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Sickness absence and early retirement at two workplaces: effects of organisational intervention in Sweden
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
2004 (English)In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 58, no 1, 99-108 p.Article 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

Place, publisher, year, edition, pages
2004. Vol. 58, no 1, 99-108 p.
Keyword [en]
Sickness absence, rehabilitation, disability pension, early retirement, intervention, workplace.
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:miun:diva-836DOI: 10.1016/S0277-9536(03)00151-5ISI: 000187742900008PubMedID: 14572924Local ID: 1209OAI: oai:DiVA.org:miun-836DiVA: diva2:25868
Available from: 2008-11-29 Created: 2008-11-29 Last updated: 2011-07-28Bibliographically approved
In thesis
1. Sickness absence: Aspects of measurement, impact of the labour market and effects of intervention
Open this publication in new window or tab >>Sickness absence: Aspects of measurement, impact of the labour market and effects of intervention
2006 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Sundsvall: Mittuniversitetet, 2006. 63 p.
Series
Mid Sweden University doctoral thesis, ISSN 1652-893X ; 10
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-8877 (URN)91-85317-22-5 (ISBN)
Public defence
2006-05-18, Sundsvall, 00:00 (English)
Available from: 2009-05-06 Created: 2009-05-06 Last updated: 2014-10-03Bibliographically approved

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Citation style
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