Length of sickness absence and sustained return-to-work in mental disorders and musculoskeletal diseases : a cohort study of public sector employees

Show full item record



Permalink

http://hdl.handle.net/10138/204694

Citation

Kausto , J , Pentti , J , Oksanen , T , Virta , L J , Virtanen , M , Kivimaki , M & Vahtera , J 2017 , ' Length of sickness absence and sustained return-to-work in mental disorders and musculoskeletal diseases : a cohort study of public sector employees ' , Scandinavian Journal of Work, Environment & Health , vol. 43 , no. 4 , pp. 358-366 . https://doi.org/10.5271/sjweh.3643

Title: Length of sickness absence and sustained return-to-work in mental disorders and musculoskeletal diseases : a cohort study of public sector employees
Author: Kausto, Johanna; Pentti, Jaana; Oksanen, Tuula; Virta, Lauri J.; Virtanen, Marianna; Kivimaki, Mika; Vahtera, Jussi
Contributor: University of Helsinki, Department of Public Health
University of Helsinki, Clinicum
Date: 2017-07
Language: eng
Number of pages: 9
Belongs to series: Scandinavian Journal of Work, Environment & Health
ISSN: 0355-3140
URI: http://hdl.handle.net/10138/204694
Abstract: Objectives The aim of this study was to investigate the association between the length of sickness absence and sustained return to work (SRTW) and the predictors of SRTW in depression, anxiety disorders, intervertebral disc disorders, and back pain in a population-based cohort of employees in the Finnish public sector. Methods We linked data from employers' registers and four national population registers. Cox proportional hazards regression analysis with a cluster option was applied. SRTW was defined as the end of the sickness benefit period not followed by a recurrent sickness benefit period in 30 days. Results For depression, the median time to SRTW was 46 and 38 days among men and women, respectively. For anxiety disorders, the figures were 24 and 22 days, for intervertebral disc disorders, 42 and 41 days, and, for back pain, 21 and 22 days among men and women respectively. Higher age and the persistence of the health problem predicted longer time to SRTW throughout the diagnostic categories. Comorbid conditions predicted longer time to SRTW in depression and back pain among women. Conclusions This large cohort study adds scientific evidence on the length of sickness absence and SRTW in four important diagnostic categories among public sector employees in Finland. Further research taking into account, eg, features of the work environment is suggested. Recommendations on the length of sickness absence at this point should be based on expert opinion and supplemented with research findings.
Subject: evidence-based practice
Finland
population register
practice guideline
RTW
sick leave
successful return to work
RANDOMIZED-CONTROLLED-TRIAL
LOW-BACK-PAIN
DISABILITY PENSION
PROGNOSTIC-FACTORS
HEALTH
LEAVE
REHABILITATION
GUIDELINES
PREDICTOR
MORTALITY
3142 Public health care science, environmental and occupational health
Rights:


Files in this item

Total number of downloads: Loading...

Files Size Format View
358_366_kausto.pdf 296.9Kb PDF View/Open

This item appears in the following Collection(s)

Show full item record