The sociodemographic patterning of sick leave and determinants of longer sick leave after mild and severe COVID-19: a nationwide register-based study in Sweden.

Background Studies on sociodemographic differences in sick leave after coronavirus disease 2019 (COVID-19) are limited and research on COVID-19 long-term health consequences has mainly addressed hospitalized individuals. The aim of this study was to investigate the social patterning of sick leave an...

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Publicado en:European Journal of Public Health Vol. 34; no. 1; pp. 121 - 129
Autores principales: Spetz, Malin, Dag, Yvonne Natt och, Li, Huiqi, Nwaru, Chioma, Santosa, Ailiana, Nyberg, Fredrik, Rosvall, Maria
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Feb2024
Acceso en línea:Ver este registro en EBSCOhost
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        atl: The sociodemographic patterning of sick leave and determinants of longer sick leave after mild and severe COVID-19: a nationwide register-based study in Sweden.
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          Spetz, Malin
          Dag, Yvonne Natt och
          Li, Huiqi
          Nwaru, Chioma
          Santosa, Ailiana
          Nyberg, Fredrik
          Rosvall, Maria
        affil: Department of School of Public health and Community Medicine, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg , Gothenburg, Sweden
      sug:
        subj:
          COVID-19 Diagnosis
          Severity of Illness
          Sociodemographic Factors Sweden
          Sick Leave
          Social Determinants of Health
          Human
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Nonexperimental Studies
          Polymerase Chain Reaction
          COVID-19 Testing
          Sweden
          Logistic Regression
          COVID-19 Vaccines
          COVID-19 Prevention and Control
          Confidence Intervals
          COVID-19 Pandemic
          Descriptive Statistics
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background Studies on sociodemographic differences in sick leave after coronavirus disease 2019 (COVID-19) are limited and research on COVID-19 long-term health consequences has mainly addressed hospitalized individuals. The aim of this study was to investigate the social patterning of sick leave and determinants of longer sick leave after COVID-19 among mild and severe cases. Methods The study population, from the Swedish multi-register observational study SCIFI-PEARL, included individuals aged 18–64 years in the Swedish population, gainfully employed, with a first positive polymerase chain reaction (PCR) test for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) from 1 January 2020 until 31 August 2021 (n  = 661 780). Using logistic regression models, analyses were adjusted for sociodemographic factors, vaccination, prior sick leave, comorbidities and stratified by hospitalization. Results In total, 37 420 (5.7%) individuals were on sick leave due to COVID-19 in connection with their first positive COVID-19 test. Individuals on sick leave were more often women, older, had lower income and/or were born outside Sweden. These differences were similar across COVID-19 pandemic phases. The highest proportion of sick leave was seen in the oldest age group (10.3%) with an odds ratio of 4.32 (95% confidence interval 4.18–4.47) compared with the youngest individuals. Among individuals hospitalized due to COVID-19, the sociodemographic pattern was less pronounced, and in some models, even reversed. The intersectional analysis revealed considerable variability in sick leave between sociodemographic groups (range: 1.5–17.0%). Conclusion In the entire Swedish population of gainfully employed individuals, our findings demonstrated evident sociodemographic differences in sick leave due to COVID-19. In the hospitalized group, the social patterning was different and less pronounced.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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