Association Between Workplace Absenteeism and Alcohol Use Disorder From the National Survey on Drug Use and Health, 2015-2019

Parsley, Ian C.; Dale, Ann Marie; Fisher, Sherri L.; Mintz, Carrie M.; Hartz, Sarah M.; Evanoff, Bradley; Bierut, Laura J.

doi:10.1001/jamanetworkopen.2022.2954

Cited by 13 publications

(16 citation statements)

References 35 publications

(66 reference statements)

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“…Supervisors were most active in initiating an HCU when the employee had an alcohol use disorder. The explanation may be that employees with alcohol use disorder tend to miss working days due to illness, injury and days skipped 33. Supervisors are often the first to notice the problems in work results 34.…”

Section: Discussionmentioning

confidence: 99%

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Health check-ups as interventions for work disability management: supervisors and occupational healthcare follow the recommendations to a great extent

Kuronen¹,

Winell

Kopra

et al. 2023

Occup Environ Med

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ObjectivesWork disability management is a problem globally. This study was designed to find out whether the initiation, process and outcome of health check-ups (HCUs) follow the national legislation and whether supervisors and occupational healthcare (OHC) units act according to the legislation-based recommendations.MethodsData of 1092 employees with reduced work ability were collected during 2013–2018 in 15 OHC units across Finland. Nine reasons for HCUs, eight process activities and three recommendations were analysed. Cross-tabulation and multinomial logistic regression analysis were used in the analyses.ResultsEmployees themselves initiated an HCU for early support more often (OR with 95% CI 2.37; 1.04 to 5.40) compared with supervisors. Personnel in OHC units initiated an HCU in musculoskeletal disorders more often (OR 1.58; 95% CI 1.05 to 2.37) and in mental disorders less often (OR 0.52; 95% CI 0.35 to 0.76) compared with supervisors. These findings were reflected in the recommendations after the HCU, where rehabilitation was recommended for employees with musculoskeletal disorders more often than for employees with mental disorders (ORs 5.48; 95% CI 1.91 to 15.67 and 1.59; 95% CI 0.74 to 3.43, respectively).ConclusionSupervisors and OHC units followed the recommendations for management of work disability to a great extent. Employees were active in looking for help early when they had problems with work ability. This positive finding should be promoted even more. OHC units did not initiate HCUs or recommend rehabilitation in mental disorders as actively as they did in musculoskeletal disorders. Support of employees with mental disorders should be improved and studied more.Registration of the studyThe study protocol was approved and registered on 22 September 2017 by the Doctoral Program of Health Sciences, Faculty of Medicine, University of Eastern Finland, registration no. 189067.

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Section: Discussionmentioning

confidence: 99%

“…The explanation may be that employees with alcohol use disorder tend to miss working days due to illness, injury and days skipped. 33 Supervisors are often the first to notice the problems in work results. 34 Supervisors might also think that alcohol use disorder is a significant risk factor for permanent work disability.…”

Section: Discussionmentioning

confidence: 99%

Health check-ups as interventions for work disability management: supervisors and occupational healthcare follow the recommendations to a great extent

Kuronen¹,

Winell

Kopra

et al. 2023

Occup Environ Med

View full text Add to dashboard Cite

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“…It is also a major cause of lost workdays in the United States, according to a recent study of drinking from 2015 through 2019 by Ian Parsley and colleagues from the Washington University School of Medicine. (See Parsley et al, 2022. )…”

Section: Alcohol Abuse and Workmentioning

confidence: 99%

A Rarely Discussed “Treatment” for Chronic Pain Stoked Death Rates During the Pandemic

2022

The Back Letter

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“…[4][5][6] In addition, sometimes an absence can stem from professional burnout, workplace harassment, substance misuse or career dissatisfaction. 7,8 Together, the reasons for resident absences are diverse and personal but can affect clinical performance, collegial relationships, system function and patient care. 9 Residency programmes have the responsibility to support a trainee's growth as a clinician, yet resident assessment is affected by many external factors.…”

Section: Introductionmentioning

confidence: 99%

On‐call absences and academic recognition: A retrospective cohort analysis

2023

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BackgroundResident call schedules require careful planning and are vulnerable to unanticipated absences from unpredictable factors. We tested whether unplanned absences from resident call schedules were associated with the likelihood of subsequent academic recognition.MethodsWe examined unplanned absences from call shifts for internal medicine residents at the University of Toronto from 2014 to 2022 (8 years). We identified institutional awards granted at the end of the academic year as an indicator of academic recognition. We defined the resident‐year as the unit‐of‐analysis that started in July and ended in June of the subsequent year. Secondary analyses examined the association between unplanned absences and the likelihood of academic recognition in later years.ResultsWe identified 1668 resident‐years of training in internal medicine. In total, 579 (35%) had an unplanned absence, and the remaining 1089 (65%) had no unplanned absence. Baseline characteristics were similar between the two groups of residents. In total, 301 awards were received for academic recognition. The likelihood of receiving an award at the end of the year was 31% lower for residents who had any unplanned absence compared with those who had no absence (adjusted odds ratio = 0.69, 95% confidence interval 0.51–0.93, p = 0.015). The likelihood of receiving an award was further decreased for residents with multiple unplanned absences compared with those with none (odds ratio 0.54, 95% confidence interval 0.33–0.83, p = 0.008). An absence during the first year of residency was not significantly associated with the likelihood of academic recognition in later years of training (odds ratio 0.62, 95% confidence interval 0.36–1.04, p = 0.081).ConclusionsThe results of this analysis suggest unplanned absences from scheduled call shifts may be associated with a decreased likelihood of academic recognition for internal medicine residents. This association could reflect countless confounders or the prevailing culture of medicine.

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Association Between Workplace Absenteeism and Alcohol Use Disorder From the National Survey on Drug Use and Health, 2015-2019

Cited by 13 publications

References 35 publications

Health check-ups as interventions for work disability management: supervisors and occupational healthcare follow the recommendations to a great extent

Health check-ups as interventions for work disability management: supervisors and occupational healthcare follow the recommendations to a great extent

A Rarely Discussed “Treatment” for Chronic Pain Stoked Death Rates During the Pandemic

On‐call absences and academic recognition: A retrospective cohort analysis

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