Occupational class differences in diagnostic-specific sickness absence : a register-based study in the Finnish population, 2005-2014

Show full item record



Permalink

http://hdl.handle.net/10138/224380

Citation

Pekkala , J , Blomgren , J , Pietilainen , O , Lahelma , E & Rahkonen , O 2017 , ' Occupational class differences in diagnostic-specific sickness absence : a register-based study in the Finnish population, 2005-2014 ' , BMC Public Health , vol. 17 , 670 . https://doi.org/10.1186/s12889-017-4674-0

Title: Occupational class differences in diagnostic-specific sickness absence : a register-based study in the Finnish population, 2005-2014
Author: Pekkala, Johanna; Blomgren, Jenni; Pietilainen, Olli; Lahelma, Eero; Rahkonen, Ossi
Contributor: University of Helsinki, Clinicum
University of Helsinki, Social Insurance Inst Finland
University of Helsinki, Clinicum
University of Helsinki, Clinicum
University of Helsinki, Clinicum
Date: 2017-08-22
Language: eng
Number of pages: 13
Belongs to series: BMC Public Health
ISSN: 1471-2458
URI: http://hdl.handle.net/10138/224380
Abstract: Background: Musculoskeletal diseases and mental disorders are major causes of long-term sickness absence in Western countries. Although sickness absence is generally more common in lower occupational classes, little is known about class differences in diagnostic-specific absence over time. Focusing on Finland during 2005-2014, we therefore set out to examine the magnitude of and changes in absolute and relative occupational class differences in long-term sickness absence due to major diagnostic causes. Methods: A 70-per-cent random sample of Finns aged 25-64 linked to register data on medically certified sickness absence (of over 10 working days) in 2005-2014 was retrieved from the Social Insurance Institution of Finland. Information on occupational class was obtained from Statistics Finland and linked to the data. The study focused on female (n = 658,148-694,142) and male (n = 604,715-642,922) upper and lower non-manual employees and manual workers. The age-standardised prevalence, the Slope Index of Inequality (SII) and the Relative Index of Inequality (RII) were calculated for each study year to facilitate examination of the class differences. Results: The prevalence of each diagnostic cause of sickness absence declined during the study period, the most common causes being musculoskeletal diseases, mental disorders and injuries. The prevalence of other causes under scrutiny was less than 1 % annually. By far the largest absolute and relative differences were in musculoskeletal diseases among both women and men. Moreover, the absolute differences in both genders (p <0. 0001) and the relative differences in men (p <0.0001) narrowed over time as the prevalence declined most among manual workers. Both genders showed modest and stable occupational class differences in mental disorders. In the case of injuries, no major changes occurred in absolute differences but relative differences narrowed over time in men (p <0.0001) due to a strong decline in prevalence among manual workers. Class differences in the other studied diagnostic causes under scrutiny appeared negligible. Conclusions: By far the largest occupational class differences in long-term sickness absence concerned musculoskeletal diseases, followed by injuries. The results highlight potential targets for preventive measures aimed at reducing sickness absence and narrowing class differences in the future.
Subject: Sickness absence
Occupational class
Musculoskeletal diseases
Mental disorders
Changes
COMMON MENTAL-DISORDERS
LOW-BACK-PAIN
SOCIOECONOMIC INEQUALITIES
WHITEHALL-II
MUNICIPAL EMPLOYEES
EUROPEAN COUNTRIES
WORK DISABILITY
HEALTH
TRENDS
NORWAY
3142 Public health care science, environmental and occupational health
Rights:


Files in this item

Total number of downloads: Loading...

Files Size Format View
s12889_017_4674_0.pdf 640.1Kb PDF View/Open

This item appears in the following Collection(s)

Show full item record