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Sickness absence: Aspects of measurement, impact of the labour market and effects of intervention
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
2006 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Sundsvall: Mittuniversitetet , 2006. , p. 63
Series
Mid Sweden University doctoral thesis, ISSN 1652-893X ; 10
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:miun:diva-8877ISBN: 91-85317-22-5 (print)OAI: oai:DiVA.org:miun-8877DiVA, id: diva2:216067
Public defence
2006-05-18, Sundsvall, 00:00 (English)
Available from: 2009-05-06 Created: 2009-05-06 Last updated: 2014-10-03Bibliographically approved
List of papers
1. Comparison of seven measures of sickness absence-based on data from three counties in Sweden
Open this publication in new window or tab >>Comparison of seven measures of sickness absence-based on data from three counties in Sweden
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2006 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 26, no 4, p. 421-428Article in journal (Refereed) Published
Abstract [en]

The objective was to compare the applicability of and results provided by the two measures of sickness absence used most often within the Swedish social insurance administration (that is, unadjusted sick-leave rate and adjusted sick-leave rate) and five measures suggested by epidemiological researchers. Data consisted of four cross-sectional data sets of registry sick-leave data covering four separate years (1997-2000) in three counties. In total 454,000 persons qualified for sickness insurance and aged 20-64 years were included. The two measures used within the social insurance administration and three of the five measures suggested by epidemiological researchers revealed sex-related dissimilarities in absence patterns that indicated that women had more sickness absence than men. However, in marked contrast to those results, two of the epidemiologically based measures (i.e., length of sickness absence and duration of sickness absence) instead showed highly comparable rates of sick leave for men and women, and such information is seldom obtained, albeit definitely of importance, when trying to make a correct assessment of sickness absence. The measure of sickness absence that is used influences the findings and should therefore be chosen with care. Complementing the measures used in the social insurance administration by five measures suggested by epidemiological researchers provided a more informative and comprehensive picture of sickness absence in a population. Further investigations into the effect of using different measures is needed, as well as international consensus on what to call different measures.

Keywords
Sickness absence, Rehabiliteringsvetenskap
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-3262 (URN)16788261 (PubMedID)2-s2.0-33745208705 (Scopus ID)3822 (Local ID)3822 (Archive number)3822 (OAI)
Available from: 2008-09-30 Created: 2008-09-30 Last updated: 2017-12-12Bibliographically approved
2. Occupation and unemployment rates as predictors of long term sickness absence in two Swedish counties.
Open this publication in new window or tab >>Occupation and unemployment rates as predictors of long term sickness absence in two Swedish counties.
1998 (English)In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 47, no 1, p. 25-31Article in journal (Refereed) Published
Abstract [en]

The study was aimed to describe the prevalence of long term sickness absence in common male and female occupations and to determine the relative importance of unemployment rates for sickness absence. The prevalence of long term sick leave was investigated among 12 male and female occupations (N = 84,319) in two counties of Sweden. The age-adjusted sickness absence rate ranged between 0.5 and 9.5% among women and between 1.2 and 9.1% in men. When controlling for age and occupation there was no relationship between unemployment rates and sickness absence rate among females. Among males, however, an inverse relationship between unemployment rates and long term sickness absence was found. An unemployment rate of 6.1% or higher was associated with a relative risk for sickness absence of 0.4 compared with reference level 1.0 in the group with the lowest unemployment rate (0-1.1%). There was a strong positive correlation between age and absenteeism. Musculoskeletal symptoms was the dominating diagnostic group in all age groups Knutsson A, Goine H. Department of Occupational and Environmental Medicine, Umea University, Sweden. The study was aimed to describe the prevalence of long term sickness absence in common male and female occupations and to determine the relative importance of unemployment rates for sickness absence. The prevalence of long term sick leave was investigated among 12 male and female occupations (N = 84,319) in two counties of Sweden. The age-adjusted sickness absence rate ranged between 0.5 and 9.5% among women and between 1.2 and 9.1% in men. When controlling for age and occupation there was no relationship between unemployment rates and sickness absence rate among females. Among males, however, an inverse relationship between unemployment rates and long term sickness absence was found. An unemployment rate of 6.1% or higher was associated with a relative risk for sickness absence of 0.4 compared with reference level 1.0 in the group with the lowest unemployment rate (0-1.1%). There was a strong positive correlation between age and absenteeism. Musculoskeletal symptoms was the dominating diagnostic group in all age groups. PMID: 9683376 [PubMed - indexed for MEDLINE]

Keywords
absenteeism, sickness absence, unemployment
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-2848 (URN)10.1016/S0277-9536(97)10139-3 (DOI)9683376 (PubMedID)3023 (Local ID)3023 (Archive number)3023 (OAI)
Available from: 2008-09-30 Created: 2009-07-13 Last updated: 2017-12-12Bibliographically approved
3. Welfare systems: Communicating vessels?
Open this publication in new window or tab >>Welfare systems: Communicating vessels?
2006 (English)In: EUROPEAN JOURNAL OF PUBLIC HEALTH, 2006, Vol. 16, no Suppl 1, p. 95-95Conference paper, Published paper (Refereed)
Series
European journal of public health, ISSN 1101-1262 ; 16 Suppl 1
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-9371 (URN)000243008700268 ()
Available from: 2009-07-13 Created: 2009-07-13 Last updated: 2010-07-15Bibliographically approved
4. Sickness absence and early retirement at two workplaces: effects of organisational intervention in Sweden
Open this publication in new window or tab >>Sickness absence and early retirement at two workplaces: effects of organisational intervention in Sweden
2004 (English)In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 58, no 1, p. 99-108Article in journal (Refereed) Published
Abstract [en]

This study sought to compare sickness absence and early retirement at two workplaces in Sweden before and after they had received financial support from the Working Life Fund and implemented vocational rehabilitation activities. Two paper and pulp manufacturing plants were compared and a cohort study was set up. The cohort included everyone born in 1934 or later who was employed in December 1988 (918 employees at Plant A and 1543 at Plant B). For 10 years (1989-98), sick leave and disability pensions were monitored. The periods before and after the intervention (1989-93 and 1994-98, respectively) were compared. Cumulative incidence was calculated for short-, long-term and very long-term sick leave, company pension and early retirement. There was no difference between the plants in terms of the three different outcomes when sick leave was measured before and after the intervention. Sick leave in Period 1 was strongly correlated with an elevated risk of sick leave in Period 2. The cumulative incidence of short-term sick leave decreased from 0.92 (95% CI, 0.91-0.93) in Period 1 to 0.79 (95% CI, 0.77-0.80) in Period 2. For employees in the upper age groups, relative risk for long-term and very long-term sick leave was elevated in both periods. The incidence of early retirement and company pension differed between the companies. We conclude that the size of financial investments in rehabilitation programmes has no significant impact on sickness absence or disability pension, based on a comparison between two paper and pulp manufacturing plants in Sweden during the early 1990s. Sickness absence and early retirement at two workplaces--effects of organisational intervention in Sweden.Goine H, Knutsson A, Marklund S, Karlsson B.Department of Public Health and Clinical Medicine, Occupational Medicine, University of Umea, Sweden. hans@goine.pp.seThis study sought to compare sickness absence and early retirement at two workplaces in Sweden before and after they had received financial support from the Working Life Fund and implemented vocational rehabilitation activities. Two paper and pulp manufacturing plants were compared and a cohort study was set up. The cohort included everyone born in 1934 or later who was employed in December 1988 (918 employees at Plant A and 1543 at Plant B). For 10 years (1989-98), sick leave and disability pensions were monitored. The periods before and after the intervention (1989-93 and 1994-98, respectively) were compared. Cumulative incidence was calculated for short-, long-term and very long-term sick leave, company pension and early retirement. There was no difference between the plants in terms of the three different outcomes when sick leave was measured before and after the intervention. Sick leave in Period 1 was strongly correlated with an elevated risk of sick leave in Period 2. The cumulative incidence of short-term sick leave decreased from 0.92 (95% CI, 0.91-0.93) in Period 1 to 0.79 (95% CI, 0.77-0.80) in Period 2. For employees in the upper age groups, relative risk for long-term and very long-term sick leave was elevated in both periods. The incidence of early retirement and company pension differed between the companies. We conclude that the size of financial investments in rehabilitation programmes has no significant impact on sickness absence or disability pension, based on a comparison between two paper and pulp manufacturing plants in Sweden during the early 1990s

Keywords
Sickness absence, rehabilitation, disability pension, early retirement, intervention, workplace.
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-836 (URN)10.1016/S0277-9536(03)00151-5 (DOI)000187742900008 ()14572924 (PubMedID)1209 (Local ID)1209 (Archive number)1209 (OAI)
Available from: 2008-11-29 Created: 2008-11-29 Last updated: 2017-12-13Bibliographically approved

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