1. Frequent short sickness absence, occupational health service utilisation and long-term sickness absence due to mental disorders among young employees
- Author
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Anne Kouvonen, Hilla Nordquist, Olli Pietiläinen, Minna Mänty, Kustaa Piha, Ossi Rahkonen, Tea Lallukka, Jaakko Harkko, Helsinki Inequality Initiative (INEQ), Social Policy, Clinicum, Faculty Common Matters (Faculty of Social Sciences), Faculty of Social Sciences, Department of Public Health, Center for Population, Health and Society, and Centre of Excellence in Research on Ageing and Care
- Subjects
Adult ,Male ,medicine.medical_specialty ,Adolescent ,IMPACT ,medicine.medical_treatment ,Occupational health primary care ,Occupational Health Services ,Primary care ,Kaplan-Meier Estimate ,Occupational safety and health ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,medicine ,Humans ,030212 general & internal medicine ,Psychiatry ,Finland ,Frequent attenders ,Proportional Hazards Models ,RISK ,Service (business) ,Sickness absence ,Rehabilitation ,Socioeconomic inequality ,Primary Health Care ,Proportional hazards model ,business.industry ,Work disability ,Mental Disorders ,PRIMARY-CARE ,Public Health, Environmental and Occupational Health ,030210 environmental & occupational health ,3142 Public health care science, environmental and occupational health ,Original Article ,Female ,Municipal employees ,Sick Leave ,FOLLOW-UP ,business ,Cox regression - Abstract
Objectives We examined whether frequent short-term sickness absence (FSTSA) and primary care use in occupational health service (OHS) were associated with medically-certified long-term sickness absence (LTSA) due to mental disorders among young employees. Methods We used record-linkage data covering the young employees (n = 8,282) from 2010 to 2014. The outcome was LTSA due to mental disorders. Cox regression models were fitted. Results FSTSAs were associated with subsequent LTSA. Also OHS use predicted LTSA due to mental disorders; however, this association was not found for those with prior FSTSA. Conclusions Both FSTSA and primary care use indicate subsequent LTSA independently, and together these indicators identify a larger proportion of individuals at risk of LTSA due to mental disorders.
- Published
- 2021