The prevalence of sick leave: Reasons and associated predictors – A survey among employed pregnant women

Backhausen, Mette; Damm, Peter; Bendix, Jane M.; Tabor, Ann; Hegaard, Hanne Kristine

doi:10.1016/j.srhc.2017.11.005

Cited by 32 publications

(35 citation statements)

References 22 publications

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“…However, in most countries, job adjustments are mandatory for companies and there is no similar social benefit as POR. Tophøj et al observed that half of SA during pregnancy in Denmark are caused by occupational risk factors,27 although in a more recent Danish study, only 10% of the absences could be related to exposure to occupational risks factors 28. Both studies pointed out that chronic pain, low back pain before pregnancy, insomnia, nausea, sedentary lifestyle, to be multiparous and the double traditional burden as children caregivers and responsible for housework, as the main causes of SA during pregnancy.…”

Section: Discussionmentioning

confidence: 96%

Working conditions and absence from work during pregnancy in a cohort of healthcare workers

Villar¹,

Serra

Serra³

et al. 2019

Occup Environ Med

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ObjectivesTo assess the relationship between exposure to occupational risk factors during pregnancy and absence from work using two different social benefits.MethodThree working pregnancy trajectories (WPT) were identified in a cohort of 428 pregnant workers from a healthcare institution (period 2010–2014), based on absence days and using cluster analysis. WPT1 included absences mainly covered by sickness absence benefit (32.0% of women), WPT2 included absences covered by pregnancy occupational risk (POR) benefit (28.3%) and WPT3 were pregnant workers with few absences (39.9%). Exposure to occupational risk factors was assessed by experts and association with trajectories was analysed using logistic regression. Relative risks (RR) and their 95% CIs were adjusted for age, type of contract and shift work.ResultsWPT2 was associated with exposure to physical (RR=1.86, 95%CI 1.17 to 2.97), safety (RR=2.10, 95%CI 1.61 to 2.73), ergonomic (RR=2.52, 95%CI 1.89 to 3.36) and psychosocial (RR=1.79, 95%CI 1.31 to 2.46) factors, and with exposure level. For physicians, WPT1 was associated with safety risks (RR=3.13, 95%CI 1.22 to 7.99), WPT2 with chemical and ergonomic for administrative/technical support (RR=12.20, 95%CI 1.69 to 88.09; RR=14.09, 95%CI 1.34 to 148.61, respectively), with safety and ergonomic risks for nursing aides (RR=1.84, 95%CI 1.12 to 3.02; RR=3.94, 95% CI 2.38 to 6.53, respectively), and with physical (RR=1.72, 95%CI 1.04 to 2.86), safety (RR=2.21, 95%CI 1.62 to 3.03), ergonomic (RR=2.02, 95%CI 1.44 to 2.86) and psychosocial factors (RR=1.96, 95%CI 1.32 to 2.90) for nurses.ConclusionsAbsences from work covered by POR benefit show a consistent relationship with exposure to occupational risks. Sickness absence is the most frequent benefit used by pregnant workers. Current social benefits are apparently used adequately for protecting women from occupational exposures. Future studies are needed to clarify this further.

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Section: Discussionmentioning

confidence: 96%

Working conditions and absence from work during pregnancy in a cohort of healthcare workers

Villar¹,

Serra

Serra³

et al. 2019

Occup Environ Med

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“…High scores in burnout and stress were associated with sick leave ⩾14 days, and the same applied to the possibility of depression. Mental disorders such as depression and anxiety have also been identified as strong risk factors for sick leave in other studies [3, 4], thus, early attention to depressive symptoms may be important in reducing sick leave. Fair or poor self-rated health was found to be associated with sick leave ⩾14 days, which is similar to findings in the general population [18, 19].…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of sick leave among pregnant employees is relatively high in the Nordic countries [1–5]. In Denmark, pregnancy-related sick leave has been estimated to constitute around 4000 full-time positions per year [2].…”

Section: Introductionmentioning

confidence: 99%

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Associations between work environment, health status and sick leave among pregnant employees

Pedersen

Momsen

Andersen

et al. 2020

Scand J Public Health

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Aims: To study the associations between and timing of psychosocial and physical work factors and health status on sick leave among Danish pregnant employees. Methods: A total of 910 pregnant women completed a questionnaire in gestational weeks 12 (baseline) and 27 (follow-up). Information about psychosocial and physical work factors and health status was obtained at baseline. Associations with sick leave ⩾14 days were estimated using logistic regression. Further, the impact of timing and duration of exposure on sick leave were examined. Results: A total of 133 women (14.6%) reported ⩾14 days of sick leave at follow-up (27 weeks of gestation). Work-related risk factors for sick leave were high work pace, low influence, low recognition, low job satisfaction, conflict in work−family balance, standing/walking, heavy lifting, and shift work/night shift. Health-related risk factors were burnout, stress, possibility of depression, low work ability, previous sick leave, and poor self-rated health. Being exposed to work-related risk factors during the first 27 weeks of pregnancy or at follow-up increased the risk of sick leave compared with those not exposed at any time or only exposed at baseline. Poor health status increased the risk if women were exposed in the first 27 weeks of pregnancy; however, high possibility of depression was also a risk factor when experienced in early pregnancy. Conclusions: Psychosocial and physical work-related risk factors and poor health status were associated with more sick leave in pregnant employees. Early adjustment of work-related risk factors at the workplace is needed to reduce sick leave.

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“…PGP during pregnancy is estimated to range in prevalence from 24% to 50%, with the cited reason for this range being there is variability in how PGP is defined, how physical assessments to identify PGP are performed and how it is reported (Clinton et al, 2017; Fitzgerald & Mallinson, 2012; Walters, West & Nippita, 2018). Research suggests the two common prenatal ailments negatively impact activities of daily living (Clinton et al, 2017) and, in Scandinavian countries, they have been found to account for a large proportion of sick-leave taken by pregnant women or postnatal women returning to work (Backhausen et al, 2018; Aldabe, Milosavljevic & Bussey, 2012; Larsen et al, 1999; Stuge, Hilde & Vøllestad, 2003).…”

Section: Introductionmentioning

confidence: 99%

Compression shorts reduce prenatal pelvic and low back pain: a prospective quasi-experimental controlled study

Szkwara

Hing

Pope

et al. 2019

PeerJ

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Background Common prenatal ailments negatively impact performance of activities of daily living and it has been proposed that the use of dynamic elastomeric fabric orthoses, more commonly referred to as compression garments, during pregnancy might aid in the reduction of pain from these ailments, allowing for improved functional capacity. However, the effectiveness of such garments in this context has not been established. This study aims to determine whether compression shorts are effective and thermally safe in the prevention and management of prenatal pelvic and low back pain (LBP). Method A prospective quasi-experimental controlled study using parallel groups without random allocation was conducted, involving 55 childbearing women (gestational weeks 16–31) recruited from hospital and community-based maternity care providers. The compression shorts group (SG) wore SRC Pregnancy Shorts in addition to receiving usual care. The comparison group (CG) received usual care alone. Primary outcome measures—Numeric Pain Rating Scale (NPRS) and Roland Morris Disability Questionnaire (RMDQ) and secondary measures Pelvic Floor Impact Questionnaire - 7 (PFIQ-7) and SF-36 Short Form Health Survey—were assessed fortnightly over 6-weeks for both groups. The compression SG self-assessed daily their body temperatures to monitor thermal impact. Data analysis involved descriptive analyses of the primary and secondary outcome measures scores by group and time-point, and multivariable linear regressions to assess between-group differences in change scores at 6-weeks from baseline while controlling for baseline factors. Results After controlling for baseline scores, gestational weeks and parity, statistically significant differences in NPRS and RMDQ change scores between groups were in favour of the compression SG. At 6-weeks, mean (SD) NPRS change scores in the compression SG and CG were significantly different, at −0.38 (2.21) and 2.82 (2.68), respectively, p = 0.003. Mean (SD) RMDQ change scores in the compression SG and CG were also significantly different, at 0.46 (3.05) and 3.64 (3.32), respectively, p = 0.009. A total of 883 (99.7%) of the reported daily self-assessed body temperatures ranged between 35.4 and 38.0 °C when wearing the compression shorts. At 6-weeks, mean (SD) PFIQ-7 and SF-36 change scores in the compression SG and CG were not significantly different. Conclusion Compression shorts are effective and thermally safe for prenatal management of pelvic and LBP. Registration Trial registration was not required (Australian Government Department of Health Therapeutic Goods Administration (TGA), 2018).

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The prevalence of sick leave: Reasons and associated predictors – A survey among employed pregnant women

Cited by 32 publications

References 22 publications

Working conditions and absence from work during pregnancy in a cohort of healthcare workers

Working conditions and absence from work during pregnancy in a cohort of healthcare workers

Associations between work environment, health status and sick leave among pregnant employees

Compression shorts reduce prenatal pelvic and low back pain: a prospective quasi-experimental controlled study

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