Survival rates and worker compensation expenses in a national cohort of Mexican workers with permanent occupational disability caused by diabetes

BMC Public Health

Research Article

Héctor Rodríguez-Vázquez¹  Verónica Miriam López-Roldán²  Oliver Macías-Pérez³  Selene Konik-Comonfort³  José Esteban Fernández-Garate⁴  Iván de Jesús Ascencio-Montiel⁴  Nelly Cisneros-González⁴  Jesús Kumate-Rodríguez⁵  Ángel Campos-Hernández⁶  Ismael Velázquez-Ramírez⁷  Edgar Jesús Zitle-García⁷  Miriam Aguilar-Jiménez⁷  María del Carmen Solís-Cruz⁷  Víctor Hugo Borja-Aburto⁸  Leonel Villa-Caballero⁹ 

[1] Division of Information Services for Economic and Social Benefits, Mexican Institute of Social Security, Tokio 80, Col. Juárez, Cuauhtémoc, 06600, Mexico City, Mexico;Division of Rehabilitation, Mexican Institute of Social Security, Durango 289, Col. Roma Norte, Cuauhtémoc, 06700, Mexico City, Mexico;Division of Technical Studies, Coordination of Economic Benefits, Mexican Institute of Social Security, Toledo 21, Col. Juárez, Cuauhtémoc, 06600, Mexico City, Mexico;Epidemiological Surveillance Coordination, Mexican Institute of Social Security, Mier y Pesado 120, Col. del Valle, Benito Juárez, 03100, Mexico City, Mexico;Fundación IMSS, A.C., Av. Paseo de la Reforma 476, Col. Juárez, Cuauhtémoc, 06600, Mexico City, Mexico;Health Information Division, Mexican Institute of Social Security, Durango 289, Col. Roma Norte, Cuauhtémoc, 06700, Mexico City, Mexico;Occupational Health Coordination, Mexican Institute of Social Security, Av. Cuauhtémoc 330, Col. Doctores, Cuauhtémoc, 06720, Mexico City, Mexico;Primary Health Care Unit, Mexican Institute of Social Security, Hamburgo 18, Col. Juárez, Cuauhtémoc, 06600, Mexico City, Mexico;University of California, San Diego Extension, 8950 Villa La Jolla Drive, Suite C-215, 92093-0170, La Jolla, California, USA;

关键词: Diabetes mellitus;    Survival;    Disability insurance;   

DOI  :  10.1186/s12889-016-3598-4

 received in 2016-01-08, accepted in 2016-08-25,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundPermanent occupational disability is one of the most severe consequences of diabetes that impedes the performance of usual working activities among economically active individuals. Survival rates and worker compensation expenses have not previously been examined among Mexican workers. We aimed to describe the worker compensation expenses derived from pension payments and also to examine the survival rates and characteristics associated with all-cause mortality, in a cohort of 34,014 Mexican workers with permanent occupational disability caused by diabetes during the years 2000–2013 at the Mexican Institute of Social Security.MethodsA cross-sectional analysis study was conducted using national administrative records data from the entire country, regarding permanent occupational disability medical certification, pension payment and vital status. Survival rates were estimated using the Kaplan–Meier method. Multivariate Cox proportional hazard model was used to estimate adjusted hazard ratios (HR) and 95 % confidence intervals (95 % CI) in order to assess the cohort characteristics and all-cause mortality risk. Total expenses derived from pension payments for the period were accounted for in U.S. dollars (USD, 2013).ResultsThere were 12,917 deaths in 142,725.1 person-years. Median survival time was 7.26 years. After multivariate adjusted analysis, males (HR, 1.39; 95 % CI, 1.29–1.50), agricultural, forestry, and fishery workers (HR, 1.41; 95 % CI, 1.15–1.73) and renal complications (HR, 3.49; 95 % CI, 3.18–3.83) had the highest association with all-cause mortality. The all-period expenses derived from pension payments amounted to $777.78 million USD (2013), and showed a sustained increment: from $58.28 million USD in 2000 to $111.62 million USD in 2013 (percentage increase of 91.5 %).ConclusionsMexican workers with permanent occupational disability caused by diabetes had a median survival of 7.26 years, and those with renal complications showed the lowest survival in the cohort. Expenses derived from pension payments amounted to $ 777 million USD and showed an important increase from 2000 to 2013.

【 授权许可】

CC BY   
© The Author(s). 2016