Dual trajectories of short-term and long-term sickness absence and their social- and health-related determinants among women in the public sector.

Background: Short- and long-term sickness absence (SA) vary in their determinants. We examined short- and long-term SA contemporaneously as two interconnected phenomena to characterize their temporal development, and to identify employees with increasing SA at an early stage. Methods: We extracted 4...

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Publicado en:European Journal of Public Health Vol. 34; no. 2; pp. 322 - 329
Autores principales: Suur-Uski, Johanna, Fagerlund, Pi, Granroth-Wilding, Hanna, Salonsalmi, Aino, Rahkonen, Ossi, Lallukka, Tea
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Apr2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2024
      vid: 34
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      pub: Oxford University Press / USA
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        atl: Dual trajectories of short-term and long-term sickness absence and their social- and health-related determinants among women in the public sector.
      aug:
        au:
          Suur-Uski, Johanna
          Fagerlund, Pi
          Granroth-Wilding, Hanna
          Salonsalmi, Aino
          Rahkonen, Ossi
          Lallukka, Tea
        affil: Department of Public Health, University of Helsinki, Helsinki, Finland
      sug:
        subj:
          Sick Leave Evaluation
          Female Employees
          Social Determinants of Health
          Public Sector
          Sabbaticals
          Health Status
          Human
          Female
          Middle Age
          Descriptive Statistics
          Prospective Studies
          Sociodemographic Factors
          Models, Theoretical
          Health Behavior
          Work Environment
          Women's Health
          Public Health
          Funding Source
          Middle Aged: 45-64 years
          Female
      ab: Background: Short- and long-term sickness absence (SA) vary in their determinants. We examined short- and long-term SA contemporaneously as two interconnected phenomena to characterize their temporal development, and to identify employees with increasing SA at an early stage. Methods: We extracted 46- to 55-year-old employed women from the Helsinki Health Study occupational cohort during 2000-17 (N = 3206) and examined the development of short- (1-14 days) and long-term (>14 days) SA using group-based dual trajectory modelling. In addition, we investigated the associations of social-, work- and health-related factors with trajectory group membership. Results: For short-term SA, we selected a three-group solution: 'no short-term SA' (50%), 'low frequency short-term SA' (40%), and 'high frequency short-term SA' (10%) (7 spells/year). For long-term SA, we also selected three trajectory groups: 'no long-term SA' (65%), 'low long-term SA' (27%), and 'high long-term SA' (8%). No SA in the short-term SA model, indicated a high probability of no SA in the long-term model and vice versa. The developmental pattern was far less certain if participant was assigned to a trajectory of high SA in either one of the models (short- or long-term SA model). Low occupational class and poor health behaviours were associated with the trajectory groups with more SA. Conclusion: SA does not increase with age among most employees. If either SA rate was high, the developmental patterns were heterogenous. Employers' attention to health behaviours might aid in reducing both short- and long-term SA.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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