Exploring the Factors Associated with 12-Month Non-Return to Work among Motorcyclists Involved in Road Accidents
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Summary
This study investigates the prevalence and determinants of non-return to work (NRW) among motorcyclists who survived road accidents in Benin. While road accidents impose significant morbidity and mortality burdens, particularly for vulnerable motorcyclists, there is a notable lack of literature regarding their occupational consequences. The authors aimed to fill this gap by identifying factors associated with NRW twelve months post-accident, recognizing that failure to return to work can exacerbate psychological distress and economic instability. The research utilized a cross-sectional design based on data from the TraumAR cohort, which recruited road accident victims from five hospitals in Benin between July 2019 and January 2020. The final analysis included 362 surviving motorcyclists aged 16 or older who were employed or in vocational training at the time of the crash and had complete data. The dependent variable was NRW status at the 12-month follow-up. Independent variables were categorized into baseline characteristics (sociodemographic, medical history, behavior, and clinical status) and 12-month follow-up variables (disability, anxiety, depression, post-traumatic stress syndrome, and socioeconomic status). Mental health conditions were assessed using standardized tools, including the Hospital Anxiety and Depression Scale and the PCL-S checklist. Logistic regression models were employed to identify significant risk factors. The results indicated that 15.19% of participants had not returned to work twelve months after the accident. Multivariate analysis identified five significant risk factors for NRW: smoking (adjusted odds ratio [aOR] = 4.41), hospitalization (aOR = 2.87), functional disability (aOR = 6.48), anxiety (aOR = 3.17), and depression (aOR = 6.94). Specifically, survivors with depression or disability were approximately seven times more likely to experience NRW compared to those without these conditions. Univariate analysis also highlighted associations with severe injury, post-traumatic stress syndrome, and negative financial or family situations, though these did not remain significant in the final multivariate model. The study concludes that the prevalence of NRW among motorcyclists in Benin is substantial, driven primarily by mental health disorders and functional limitations. The findings underscore the critical link between psychological sequelae, such as depression and anxiety, and occupational outcomes. The authors recommend integrating targeted support for mental health and disability management into patient care protocols to facilitate return to work. This approach addresses a significant gap in current road accident victim management, suggesting that addressing psychological and functional barriers is essential for restoring economic activity and improving overall recovery.
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| Stage | Outcome | Tool | Model | Prompt | Attempts | Completed |
|---|---|---|---|---|---|---|
| discover | success | Crossref | — | — | 1 | 2026-06-19 |
| archive | success | canonical_url | — | — | 1 | 2026-06-26 |
| extract | success | cached | — | — | 2 | 2026-06-26 |
| clean | success | clean | — | — | 1 | 2026-06-20 |
| chunk | success | chunk | — | — | 1 | 2026-06-20 |
| embed | success | embed | Qwen/Qwen3-Embedding-8B | — | 1 | 2026-06-20 |
| enrich | success | openalex | — | — | 1 | 2026-06-20 |
| promote | success | — | — | — | 1 | 2026-06-19 |
| summarize | success | llm | qwen3.6-27b-prismaquant | summ-v5 | 1 | 2026-06-26 |
| tag | success | vector_similarity | — | — | 6 | 2026-06-20 |
| verify | success | — | — | — | 1 | 2026-06-26 |
Summary generated by qwen3.6-27b-prismaquant on 2026-06-26; verification: verified.
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