Nancy Carnide
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View article: Employment quality and mortality in Canada
Employment quality and mortality in Canada Open
Background Research has shown that workers in non-standard (eg, temporary and part-time) employment experience poorer health outcomes than their permanent, full-time counterparts. However, previous studies have overlooked important differe…
View article: Employment quality and suicide, drug poisoning, and alcohol-attributable mortality
Employment quality and suicide, drug poisoning, and alcohol-attributable mortality Open
Suicide, drug poisoning, and alcohol-attributable mortality (SDAM)—often labeled “deaths of despair”—are increasing among working-aged individuals in many high-income countries. We examined the association between employment quality and SD…
View article: Project ECHO Occupational and Environmental Medicine: A Qualitative Study of HealthCare Providers Supporting Workers with Work-Related Injuries and Illnesses
Project ECHO Occupational and Environmental Medicine: A Qualitative Study of HealthCare Providers Supporting Workers with Work-Related Injuries and Illnesses Open
ECHO OEM sessions contribute to and impact healthcare providers' knowledge of supporting injured or ill workers. Topics that deserve further attention include incorporating comorbid physical and mental health conditions, navigating workers…
View article: Risk of opioid-related harms by occupation within a large cohort of formerly injured workers in Ontario, Canada: findings from the Occupational Disease Surveillance System
Risk of opioid-related harms by occupation within a large cohort of formerly injured workers in Ontario, Canada: findings from the Occupational Disease Surveillance System Open
Objective Working-age individuals have been disproportionately affected by the opioid crisis, prompting interest in the potential role of occupation as a contributor. This study aimed to estimate the risk of opioid-related poisonings and m…
View article: ECHO OEM virtual community of learning for primary care
ECHO OEM virtual community of learning for primary care Open
Background Health issues caused and/or exacerbated by work are common in patients seeking primary health care. Yet, primary care providers generally receive little or no training in the assessment and management of occupational injuries an…
View article: O-176 USING THE ECHO MODEL TO TEACH OCCUPATIONAL AND ENVIRONMENTAL MEDICINE TO PRIMARY CARE PROVIDERS
O-176 USING THE ECHO MODEL TO TEACH OCCUPATIONAL AND ENVIRONMENTAL MEDICINE TO PRIMARY CARE PROVIDERS Open
Introduction Primary care providers (PCPs) have scarce access to specialists in occupational and environmental medicine (OEM) regarding return to work, occupational injuries, illnesses, and environmental exposures. We conducted a pilot pro…
View article: Occupational patterns of opioid-related harms comparing a cohort of formerly injured workers to the general population in Ontario, Canada
Occupational patterns of opioid-related harms comparing a cohort of formerly injured workers to the general population in Ontario, Canada Open
Objectives The role of work-related injuries as a risk factor for opioid-related harms has been hypothesized, but little data exist to support this relationship. The objective was to compare the incidence of opioid-related harms among a co…
View article: The adequacy of workplace accommodation and the incidence of permanent employment separations after a disabling work injury or illness
The adequacy of workplace accommodation and the incidence of permanent employment separations after a disabling work injury or illness Open
OBJECTIVE: This study aimed to estimate the influence of the adequacy of employer accommodations of health impairments in predicting permanent separation from the employment relationship in a cohort of workers disabled by a work-related in…
View article: An observational study of pain severity, cannabis use, and benefit expenditures in work disability
An observational study of pain severity, cannabis use, and benefit expenditures in work disability Open
Objective This study pools two cohorts of workers in Ontario interviewed 18 months following a disabling work-related injury to estimate the association between pain severity, cannabis use, and disability benefit expenditures. Methods Amon…
View article: Workplace and non-workplace cannabis use and the risk of workplace injury: Findings from a longitudinal study of Canadian workers
Workplace and non-workplace cannabis use and the risk of workplace injury: Findings from a longitudinal study of Canadian workers Open
Objectives Findings of previous studies examining the relationship between cannabis use and workplace injury have been conflicting, likely due to methodological shortcomings, including cross-sectional designs and exposure measures that lac…
View article: Cannabis use among workers with work-related injuries and illnesses: results from a cross-sectional study of workers’ compensation claimants in Ontario, Canada
Cannabis use among workers with work-related injuries and illnesses: results from a cross-sectional study of workers’ compensation claimants in Ontario, Canada Open
Objectives Little is known about how workers use cannabis following a work-related injury/illness, including whether they receive clinical guidance. The objective was to compare characteristics of workers using and not using cannabis after…
View article: Association of persistent pain with the incidence of chronic conditions following a disabling work-related injury
Association of persistent pain with the incidence of chronic conditions following a disabling work-related injury Open
OBJECTIVES: In a cohort of workers disabled by a work-related injury or illness, this study aimed to: (i) compare pre-injury prevalence estimates for common chronic conditions to chronic condition prevalence in a representative sample of w…
View article: O-124 Cannabis use and the risk of workplace injury: findings from a longitudinal study of Canadian workers
O-124 Cannabis use and the risk of workplace injury: findings from a longitudinal study of Canadian workers Open
Introduction Social and legislative changes in cannabis use worldwide have led to renewed interest in the potential impacts of cannabis use on occupational safety. Previous studies examining the relationship between cannabis use and workpl…
View article: O-144 Incidence of opioid-related harms by occupation in Ontario, Canada: findings from the occupational disease surveillance system
O-144 Incidence of opioid-related harms by occupation in Ontario, Canada: findings from the occupational disease surveillance system Open
Introduction The opioid crisis continues unabated in Canada, yet current health surveillance systems that monitor opioid-related harms have limited or no employment information. The limited opioid overdose fatality data available suggest c…
View article: Impact of persistent pain symptoms on work absence, health status and employment 18 months following disabling work-related injury or illness
Impact of persistent pain symptoms on work absence, health status and employment 18 months following disabling work-related injury or illness Open
Objectives While most individuals physically injured at work will make a complete medical recovery, a portion of workers will experience persistent pain following their injury. This study estimated persistent pain prevalence and its associ…
View article: Cannabis use and workplace cannabis availability, perceptions and policies among Canadian workers: a comparison before and after the legalisation of non-medical cannabis
Cannabis use and workplace cannabis availability, perceptions and policies among Canadian workers: a comparison before and after the legalisation of non-medical cannabis Open
Objectives Little data exist examining the impact of non-medical (recreational) cannabis legalisation among a working population. The objective was to compare cannabis use patterns and workplace risk perceptions, cannabis availability and …
View article: Cohort profile: the Ontario Life After Workplace Injury Study (OLAWIS)
Cohort profile: the Ontario Life After Workplace Injury Study (OLAWIS) Open
Purpose The substantial economic burden of work-related injury and illness, borne by workers, employers and social security programmes, is primarily attributed to the durations of work disability among workers whose recovery requires a per…
View article: Cannabis use and work-related injuries: a cross-sectional analysis
Cannabis use and work-related injuries: a cross-sectional analysis Open
Background Although the association of cannabis use with automobile accidents has been well-studied, the impact of cannabis on workplace safety and injuries is less clear. Aims The purpose of this study was to examine the relationship betw…
View article: Relationship between early prescription dispensing patterns and work disability in a cohort of low back pain workers’ compensation claimants: a historical cohort study
Relationship between early prescription dispensing patterns and work disability in a cohort of low back pain workers’ compensation claimants: a historical cohort study Open
Objectives To examine and compare whether dispensing of prescription opioids, non-steroidal anti-inflammatory drugs (NSAIDs) and skeletal muscle relaxants (SMRs) within 8 weeks after a work-related low back pain (LBP) injury is associated …
View article: 953 The relationship between early prescription dispensing patterns and work disability in a cohort of low back pain workers’ compensation claimants
953 The relationship between early prescription dispensing patterns and work disability in a cohort of low back pain workers’ compensation claimants Open
Introduction Opioids are prescribed early among workers' compensation claimants with low back pain (LBP), despite little evidence supporting this practice. The comparative effect of early opioids relative to other medications on work disab…
View article: A systematic review of strategies to improve appropriate use of opioids and to reduce opioid use disorder and deaths from prescription opioids
A systematic review of strategies to improve appropriate use of opioids and to reduce opioid use disorder and deaths from prescription opioids Open
Abuse of prescription opioids is a serious problem in North America. The aim of this study was to conduct a systematic review of peer-reviewed and grey literature to examine existing strategies aimed at improving the appropriate use of pre…
View article: A systematic review of strategies to improve appropriate use of opioids and to reduce opioid use disorder and deaths from prescription opioids
A systematic review of strategies to improve appropriate use of opioids and to reduce opioid use disorder and deaths from prescription opioids Open
Our review identified successful strategies that have been implemented and evaluated in various jurisdictions. There is a need to replicate and disseminate these strategies where the problem of prescription opioid misuse and abuse has take…