P-546 Determinants of Returning to Work After Occupational Injuries

Introduction Victims of occupational injuries often reintegrate successfully into the workplace. However, some may encounter difficulties in returning. Thus, identifying factors influencing this process is crucial to prevent an unsuccessful return to work (URTW). Methods This cross-sectional study was conducted at the National Health Insurance Fund of Tunisia among victims of occupational injuries. Individual and professional factors have been evaluated through face-to-face questionnaires over a nine-month period. Biomechanical exposure was estimated by the job-exposure matrix “MADE” and social support by the Social Support Scale. Bortner score was used to assess psychological profile. Perceived mental and physical health was evaluated using the short form survey. Results A total of 199 injured workers participated. The mean age was 42.73±9.58 years. An URTW was observed in 39.7% of cases. Low social support, biomechanical exposure, the category of blue-collar workers, type A personality, working for long hours, severe injuries, and duration of absence were associated with a URTW. Better perceived mental and physical health protected from worse outcomes. Multiple binary logistic regression identified four factors independently associated with a URTW after occupational injuries: weekly workload, social support, and perceived physical and mental health. Discussion The occurrence of URTW had several determinants. Hence, health promotion programs should be enhanced to include safety measures for vulnerable categories by reducing biomechanical exposure in the workplace and enhancing social support. Conclusion To limit URTW, collaboration among employees, employers, safety officers, and occupational therapists is always necessary to provide appropriate guidance for vulnerable employees during the process of returning to work.