Facteurs associés au maintien dans le poste de travail après un épisode d’absence : résultats de l’étude MAPOST des médecins du travail du groupe La Poste

Abstract : Objective. Identify job factors associated to return to work, especially age, among postal workers after a work absence due to health reasons. Methods. In 2015, 32 La Poste occupational physicians conducted a cross-sectional descriptive epidemiological study within 477 postmen over 49 years and 339 of postmen aged between 40 and 49 years old. The main variable of interest is how to stay in work after a sickness absence for more than 30 days. The explanatory variables are personal, medical and occupational factors. Perceived health, perceived physical constraints and relational factors were scored. Multivariate statistical analysis was done by multinomial logistic regression. Results. At the time of medical visit, half of the workers can return to work on their job, 40% can return to work with a reorganized job, 6% reclassified to another job and 4% cannot return to work. The mean total duration of the absence episode is 120 days. In multivariate analysis, the variables significantly associated with a higher risk of having a job arrangement are: age; a cause of absence workrelated; a period of sick leave of more than 90 days; a disability situation; a perceived poor health. Variables significantly associated with a higher risk of reclassification are: more than 90 days of sick leave; a cause of absence work-related; a disability situation; a poor psychosocial score; a perceived poor health. Conclusion. It is possible to identify the predictive factors of return to work after a sickness absence through simple questions and therefore to find solutions to favor the return to work on the medical as well as on the professional levels. (C) 2018 Elsevier Masson SAS. All rights reserved.
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A. Duburcq, L. Courouve, P. Havette, William Dab. Facteurs associés au maintien dans le poste de travail après un épisode d’absence : résultats de l’étude MAPOST des médecins du travail du groupe La Poste. Archives des Maladies Professionnelles et de L'Environnement, Elsevier Masson, 2018, 79 (6), pp.705-716. ⟨10.1016/j.admp.2018.05.003⟩. ⟨hal-02077293⟩

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