Labour market trajectories following sickness absence due to self-reported all cause morbidity: a longitudinal study

Pernille Pedersen, Thomas Lund, Louise Lindholdt, Ellen A Nohr, Chris Jensen, Hans Jørgen Søgaard, Merete Labriola

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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Resumé

BACKGROUND: To investigate differences in return to work (RTW) and employment trajectories in individuals on sick leave for either mental health reasons or other health related reasons.

METHODS: This study was based on 2036 new sickness absence cases who completed a questionnaire on social characteristics, expectations for RTW and reasons for sickness absence. They were divided into two exposure groups according to their self-reported sickness absence reason: mental health reasons or other health reasons. The outcome was employment status during the following 51 weeks and was measured both as time-to-event analysis and with sequence analysis.

RESULTS: Individuals with mental health reasons for sickness absence had a higher risk of not having returned to work (RR 0.87 (0.80;0.93)). Adjusting for gender, age, education and employment did not change the estimate, however, after adding RTW expectations to the model, the excess risk was no longer present (RR 1.01 (0.95;1.08)). In relation to the sequence analysis, individuals with mental health related absence had significantly higher odds of being in the sickness absence cluster and significantly lower odds for being in the fast RTW cluster, but when adjusting for RTW expectations, the odds were somewhat attenuated and no longer significant.

CONCLUSIONS: Employees on sick leave due to self-reported mental health problems spent more weeks in sickness absence and temporary benefits and had a higher risk of not having returned to work within a year compared to employees on sick leave due to other health reasons. The difference could be explained by their lower RTW expectations at baseline. This emphasises the need to develop suitable and specific interventions to facilitate RTW for this group of sickness absentees.

OriginalsprogEngelsk
Artikelnummer337
TidsskriftBMC Public Health
Vol/bind16
Udgave nummer337
Sider (fra-til)1-10
ISSN1471-2458
DOI
StatusUdgivet - 2016

Fingeraftryk

Return to Work
Longitudinal Studies
Mental Health
Sick Leave
Sequence Analysis
Health
Education

Citer dette

Pedersen, Pernille ; Lund, Thomas ; Lindholdt, Louise ; Nohr, Ellen A ; Jensen, Chris ; Søgaard, Hans Jørgen ; Labriola, Merete. / Labour market trajectories following sickness absence due to self-reported all cause morbidity : a longitudinal study. I: BMC Public Health. 2016 ; Bind 16, Nr. 337. s. 1-10.
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title = "Labour market trajectories following sickness absence due to self-reported all cause morbidity: a longitudinal study",
abstract = "BACKGROUND: To investigate differences in return to work (RTW) and employment trajectories in individuals on sick leave for either mental health reasons or other health related reasons.METHODS: This study was based on 2036 new sickness absence cases who completed a questionnaire on social characteristics, expectations for RTW and reasons for sickness absence. They were divided into two exposure groups according to their self-reported sickness absence reason: mental health reasons or other health reasons. The outcome was employment status during the following 51 weeks and was measured both as time-to-event analysis and with sequence analysis.RESULTS: Individuals with mental health reasons for sickness absence had a higher risk of not having returned to work (RR 0.87 (0.80;0.93)). Adjusting for gender, age, education and employment did not change the estimate, however, after adding RTW expectations to the model, the excess risk was no longer present (RR 1.01 (0.95;1.08)). In relation to the sequence analysis, individuals with mental health related absence had significantly higher odds of being in the sickness absence cluster and significantly lower odds for being in the fast RTW cluster, but when adjusting for RTW expectations, the odds were somewhat attenuated and no longer significant.CONCLUSIONS: Employees on sick leave due to self-reported mental health problems spent more weeks in sickness absence and temporary benefits and had a higher risk of not having returned to work within a year compared to employees on sick leave due to other health reasons. The difference could be explained by their lower RTW expectations at baseline. This emphasises the need to develop suitable and specific interventions to facilitate RTW for this group of sickness absentees.",
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Labour market trajectories following sickness absence due to self-reported all cause morbidity : a longitudinal study. / Pedersen, Pernille; Lund, Thomas; Lindholdt, Louise; Nohr, Ellen A; Jensen, Chris; Søgaard, Hans Jørgen; Labriola, Merete.

I: BMC Public Health, Bind 16, Nr. 337, 337 , 2016, s. 1-10.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Labour market trajectories following sickness absence due to self-reported all cause morbidity

T2 - a longitudinal study

AU - Pedersen, Pernille

AU - Lund, Thomas

AU - Lindholdt, Louise

AU - Nohr, Ellen A

AU - Jensen, Chris

AU - Søgaard, Hans Jørgen

AU - Labriola, Merete

PY - 2016

Y1 - 2016

N2 - BACKGROUND: To investigate differences in return to work (RTW) and employment trajectories in individuals on sick leave for either mental health reasons or other health related reasons.METHODS: This study was based on 2036 new sickness absence cases who completed a questionnaire on social characteristics, expectations for RTW and reasons for sickness absence. They were divided into two exposure groups according to their self-reported sickness absence reason: mental health reasons or other health reasons. The outcome was employment status during the following 51 weeks and was measured both as time-to-event analysis and with sequence analysis.RESULTS: Individuals with mental health reasons for sickness absence had a higher risk of not having returned to work (RR 0.87 (0.80;0.93)). Adjusting for gender, age, education and employment did not change the estimate, however, after adding RTW expectations to the model, the excess risk was no longer present (RR 1.01 (0.95;1.08)). In relation to the sequence analysis, individuals with mental health related absence had significantly higher odds of being in the sickness absence cluster and significantly lower odds for being in the fast RTW cluster, but when adjusting for RTW expectations, the odds were somewhat attenuated and no longer significant.CONCLUSIONS: Employees on sick leave due to self-reported mental health problems spent more weeks in sickness absence and temporary benefits and had a higher risk of not having returned to work within a year compared to employees on sick leave due to other health reasons. The difference could be explained by their lower RTW expectations at baseline. This emphasises the need to develop suitable and specific interventions to facilitate RTW for this group of sickness absentees.

AB - BACKGROUND: To investigate differences in return to work (RTW) and employment trajectories in individuals on sick leave for either mental health reasons or other health related reasons.METHODS: This study was based on 2036 new sickness absence cases who completed a questionnaire on social characteristics, expectations for RTW and reasons for sickness absence. They were divided into two exposure groups according to their self-reported sickness absence reason: mental health reasons or other health reasons. The outcome was employment status during the following 51 weeks and was measured both as time-to-event analysis and with sequence analysis.RESULTS: Individuals with mental health reasons for sickness absence had a higher risk of not having returned to work (RR 0.87 (0.80;0.93)). Adjusting for gender, age, education and employment did not change the estimate, however, after adding RTW expectations to the model, the excess risk was no longer present (RR 1.01 (0.95;1.08)). In relation to the sequence analysis, individuals with mental health related absence had significantly higher odds of being in the sickness absence cluster and significantly lower odds for being in the fast RTW cluster, but when adjusting for RTW expectations, the odds were somewhat attenuated and no longer significant.CONCLUSIONS: Employees on sick leave due to self-reported mental health problems spent more weeks in sickness absence and temporary benefits and had a higher risk of not having returned to work within a year compared to employees on sick leave due to other health reasons. The difference could be explained by their lower RTW expectations at baseline. This emphasises the need to develop suitable and specific interventions to facilitate RTW for this group of sickness absentees.

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KW - Adult

KW - Employment

KW - Female

KW - Humans

KW - Longitudinal Studies

KW - Male

KW - Mental Disorders

KW - Middle Aged

KW - Morbidity

KW - Return to Work

KW - Risk

KW - Self Report

KW - Sick Leave

KW - Surveys and Questionnaires

KW - Time Factors

KW - Journal Article

KW - Research Support, Non-U.S. Gov't

U2 - 10.1186/s12889-016-3017-x

DO - 10.1186/s12889-016-3017-x

M3 - Journal article

C2 - 27083893

VL - 16

SP - 1

EP - 10

JO - B M C Public Health

JF - B M C Public Health

SN - 1471-2458

IS - 337

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ER -