Recurrent sick leave after COVID-19: investigating the first wave of the pandemic in a comprehensive Swedish registry-based study

Palstam, Annie; Westerlind, Emma; Sunnerhagen, Katharina S.; Persson, Hanna

doi:10.1186/s12889-021-11918-y

Cited by 13 publications

(9 citation statements)

References 21 publications

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“…Others have pointed to interactions between age and sex, e.g., less sick leave in infected females ages 20–44 compared to infected females ages 45–70 years 19 . Additionally, a Swedish registry-based cohort study reported that people with recurrent sick leave were older, more often female, and more likely to have been on sick leave prior to the pandemic 14 . In our study, we observed that the RD for substantial sick leave between SARS-CoV-2 test-positives and -negatives was greater for females (RD 3.9, 95% CI 3.6–4.2) than for males (RD 2.1, 95% CI 1.8–2.5), and that females as well as persons 50–65 years had a slightly higher prevalence of sick leave compared to the general population, irrespective of test status.…”

Section: Discussionmentioning

confidence: 99%

A hybrid register and questionnaire study of Covid-19 and post-acute sick leave in Denmark

O’Regan,

Svalgaard,

Sørensen

et al. 2023

Nat Commun

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Post-acute sick leave is an underexplored indicator of the societal burden of SARS-CoV-2. Here, we report findings about self-reported sick leave and risk factors thereof from a hybrid survey and register study, which include 37,482 RT-PCR confirmed SARS-CoV-2 cases and 51,336 test-negative controls who were tested during the index- and alpha-dominant waves. We observe that an additional 33 individuals per 1000 took substantial sick leave following acute infection compared to persons with no known history of infection, where substantial sick leave is defined as >1 month of sick leave within the period 1–9 months after the RT-PCR test date. Being female, 50–65 years, or having certain pre-existing health conditions such as obesity, chronic lung diseases, and fibromyalgia each increase risk for taking substantial sick leave. Altogether, these results may help motivate improved diagnostic and treatment options for persons living with post-Covid conditions.

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Section: Discussionmentioning

confidence: 99%

A hybrid register and questionnaire study of Covid-19 and post-acute sick leave in Denmark

O’Regan,

Svalgaard,

Sørensen

et al. 2023

Nat Commun

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“…Because the HCS globally already struggles with thousands of vacancies, it is imperative to identify the factors resulting in staff SAs and to take steps to prevent morbidity and mortality among the staff responding to the COVID-19 pandemic [19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Difference in Pandemic-Related Experiences and Factors Associated with Sickness Absence among Nurses Working in COVID-19 and Non-COVID-19 Departments

Dolić

Antičević

Dolić

et al. 2022

IJERPH

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Background: The aim of this study is to determine the main variables associated with nurses’ sickness absence (SA) and to improve the prediction of SA based on pandemic-related experiences. The second aim is to examine the differences between COVID-19 (CoV) and non-COVID-19 (non-CoV) nurses in levels of post-traumatic stress disorder (PTSD) symptoms, personality traits, coping strategies and professional stressors experienced. Methods: This historical prospective study enrolled 1305 nurses from the University Hospital of Split, Croatia. A total of 380 subjects participated in the study, 163 non-CoV and 217 CoV subjects. Nurses’ pandemic-related experience questionnaires, Big Five Inventory (BFI), Post-traumatic Stress Disorder Checklist (PCL-5), Coping Inventory for Stressful Situations (CISS) and Occupational Stress Questionnaire, were used for evaluation. Results: Non-CoV nurses felt more fear of infection, were more socially distanced, had more PTSD symptoms and neuroticism and felt more stress due to public criticism and job requirements compared to CoV nurses; p < 0.001. The groups of SA users and non-SA users could be distinguished based on predictor variables in CoV and non-CoV nurses, with a correct classification of 84.8% vs. 79.1%. Conclusions: It was possible to predict the probability of using SA among nurses due to pandemic professional experience, personality traits and coping strategies.

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“…In the present study, 46.3% of women and 31.1% of men in the sub-acute phase, and 35.6% of women and 29.9% of men in the post COVID-19 phase reported disability of varying degrees for the WHODAS item “Working ability.” These proportions are in comparison with the 25.7% of women and 25.8% of men among controls who reported disability, and a possible need for rehabilitation and recovery to regain their ability to work. In the Swedish population, risk factors for recurrent sick leave owing to COVID-19 have been found to be female sex, prior sick leave, older age [ 23 ], and the severity of COVID-19 [ 24 ]. The large predominance of women (85.8%) in the present study could be explained by the sex difference in Swedish public employees (71.3% women) [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Long-term self-reported health and disability after COVID-19 in public employees

et al. 2022

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Background Although the symptomatology has been assessed in multiple studies among persons recovering from coronavirus disease 2019 (COVID-19), less is known regarding long-term general health and disability. We aimed to assess long-term self-reported disability in public employees after predominantly mild COVID-19 in comparison with individuals who had negative COVID-19 polymerase chain reaction (PCR) test results. Methods Public employees within Region Västra Götaland were offered tests to identify SARS-CoV-2 infection (n = 56,221) and were invited to complete an online survey that included the World Health Organization Disability Assessment Schedule. Questionnaires were sent out between January 26 and March 5, 2021. A total of 14,222 (25.3%) employees responded, of which 10,194 (18%) were included (women n = 8749, 85.8%). Of these, 7185 (70.5%) participants had a negative PCR test result (controls). A total of 1425 (14%) had a positive PCR result and were categorized in the sub-acute phase (4–12 weeks post COVID-19), and 1584 (15.5%) had a positive PCR test and were categorized in the post COVID-19 phase (> 12 weeks). Results Fifty-two percent of controls rated disability of varying degrees, versus 73% and 64% of participants in the sub-acute and post COVID-19 phase, respectively. Being “emotionally affected” was the most frequently reported disability in the sub-acute phase, the post COVID-19 phase, as well as in controls. The proportion of participants reporting difficulties for 20–30 days was higher in the sub-acute phase than in the post COVID-19 phase (27.9% vs. 21.8%, p < 0.001) as well as in a comparison between participants in the post COVID-19 phase and controls (21.8% vs 14.2%, p < 0.001). Compared with controls, severe disability was more common in the post COVID-19 phase among both women (15.8% vs. 10.7%,), and men (9.8% vs. 6.8%). Conclusions Disability was present in all groups; however, reported disability was greater in the sub-acute phase than in the post COVID-19 phase. The higher levels of disability reported in the COVID-19 patient population may indicate a persisting need for rehabilitation and recovery. In general, women reported a greater degree of disability than men in the sub-acute and post COVID-19 phases.

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Recurrent sick leave after COVID-19: investigating the first wave of the pandemic in a comprehensive Swedish registry-based study

Cited by 13 publications

References 21 publications

A hybrid register and questionnaire study of Covid-19 and post-acute sick leave in Denmark

A hybrid register and questionnaire study of Covid-19 and post-acute sick leave in Denmark

Difference in Pandemic-Related Experiences and Factors Associated with Sickness Absence among Nurses Working in COVID-19 and Non-COVID-19 Departments

Long-term self-reported health and disability after COVID-19 in public employees

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