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Participation in paid and unpaid work one year after injury and the impact of subsequent injuries for Māori

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Authors:
Summary:

Reduced participation in paid work is prevalent for Māori after an Accident Compensation Corporation (ACC) entitlement claim injury, and particular characteristics of subsequent injuries impact on participation in paid work 12 months after the sentinel injury. These were the findings of the Subsequent Injury Study, which utilised data from an earlier study of New Zealanders with an ACC entitlement claim injury. Eligible participants for the current study were identified from the 405 Māori participants interviewed at 12 months, of whom 32% sustained at least one ACC subsequent injury, and 16% reported reduced participation in unpaid work. Of the eligible participants working for pay at the time of their sentinel injury, 35% reported reduced participation in paid work. Types of subsequent injury independently predictive of reduced participation in paid work were injury resulting from an assault (adjusted relative risk [RR] 2.4; 95% confidence interval [CI] 1.2-4.9), injury involving an entitlement claim (adjusted RR 2.0; 95% CI 1.1-3.4), >1 subsequent injury (adjusted RR 2.0; 95% CI 1.1-3.6), and a non-work-related subsequent injury (adjusted RR 1.6; 95% CI 1.0-2.7). These findings are important for future injury prevention strategies and supporting return to work rehabilitation programmes for Māori, the study authors noted.

Comment:
Many of us see this first-hand in our mahi or with whānau. And although we could focus on ‘returning to work’ as the primary outcome, patients tell me it’s just as important to feel heard and valued in the process.
Reference: Injury. 2022;53(6):1927-1934.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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