Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSPMIRANDA, C. B. deSILVA-JUNIOR, J. S.GARCIA, K. K. S.SOUSA, F. N. E. F. deFISCHER, F. M.2024-03-132024-03-132023INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, v.20, n.3, article ID 2334, p, 20231661-7827https://observatorio.fm.usp.br/handle/OPI/58625Vocational rehabilitation is an intervention to enhance the return to work and improve quality of life. The aim of this study was to evaluate sociodemographic and occupational factors associated with the length of stay at work among workers with work-related musculoskeletal disorders (WRMDs) who had undergone rehabilitation through the Brazilian public social security system. This was a longitudinal study among 680 workers with histories of disability due to WRMDs who returned to the formal job market after vocational rehabilitation between 2014 and 2018. Survival analysis was performed to identify the factors influencing permanence in work. Job dismissal occurred for 29.26% of the workers. The average duration of employment after returning to the formal job position was 56 months. The following factors were associated with shorter length of employment: living in the southeastern region (HR: 2.78; 95% CI 1.12–6.91) or southern region (HR: 2.68; 95% CI 1.04–6.90) of Brazil; working in transportation, storage or postal services (HR: 2.57; 95% CI 1.07–6.17); or working in financial activities, insurance or related services (HR: 2.70; 95% CI 1.05–6.89). These findings may contribute to the discussion about prevention of disability and interventions to ensure health care for workers with WRMD disabilities who undergo rehabilitation.engopenAccessoccupational healthreturn to workvocational rehabilitationwork-related musculoskeletal disordersbrazilbody conditiondisabilityemploymenthealth carehealth impacthealth statusmuscleoccupational exposureworking conditionsadultarticlebrazildemographyemploymentevaluation studyfemalehumanlength of staylongitudinal studymajor clinical studymalemusculoskeletal diseaseoccupational healthpostal mailsocial securitysocial statussurvival analysistraffic and transportvocational rehabilitationarticleCopyright MDPI10.3390/ijerph20032334