BACKGROUND: This study examined the relationship between work-related injuries and health outcomes among a cohort of blue-collar construction workers. MATERIALS AND METHODS: Data were from the National Longitudinal Survey of Youth, 1979 cohort (NLSY79; n = 12,686). A range of health outcomes among blue-collar construction workers (n = 1,435) were measured when they turned age 40 (1998-2006) and stratified by these workers' prior work-related injury status between 1988 and 2000. Univariate and multivariate analyses were conducted to measure differences among subgroups. RESULTS: About 38% of the construction cohort reported injuries resulting in days away from work (DAFW); another 15% were injured but reported no DAFW (NDAFW). At age 40, an average of 10 years after injury, those with DAFW injury had worse self-reported general health and mental health, and more diagnosed conditions and functional limitations than those without injury. This difference was statistically significant after controlling for major demographics. DISCUSSION: Adverse health effects from occupational injury among construction workers persist longer than previously documented. Am. J. Ind. Med. 58:308-318, 2015. © 2015 Wiley Periodicals, Inc. Language: en