Long-term sickness absence: changes in risk factors and the population at risk

Lidwall, Ulrik; Bergendorff, Sisko; Voss, Margaretha; Marklund, Staffan

doi:10.2478/v10001-009-0018-3

Cited by 36 publications

(27 citation statements)

References 25 publications

(38 reference statements)

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“…Psychiatric complaints, including stress, exhaustion and tiredness, increased after the mid-1990s (Marklund & Wikman 2001). A study comparing risk factors for long-term sickness absence in 1986-89 and in 2002 found that in 2002 women had a higher risk of long-term sickness absence and psychosocial work environment and job situations were of greater importance (Lidwall et al, 2009). …”

Section: Discussionmentioning

confidence: 99%

Delayed and differential effects of the economic crisis in Sweden in the 1990s on health-related exclusion from the labour market: A health equity assessment

Burström

Nylén

Barr

et al. 2012

Social Science & Medicine

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Many OECD countries are currently experiencing economic crisis and introducing measures with unknown effects. The opportunity to learn from previous experience arises from the Swedish recession in the 1990s and the government's response to it. We explored whether there were delayed or differential effects of the policy response to the economic crisis for people with limiting longstanding illness or disability (LLSI) from different socioeconomic groups and the nature of these effects, by policy analysis and secondary data analysis of the Swedish Survey of Living Conditions (ULF) from 1978-2005. The government policy response involved cutting public expenditure, privatising some services and measures to boost private sector employment. There was a decline in overall employment rates from the early 1990s, particularly among men and women with LLSI and in lower socioeconomic groups. Public sector employment declined from 53 to 40 per cent among women and from 23 to 14 per cent among men. Private sector employment increased modestly for women (from 31 per cent to 37 per cent), and stayed stable at 59-60 per cent among men. Following economic recovery, employment rates continued to decline among men and women with LLSI from manual socioeconomic groups, while the employment levels increased among most healthy men and women. There was a concomitant increase in rates of limiting longstanding illness, sickness absence and rates of disability pension particularly among women in lower socioeconomic groups. Conclusion: The policy response to the 1990s economic crisis in Sweden had differential consequences, hitting the employment of women in the public sector, especially women with both LLSI and low socioeconomic status. The observed increase in disability pension rates, particularly among women with LLSI in lower socioeconomic groups, may be a delayed effect of the policy response to the economic crisis.Delayed and differential effects of the economic crisis in Sweden in the 1990s on health-related exclusion from the labour market: a health equity assessment Burström

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Section: Discussionmentioning

confidence: 99%

Delayed and differential effects of the economic crisis in Sweden in the 1990s on health-related exclusion from the labour market: A health equity assessment

Burström

Nylén

Barr

et al. 2012

Social Science & Medicine

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“…These conditions account for the majority of sick leave in Sweden (2)(3)(4), and in many western countries. The time until return to work after sick leave varies depending on several factors, such as personal health resources, the severity of the health condition, work environment factors, the financial compensation system, as well as receipt of tailored interventions and satisfaction with health care interventions (5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Self-Reported Work Ability and Usefulness of Interventions Among Sick-Listed Patients

et al. 2012

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Methods A prospective cohort study was performed including 810 newly sick-listed patients (MSD 62% and MD 38%). The baseline questionnaire included sociodemographic characteristics and measures of work ability. The 3-month follow-up questionnaire included measures of work ability, type of intervention received, and judgment of usefulness.Results Twenty-five percent received medical intervention modalities (MI) only, 45% received a combination of medical and rehabilitative intervention modalities (CRI) and 31% received workrelated interventions combined with medical or rehabilitative intervention modalities (WI).Behavioural treatments were more common for patients with MD compared with MSD and exercise therapy were more common for patients with MSD. The most prevalent workplace interventions were adjustment of work tasks or the work environment. Among patients with MD, WI was found to be useful and improved work ability significantly more compared with only MI or CRI. For patients with MSD, no significant differences in improved work ability were found between interventions.Conclusions Patients with MD who received a combination of work-related and clinical interventions reported best usefulness and best improvement in work ability. There was no difference in improvements in work ability between rehabilitation methods in the MSD group.There seems to be a gap between scientific evidence and praxis behaviour in the rehabilitation process. Unimodal rehabilitation was widely applied in the early rehabilitation process, a multimodal treatment approach was rare and only one-third received work-related interventions.It remains a challenge to understand who needs what type of intervention.

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“…This may be accompanied by an increased duration of absenteeism. 7 Together, aging may pose a financial burden on employers, insurance, and social security systems. Whenever a worker cannot meet his or her work demands because of a decrease in FC because of aging, adaptations may be considered to restore this balance.…”

mentioning

confidence: 99%