Urban-Rural Differences in the Duration of Injury-Related Work Disability in Six Canadian Provinces

Robert A. Macpherson, Benjamin C. Amick, Alex Collie, Sheilah Hogg-Johnson, Mieke Koehoorn, Peter M. Smith, Christopher B. McLeod

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10 Citations (Scopus)


OBJECTIVE: To examine associations between injury-related work disability duration and urban-rural place of residence and whether associations differed across the disability distribution and by industry sector. METHODS: Workers' compensation claims from six Canadian provinces were extracted between 2011 and 2015. Multivariable quantile regression models tested the associations between urban-rural place of residence and disability days paid between the 50th and 95th percentiles of the distribution. RESULTS: Compared to workers residing in metropolitan areas, those in all other areas experienced more disability days paid. Urban-rural differences increased toward the upper end of disability distribution and were largest in the construction, and transportation and warehousing sectors. CONCLUSION: Tailored interventions for workers in rural areas, particularly those in sectors associated with mobile work environments, may be warranted to reduce inequities in injury-related work disability duration by place of residence.

Original languageEnglish
Pages (from-to)e200-e207
Number of pages6
JournalJournal of Occupational and Environmental Medicine
Issue number5
Publication statusPublished - May 2020

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