Skip to main content
Log in

Research Opportunities Using Administrative Databases and Existing Surveys for New Knowledge in Occupational Health and Safety in Canada, Quebec, Ontario and British Columbia

  • Commentary
  • Published:
Canadian Journal of Public Health Aims and scope Submit manuscript

Abstract

In Canada, many datasets are initially collected for purposes other than occupational health and safety (OHS) research. These include administrative health care billing records, pharmaceutical records, vital statistics, provincial cancer registries and workers’ compensation claims data. In addition, many national and provincial health surveys, while not focused specifically on occupational health and safety, collect data on the health status and health determinants of populations, and such data can be used for investigating OHS issues among Canadian workers. This paper provides examples of the use of administrative and survey data for OHS research projects from the provinces of Quebec, Ontario and British Columbia to illustrate the potential of such data. These three provinces have a long history of using administrative and survey data for OHS research and have developed capacity in this regard for improving access to data, for linkage of records across databases and for developing methods to answer OHS questions. As research using these data sources expands, a consistent understanding within the work and health research community must be forged concerning the strengths and limitations of these data resources and their comparability.

Résumé

Au Canada, de nombreuses bases de données sont recueillies au départ dans d’autres buts que la recherche sur la santé et la sécurité du travail (SST): les fichiers de facturation des services de santé, les fichiers pharmaceutiques, les registres d’état civil, les registres provinciaux du cancer et les fichiers d’indemnisation des lésions professionnelles. De plus, beaucoup d’enquêtes fédérales et provinciales sur la santé, bien qu’elles ne portent pas spécifiquement sur la SST, recueillent des données sur l’état de santé et les déterminants de la santé des populations, et ces données peuvent servir à étudier des questions de SST dans la main-d’œuvre canadienne. Dans cet article, nous donnons des exemples probants de l’utilisation de données administratives et de données d’enquête pour des projets de recherche en SST dans les provinces du Québec, de l’Ontario et de la Colombie-Britannique afin d’illustrer le potentiel de ces données. Ces trois provinces utilisent depuis longtemps des données administratives et des données d’enquête pour la recherche en SST et ont développé des capacités à cet égard pour améliorer l’accès aux données, jumeler les dossiers de différentes bases de données et élaborer des méthodes pour répondre aux questions de SST. Comme il se fait de plus en plus de recherche à l’aide de ces sources de données, la communauté des chercheurs en SST devrait développer la même compréhension des forces et faiblesses de ces sources de données et de leur comparabilité.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Association of Workers’ Compensation Boards of Canada. Key Statistical Measures for 2007. 2008.

    Google Scholar 

  2. Dolinschi R. Workers’ Compensation Benefits Paid for the Year 2006. Available at: https://doi.org/www.iwh.on.ca/system/files/documents/workers_comp_bene-fits_2006_factsheet.pdf (Accessed January 28, 2010).

    Google Scholar 

  3. Statistics Canada. The Canadian Community Health Survey: Public Use Microdata File. Available through Statistics Canada’s Data Liberation Initiative, 2005.

    Google Scholar 

  4. Marmot MG, Bosma H, Hemingway H, Brunner E, Stansfeld S. Contribution of job control and other risk factors to social variations in coronary heart disease incidence. Lancet 1997;350(9073):235–39.

    Article  CAS  PubMed  Google Scholar 

  5. Stansfeld S, Candy B. Psychosocial work environment and mental health–a meta-analytic review. Scand J Work Environ Health 2006;32(6):443–62.

    Article  PubMed  Google Scholar 

  6. National Research Council Panel on Musculoskeletal Disorders and the Workplace Commission on Behavioral and Social Sciences and Education. Muscu-loskeletal Disorders and the Workplace: Low Back and Upper Extremities. Washington, DC: National Academy Press, 2009;450.

    Google Scholar 

  7. Bongers PM, Ijmker S, van den Heuvel S, Blatter BM. Epidemiology of work related neck and upper limb problems: Psychosocial and personal risk factors (Part I) and effective interventions from a bio behavioural perspective (Part II). J Occup Rehabil 2006;16(3):272–302.

    Article  Google Scholar 

  8. Kraut A. Estimates of the extent of morbidity and mortality due to occupational diseases in Canada. Am J Ind Med 1994;25(2):267–78.

    Article  CAS  PubMed  Google Scholar 

  9. Gross DP, Stephens B, Bhambhani Y, Haykowsky M, Bostick GP, Rashiq S. Opi-oid prescriptions in Canadian workers’ compensation claimants: Prescription trends and associations between early prescription and future recovery. Spine 2009;34(5):525–31.

    Article  PubMed  Google Scholar 

  10. Seland K, Cherry N, Beach J. A study of factors influencing return to work after wrist or ankle fractures. Am J Ind Med 2006;49(3):197–203.

    Article  PubMed  Google Scholar 

  11. Cree MW, Lalji M, Jiang B, Carriere KC. Under-reporting of compensable mesothelioma in Alberta. Am J Ind Med 2009;52(7):526–33.

    Article  PubMed  Google Scholar 

  12. Voaklander DC, Kelly KD, Rowe BH, Schopflocher DP, Svenson L, Yiannakoulias N, et al. Pain, medication, and injury in older farmers. Am J Ind Med 2006;49(5):374–82.

    Article  CAS  PubMed  Google Scholar 

  13. Cherry N, Beach J, Burstyn I, Fan X, Guo N, Kapur N. Data linkage to estimate the extent and distribution of occupational disease: New onset adult asthma in Alberta, Canada. Am J Ind Med 2009;52(11):831–40.

    Article  PubMed  Google Scholar 

  14. Kraut A, Walld R. Influence of lack of full-time employment on attempted suicide in Manitoba, Canada. Scand J Work Environ Health 2003;29(1):15–21.

    Article  PubMed  Google Scholar 

  15. Mustard C, Cole D, Shannon H, Pole J, Sullivan T, Allingham R. Declining trends in work-related morbidity and disability, 1993–1998: A comparison of survey estimates and compensation insurance claims. AJPH 2003;93(8):1283–86.

    Article  Google Scholar 

  16. Swain L, Catlin G, Beaudet MP. The National Population Health Survey - its longitudinal nature. Health Rep 1999;10(4):69–82.

    CAS  PubMed  Google Scholar 

  17. Statistics Canada. 1994 User Guide to the National Population Health Survey. Ottawa: Statistics Canada, 1995.

    Google Scholar 

  18. Breslin FC, Smith PM. Age-related differences in work injuries: A multivariate, population-based study. Am J Ind Med 2005;48(1):50–56.

    Article  PubMed  Google Scholar 

  19. Breslin FC, Smith PM, Mustard CA, Zhao R. Young people and work injuries: An examination of jurisdictional variation within Canada. Inj Prev 2006;12:105–10.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Smith PM, Mustard CA. Comparing the risk of work-related injuries between immigrant and Canadian-born labour market participants. Occup Environ Med 2009;66(6):361–67.

    Article  CAS  PubMed  Google Scholar 

  21. Cole DC, Ibrahim S, Shannon HS. Predictors of work-related repetitive strain injuries in a population cohort. AJPH 2005;95(7):1233–37.

    Article  Google Scholar 

  22. Garzia NA, Koehoorn M, Demers PA, Kennedy SM. Asthma in relation to job exposure among Canada’s adult population: Comparison of surveillance information from two sources. Occup Environ Med 2007;64(12):e5.

    Article  Google Scholar 

  23. Kennedy SM, Le Moual N, Choudat D, Kauffman F. Development of an asthma specific job exposure matrix and its application in the epidemiological study of genetics and environment in asthma (EGEA). Occup Environ Med 2000;57(9):635–41.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Marchand A. Mental health in Canada: Are there any risky occupations and industries? Int J Law Psychiatry 2007;30:272–83.

    Article  PubMed  Google Scholar 

  25. Marchand A, Demers A, Durand P. Social structures, agent personality and workers’ mental health: A longitudinal analysis of the specific role of occupation and of workplace constraints-resources on psychological distress in the Canadian workforce. Hum Relat 2006;59:875–901.

    Article  Google Scholar 

  26. Marchand A, Demers A, Durand P. Do occupation and work conditions really matter? A longitudinal analysis of psychological distress experiences among Canadian workers. Sociol Health Illn 2005;27(5):602–27.

    Article  PubMed  Google Scholar 

  27. Smith P, Frank J, Mustard C. The monitoring and surveillance of the psychosocial work environment in Canada: A forgotten determinant of health. Can J Public Health 2008;99(6):475–82.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Breslin FC, Pole JD, Tompa E, Amick BC, III, Smith P, Johnson SH. Antecedents of work disability absence among young people: A prospective study. Ann Epidemiol 2007;17(10):814–20.

    Article  PubMed  Google Scholar 

  29. Breslin FC, Tompa E, Zhao R, Pole JD, Amick III BC, Smith PM, et al. The relationship between job tenure and work disability absence among adults: A prospective study. Accid Anal Prev 2008;40(1):368–75.

    Article  PubMed  Google Scholar 

  30. Smith PM, Kosny AA, Mustard CA. Differences in access to wage replacement benefits for absences due to work-related injury or illness in Canada. Am J Ind Med 2009;52(4):341–49.

    Article  PubMed  Google Scholar 

  31. Breslin FC, Tompa E, Zhao R, Amick III BC, Pole JD, Smith P, et al. Work disability absence among young workers with respect to earnings losses in the following year. Scand J Work Environ Health 2007;33(3):192–97.

    Article  PubMed  Google Scholar 

  32. Shields M, Wilkins K. Findings from the 2005 National Survey of the Work and Health of Nurses. Ottawa: Statistics Canada, 2006;1–164.

    Google Scholar 

  33. Statistics Canada. A Guide to the Analysis of the Workplace and Employee Survey. Ottawa: Statistics Canada, 2004;1–125.

    Google Scholar 

  34. Messing K, Stock SR, Tissot F. Should studies of risk factors for MSDs be stratified by gender? Lessons from analyses of musculoskeletal disorders among respondents to the 1998 Québec Health Survey. Scand J Work Environ Health 2009;35(2):96–112.

    Article  PubMed  Google Scholar 

  35. Stock SR, Vezina N, Seifert AM, Tissot F, Messing K. Les troubles musculo-squelettiques au Québec, la détresse psychologique et les conditions de travail: relations complexes dans un monde du travail en mutation. Santé, Société et Solidarité de l’Observatoire franco-québécois de la santé et de la solidarité 2006;2:45–58.

    Article  Google Scholar 

  36. Tissot F, Messing K. Standing, sitting and associated working conditions in the Quebec population in 1998. Ergonomics 2005;48(3):249–69.

    Article  CAS  PubMed  Google Scholar 

  37. Tissot F, Messing K, Stock SR. Distal lower extremity pain and working postures in the Quebec population. AJPH 2008;98:705–13.

    Article  Google Scholar 

  38. Marchand A, Demers A, Durand P. Work and mental health: The experience of the Quebec workforce between 1987 and 1998. Work 2005;25:135–42.

    PubMed  Google Scholar 

  39. Marchand A, Demers A, Durand P, Simard M. Occupational variations in drinking and psychological distress: A multilevel analysis. Work 2003;21(2):153–63.

    PubMed  Google Scholar 

  40. Marchand A. Alcohol use and misuse: What are the contributions of occupation and work organization conditions? BMC Public Health 2008;8:1–12.

    Article  Google Scholar 

  41. Marchand A, Demers A, Durand P, Simard M. The moderating effect of alcohol intake on the relationship between work strain and psychological distress. J Stud Alcohol 2003;64:419–27.

    Article  PubMed  Google Scholar 

  42. Boyle MH, Offord DR, Hofmann HG, Catlin GP, Byles JA, Cadman DT, et al. Ontario Child Health Study: Methodology. Arch Gen Psychiatry 1987;44:826–31.

    Article  CAS  PubMed  Google Scholar 

  43. Commission de la santé et de la sécurité du travail du Québec. Rapport annuel de gestion 2007. Québec: Commission de la santé et de la sécurité du travail du Québec, 2008.

    Google Scholar 

  44. De Guire L, Labreche F, Provencher S. Maladies reliées à l’exposition au béryllium au Québec - Étude des réclamations soumises à la Commission de la santé et de la sécurité du travail entre 1999 et 2002. Institut national de santé publique du Québec, 2006.

    Google Scholar 

  45. Stock S, Funes A, Turcot A, Lippel K, Messing K, Asselin P, et al. Qui est à risque de troubles musculo-squelettiques? Une analyse différenciée selon le genre des cas de TMS indemnisés par la CSST. Québec: Institut national de santé publique du Québec (in press).

  46. Turcot A, Roy S, Simpson A. Lésions professionnelles reliées aux vibrations main-bras au Québec, 1993 à 2002 - Partie II: Analyse descriptive des dossiers d’indemnisation des travailleurs. Montréal: IRSST, 2007;1–165.

    Google Scholar 

  47. Duguay P, Massicotte P. Compensated Fatalities Following a Work Injury: Comparison of Québec, Ontario and British Columbia, 1997–2003. Montreal: IRSST, 2007;1–61.

    Google Scholar 

  48. Workplace Safety & Insurance Board of Ontario. Coverage Under the Ontario Workplace Safety and Insurance Act. Toronto, ON: Workplace Safety & Insurance Board of Ontario, 2002;1–10.

    Google Scholar 

  49. Smith PM, Mustard CA, Payne JI. A methodology for estimating the labour force insured by the Ontario Workplace Safety & Insurance Board: 1990–2000. Chron Dis Can 2004;25(3/4):127–37.

    CAS  Google Scholar 

  50. Breslin FC, Smith PM. Trial by fire: The relationship between job tenure and lost-time claim rates among adolescent, young adult, and adult workers. Occup Environ Med 2006;63(1):27–32.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  51. Breslin FC, Koehoorn M, Smith PM, Manno M. Age related differences in work injuries and permanent impairment: A comparison of workers’ compensation claims among adolescents, young adults, and adults. Occup Environ Med 2003;60(9):e10.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Smith PM, Mustard CA. Examining the associations between physical work demands and work injury rates between men and women in Ontario, 1990–2000. Occup Environ Med 2004;61:750–56.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  53. Cote P, Kristman V, Vidmar M, Van Eerd D, Hogg-Johnson S, Beaton D, et al. The prevalence and incidence of work absenteeism involving neck pain: A cohort of Ontario lost-time claimants. Spine 2008;33(4S):S192–S198.

    Article  PubMed  Google Scholar 

  54. McIntosh G, Frank J, Hogg-Johnson S, Bombardier C, Hall H. Prognostic factors for time receiving workers’ compensation benefits in a cohort of patients with low back pain. Spine 2000;25(2):147–57.

    Article  CAS  PubMed  Google Scholar 

  55. Pole JD, Franche RL, Hogg-Johnson S, Vidmar M, Krause N. Duration of work disability: A comparison of self-report and administrative data. Am J Ind Med 2006;49(5):394–401.

    Article  PubMed  Google Scholar 

  56. Canadian Standards Association. Coding of Work Injury or Disease Information. Mississauga, Ontario: Canadian Standards Association, 2006;1–306.

    Google Scholar 

  57. Stock SR. La surveillance des troubles musculo-squelettiques liés au travail au Québec. Bulletin épidémiologique hebdomadaire 2006;40–41:319–22.

    Google Scholar 

  58. Arcand R. Surveillance de la santé en milieu de travail au Québec. Bulletin épidémiologique hebdomadaire 2006;40–41:317-19.

    Google Scholar 

  59. McLeod CB, Bogyo T, Demers PA, Edeer D, Hertzman C, Kennedy S, et al. Asthma in British Columbia. Vancouver, BC: Centre for Health Services and Policy Research, University of British Columbia, 2007.

    Google Scholar 

  60. Kirkham T, Demers PA, McLeod CB, Tamburic L, Koehoorn M. Factors related to compensation of mesothelioma in British Columbia. Occup Environ Med 2007;64(12):e8.

    Article  Google Scholar 

  61. Gan W, Demers PA, McLeod CB, Koehoorn M. Population-based asbestosis surveillance in British Columbia. Occup Environ Med 2009;66:766–71.

    Article  CAS  PubMed  Google Scholar 

  62. Teschke K, Ostry A, Hertzman C, Demers PA, Barroetavena MC, Davies HW, et al. Opportunities for a broader understanding of work and health: Multiple uses of an occupational cohort database. Can J Public Health 1998;89(2):132–36.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  63. Hertzman C, Teschke K, Ostry A, Hershler R, Dimich-Ward H, Kelly S, et al. Mortality and cancer incidence among sawmill workers exposed to chlorophenate wood preservatives. AJPH 1997;87(1):71–79.

    Article  CAS  Google Scholar 

  64. Demers PA, Davies HW, Friesen MC, Hertzman C, Ostry A, Hershler R, et al. Cancer and occupational exposure to pentachlorophenol and tetra-chlorophenol (Canada). Cancer Causes Control 2006;17(6):749–58.

    Article  PubMed  Google Scholar 

  65. Davies HW, Teschke K, Kennedy SM, Hertzman C, Demers PA. Occupational exposure to noise and increased risk of acute myocardial infarction death. Epidemiology 2005;16(1):25–32.

    Article  PubMed  Google Scholar 

  66. Heacock H, Hertzman C, Demers PA, Gallagher RP, Hogg RS, Teschke K, et al. Childhood cancer in the offspring of male sawmill workers occupationally exposed to chlorophenate fungicides. Environ Health Perspect 2000;108(6):499–503.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  67. Ostry A, Maggi S, Tansey J, Dunn J, Hershler R, Chen L, et al. The impact of psychosocial work conditions on attempted and completed suicide among Western Canadian sawmill workers. Scand J Public Health 2007;35(3):265–71.

    Article  PubMed  Google Scholar 

  68. Maggi S, Ostry A, Tansey J, Dunn J, Hershler R, Chen L, et al. Paternal psychosocial work conditions and mental health outcomes: A case-control study. BMC Public Health 2008;8:104.

    Article  PubMed  PubMed Central  Google Scholar 

  69. Alamgir H, Demers PA, Koehoorn M, Ostry A, Tompa E. Epidemiology of work-related injuries requiring hospitalization among sawmill workers in British Columbia, 1989–1997. Eur J Epidemiol 2007;22(4):273–80.

    Article  PubMed  Google Scholar 

  70. Koehoorn M, Cole DC, Hertzman C, Lee H. Health care use associated with work-related musculoskeletal disorders among hospital workers. J Occup Rehabil 2006;16(3):402–15.

    Article  Google Scholar 

  71. Alamgir H, Koehoorn M, Ostry A, Tompa E, Demers P. An evaluation of hospital discharge records as a tool for serious work related injury surveillance. Occup Environ Med 2006;63(4):290–96.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  72. Workplace Safety & Insurance Board of Ontario. Young Worker Health and Safety. Available at: https://doi.org/www.wsib.on.ca/wsib/wsibsite.nsf/Public/ ReferencePreventionYoungWorkers (Accessed January 28, 2010).

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Peter M. Smith PhD, MPH.

Additional information

Conflict of Interest: None to declare.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Smith, P.M., Stock, S.R., McLeod, C.B. et al. Research Opportunities Using Administrative Databases and Existing Surveys for New Knowledge in Occupational Health and Safety in Canada, Quebec, Ontario and British Columbia. Can J Public Health 101 (Suppl 1), S46–S52 (2010). https://doi.org/10.1007/BF03403846

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03403846

Key words

Mots clés

Navigation