department (ED) patients who reported their injury/illness to their employer. The study also responds to Congress's request to enumerate injured/ill self-employed workers and workers with chronic conditions.

METHODS

We conducted a follow-back study on injured/ill workers, including self-employed, identified from a national ED surveillance system from June 2012 through December 2013.

RESULTS

An estimated 3,357,000 (95%CI: 2,516,000-4,199,000) workers treated in EDs reported their injury/illness to their employer or were self-employed. Of those, 202,000 (95%CI: 133,000-272,000) had a chronic condition. Of all reporters, excluding self-employed, 77% indicated they received instructions as to whom to report.

CONCLUSION

The study did not identify underreporting issues and revealed that medical records data may not be appropriate for assessing underreporting. Additional research is needed to examine workplace characteristics that encourage injury and illness reporting. Am. J. Ind. Med. 59:610-620, 2016. © 2016 Wiley Periodicals, Inc.

The Role of Labor Unions in Creating Working Conditions That Promote Public Health

We sought to portray how collective bargaining contracts promote public health, beyond their known effect on individual, family, and community well-being. In November 2014, we created an abstraction tool to identify health-related elements in 16 union contracts from industries in the Pacific Northwest. After enumerating the contract-protected benefits and working conditions, we interviewed union organizers and members to learn how these promoted health. Labor union contracts create higher wage and benefit standards, working hours limits, workplace hazards protections, and other factors. Unions also promote well-being by encouraging democratic participation and a sense of community among workers. Labor union contracts are largely underutilized, but a potentially fertile ground for public health innovation. Public health practitioners and labor unions would benefit by partnering to create sophisticated contracts to address social determinants of health.

Understanding the hospital sharps injury reporting pathway

BACKGROUND

Patient-care workers are frequently exposed to sharps injuries, which can involve the risk of serious illness. Underreporting of these injuries can compromise prevention efforts.

METHODS

We linked survey responses of 1,572 non-physician patient-care workers with the Occupational Health Services (OHS) database at two academic hospitals. We determined whether survey respondents who said they had sharps injuries indicated that they had reported them and whether reported injuries were recorded in the OHS database.

RESULTS

Respondents said that they reported 62 of 78 sharps injuries occurring over a 12-month period. Only 28 appeared in the OHS data. Safety practices were positively associated with respondents' saying they reported sharps injuries but not with whether reported injuries appeared in the OHS data.

CONCLUSIONS

Administrators should consider creating reporting mechanisms that are simpler and more direct. Administrators and researchers should attempt to understand how incidents might be lost before they are recorded.

Religiousness in times of job insecurity: job demand or resource?

Purpose

– Departing from the job demands resources model, the purpose of this paper is to investigate whether religion, defined as strength of religious faith, can be viewed as resource or as demand. More specifically, the authors addressed the question as to how job insecurity and religion interact in predicting burnout and change-oriented behavior.

Design/methodology/approach

– The authors conducted moderated structural equation modeling on survey data from a sample of 238 employees confronted with organizational change.

Findings

– Results were largely consistent with the “religion as a demand” hypothesis: religion exacerbated rather than buffered the negative effects of job insecurity, so that the adverse impact of job insecurity was stronger for highly religious employees than for employees with low levels of religiousness. Religious employees appear to experience more strain when faced with the possibility of job loss.

Originality/value

– The results of this study challenge and extend existing knowledge on the role of religion in coping with life stressors. The dominant view has been that religion is beneficial in coping with major stressors. The results of this study, however, suggest otherwise: religion had an exacerbating rather than a buffering effect on the relationship between job insecurity and outcomes.

Work-related injury underreporting among young workers: prevalence, gender differences, and explanations for underreporting

INTRODUCTION

Although notifying an employer of a lost-time work-related injury is a legal requirement in many jurisdictions, employees frequently do not report such injuries.

METHOD

Based on data from 21,345 young part-time Canadian workers (55% male), we found that 21% of respondents had experienced at least one lost-time injury, with about half reporting the injury to an employer and a doctor.

RESULTS

Respondents provided 10 reasons for avoiding reporting lost-time injuries, with perceived low severity of the injury, negative reactions of others, and ambiguity about whether work caused the injury as the most common ones. Additional analysis of these categories revealed that young males cited concern about their self-identity as a reason for not reporting an injury more often than young females did. We discuss the findings in terms of implications for management practice (i.e., educating young workers about accurate injury reporting) and public policy.

PRACTICAL APPLICATIONS

Targeted campaigns should be developed for young workers, especially young male workers, who are less likely to report injuries than young female workers, to understand the importance of and to encourage injury reporting.