Educational differences in sickness absence trends among young employees from 2002 to 2013 in Helsinki, Finland

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http://hdl.handle.net/10138/165017

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Sumanen , H , Lahelma , E , Lahti , J , Pietiläinen , O & Rahkonen , O 2016 , ' Educational differences in sickness absence trends among young employees from 2002 to 2013 in Helsinki, Finland ' , BMJ Open , vol. 6 , no. 5 , 008550 . https://doi.org/10.1136/bmjopen-2015-008550

Title: Educational differences in sickness absence trends among young employees from 2002 to 2013 in Helsinki, Finland
Author: Sumanen, Hilla; Lahelma, Eero; Lahti, Jouni; Pietiläinen, Olli; Rahkonen, Ossi
Contributor: University of Helsinki, Clinicum
University of Helsinki, Clinicum
University of Helsinki, Clinicum
University of Helsinki, Clinicum
University of Helsinki, Clinicum
Date: 2016
Language: eng
Number of pages: 7
Belongs to series: BMJ Open
ISSN: 2044-6055
URI: http://hdl.handle.net/10138/165017
Abstract: Objective Socioeconomic differences in sickness absence (SA) are well established among older employees but poorly understood among the young. Our aim was to examine 12-year trends in educational differences in SA among young female and male employees, and to assess the magnitude of the differences. Design We examined annual SA spells. The data were obtained from the employer's registers and linked to Statistics Finland's register data on completed education and qualifications. Education was classified into four hierarchical groups. Joinpoint regression models were used to identify turning points in SA trends. The magnitude of the relative educational differences was estimated in accordance with the relative index of inequality for 2002, 2008 and 2013. Setting Employees of the City of Helsinki, Finland, in 2002-2013. Participants The analyses covered female and male employees aged 25-34years: employees aged 35-54years were used as a reference group. Outcome SA spells. Results An educational gradient emerged among younger and older women and men. SA spells increased in the early 2000s, and downward turning points were located in 2007-2010 in all educational groups among women and in most groups among men. The magnitude of the differences remained broadly stable among younger women from 2002 to 2013, and decreased slightly among older women and more strongly among younger and older men. The educational differences were greater among men than women in the early 2000s, but similar among both at the end of the study period. Conclusions The changes in SA spells may reflect the economic downturn started in 2008 and resulting job insecurity. Early preventive measures aimed at reducing educational differences in SA should be focused at an early stage on those with low levels of education in particular.
Subject: Young adults
Education
Sick Leave
Work disability
OCCUPATIONAL CLASS-DIFFERENCES
SOCIAL GRADIENT
RISK-FACTORS
SOCIOECONOMIC DIFFERENCES
MUNICIPAL EMPLOYEES
HEALTH INEQUALITIES
DANISH EMPLOYEES
JOB INSECURITY
WORK
DETERMINANTS
3121 General medicine, internal medicine and other clinical medicine
3142 Public health care science, environmental and occupational health
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