Alternative measures reveal different but low estimates of labour market attachment after severe traumatic brain injury: A nationwide cohort study

Odgaard, L; Johnsen, SP; Stubbs, PW; Pedersen, AR; Nielsen, JF

Alternative measures reveal different but low estimates of labour market attachment after severe traumatic brain injury: A nationwide cohort study

Odgaard, L

Johnsen, SP Stubbs, PW

Pedersen, AR Nielsen, JF

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Publication Type:: Journal Article
Citation:: Brain Injury, 2017, 31 (10), pp. 1298 - 1306
Issue Date:: 2017-08-24

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Field	Value	Language
dc.contributor.author	Odgaard, L https://orcid.org/0000-0002-9830-3282	en_US
dc.contributor.author	Johnsen, SP	en_US
dc.contributor.author	Stubbs, PW https://orcid.org/0000-0003-4555-8019	en_US
dc.contributor.author	Pedersen, AR	en_US
dc.contributor.author	Nielsen, JF https://orcid.org/0000-0001-5339-171X	en_US
dc.date.issued	2017-08-24	en_US
dc.identifier.citation	Brain Injury, 2017, 31 (10), pp. 1298 - 1306	en_US
dc.identifier.issn	0269-9052	en_US
dc.identifier.uri	http://hdl.handle.net/10453/125532
dc.description.abstract	© 2017 Taylor & Francis Group, LLC. Objective: To explore if the definition of labour market attachment (LMA) changes LMA proportions after severe traumatic brain injury (TBI). Design: Cohort study with 5-year follow-up. Participants: Patients aged 18–64 years with severe TBI from 2004 to 2012 (n = 637) and matched controls (n = 2497). Methods: LMA was defined in three ways. All definitions included patients working with no government benefits. Definition 2 included patients receiving unemployment benefits (LMA-unemployment benefits). Definition 3 included patients receiving supplemental benefits/services such as patients involved in work-activation schemes (LMA supplementary benefits). First week of return to work (RTW), stable LMA first year after RTW and weekly LMA prevalence were calculated. Patients and controls were compared using multivariable conditional logistic regression. Results: LMA unemployment benefits had similar proportions to LMA with no benefits. These estimates were lower than LMA supplemental benefits where 52% attempted to RTW and 31% achieved stable LMA within 2 years. The maximal LMA prevalence (LMA supplementary benefits) decreased from 33 to 30% from years 2 to 5. Adjusted odds ratios were 0.05 and 0.06 for years 1 and 2, and 0.07 for stable LMA in patients compared to controls. Conclusion: LMA proportions differed depending on the definition. Regardless of definition, LMA proportions following severe TBI were low in Denmark.	en_US
dc.relation.ispartof	Brain Injury	en_US
dc.relation.isbasedon	10.1080/02699052.2017.1312017	en_US
dc.subject.classification	Rehabilitation	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Cohort Studies	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Employment	en_US
dc.subject.mesh	Unemployment	en_US
dc.subject.mesh	Denmark	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Return to Work	en_US
dc.subject.mesh	Brain Injuries, Traumatic	en_US
dc.title	Alternative measures reveal different but low estimates of labour market attachment after severe traumatic brain injury: A nationwide cohort study	en_US
dc.type	Journal Article
utslib.citation.volume	10	en_US
utslib.citation.volume	31	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1701 Psychology	en_US
utslib.for	11 Medical and Health Sciences	en_US
utslib.for	17 Psychology and Cognitive Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
utslib.copyright.status	closed_access
pubs.issue	10	en_US
pubs.publication-status	Published	en_US
pubs.volume	31	en_US

Abstract:

© 2017 Taylor & Francis Group, LLC. Objective: To explore if the definition of labour market attachment (LMA) changes LMA proportions after severe traumatic brain injury (TBI). Design: Cohort study with 5-year follow-up. Participants: Patients aged 18–64 years with severe TBI from 2004 to 2012 (n = 637) and matched controls (n = 2497). Methods: LMA was defined in three ways. All definitions included patients working with no government benefits. Definition 2 included patients receiving unemployment benefits (LMA-unemployment benefits). Definition 3 included patients receiving supplemental benefits/services such as patients involved in work-activation schemes (LMA supplementary benefits). First week of return to work (RTW), stable LMA first year after RTW and weekly LMA prevalence were calculated. Patients and controls were compared using multivariable conditional logistic regression. Results: LMA unemployment benefits had similar proportions to LMA with no benefits. These estimates were lower than LMA supplemental benefits where 52% attempted to RTW and 31% achieved stable LMA within 2 years. The maximal LMA prevalence (LMA supplementary benefits) decreased from 33 to 30% from years 2 to 5. Adjusted odds ratios were 0.05 and 0.06 for years 1 and 2, and 0.07 for stable LMA in patients compared to controls. Conclusion: LMA proportions differed depending on the definition. Regardless of definition, LMA proportions following severe TBI were low in Denmark.

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http://hdl.handle.net/10453/125532