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Abstract Background Evidence exists that planned home births for low-risk women in settings in which they have access to hospital transfer if needed are safe. The costs of planned home births, compared to low-risk births in obstetric units, are not clear. The aim of this study was to compare costs associated with hospital births versus home births under different home birth organizations. Methods We performed a cost minimisation analysis (CMA) based on decision-analytic modelling while assuming that health outcomes were not affected by place of birth. Estimations of resource use were mainly based on three existing Norwegian datasets: (1) women with planned home births (n = 354), (2) women with planned home births (n = 482) of which 63 were transferred to a hospital, and (3) women with planned births in a hospital (n = 1550). Results Planned home birth costs 45.9% (credibility interval [CrI] 39.1–54.2) of a low-risk birth at a hospital. For planned home birth, the birth was the costliest activity (32.1%). The costs for planned home birth were estimated to be €1872 (CrI 1694–2071) and included hospitalisations for some. Costs for only those with actual home birth was €1353 (CrI 1244–1469). Costs of a birth, including possible birth-related complications, in low-risk women in a hospital was €4077 (CrI 3575–4615). When including the costs of being on call for one woman at a time, a planned home birth costs €5,531 (CrI 5,171–5,906), which is 135.7% (CrI 117.7–156.8) of low-risk births at a hospital. When organizing midwives in the on call teams for multiple women at a time, a planned home birth costs € 2,842 (CrI 2,647–3,053), which is 69.7% (CrI 60.3–80.9) of a low-risk birth in a hospital. Conclusions Home birth can be cost-effective if the midwives who facilitate home births are organised into larger groups, or they work for hospitals that also facilitate home births. A model in which midwives work separately or in pairs to assist with a home birth and are on call for one birth at a time may not be cost-effective.

OBJECTIVE: Work-related stress is an important public health concern in all industrialized countries and is linked to reduced labor market affiliation and an increased disease burden. We aimed to quantify the labor market costs of work-related stress for a large sample of Danish employees. METHODS: We linked four consecutive survey waves on occupational health and five national longitudinal registers with date-based information on wage and social benefits payments. From 2012 to 2020, we followed survey participants for two year-periods, yielding 110 559 person-years. We identified work stress by combining three dichotomous stress indicators: (i) self-perceived work stress, (ii) Cohen 4-level perceived stress scale, and (iii) job strain. Using the multi-state expected labor market affiliation (ELMA) method, we estimated the labor market expenses associated with work-related stress. RESULTS: Of the employees, 26–37% had at least one work-stress indicator. Men aged 35–64 years and women aged 18–64 years with work-related stress had up to 81.6 fewer workdays and up to 50.7 more days of sickness absence during follow-up than similarly aged men without work stress. The average annual work absenteeism loss per employee linked to work-related stress was €1903 for men and €3909 for women, corresponding to 3.3% of men’s average annual wages and 9.0% of women’s average annual wages, respectively. The total annual expenses were €305.2 million for men and €868.5 million for women. CONCLUSION: Work-related stress was associated with significant labor market costs due to increased sickness absence and unemployment. The prevention of work-related stress is an important occupational health concern, and the development of effective interventions should be given high priority.

I denne artikkelen belyser utenriksminister Anniken Huitfeldt tre ulike aspekter ved Norges arbeid og profil i FNs sikkerhetsråd. For det første: Effekten av det toårige medlemskapet for norsk utenrikspolitikk og norske interesser. Hva har Norge fått igjen? For det andre: Hva har Norge bidratt med? Har Sikkerhetsrådet tjent på å ha Norge som valgt medlem? For det tredje: Hvilke diplomatiske og utenrikspolitiske særtrekk ved Norge har hatt betydning for vår rolle og innsats som valgt medlem av FNs sikkerhetsråd? Utenriksministeren viser i artikkelen hvordan sikkerhetsrådsmedlemskapet har styrket norske interesser. Huitfeldt gir flere eksempler på hvordan Norge som valgt medlem utnyttet handlingsrommet i Sikkerhetsrådet ved både å være en prinsippfast aktør, men samtidig ta initiativ og lede flere forhandlinger som førte frem til viktige sikkerhetsrådsvedtak. Hun understreker hvor viktig begge disse rollene ble etter Russlands fullskala angrepskrig mot nabolandet Ukraina 24. februar 2022. Det ble da helt avgjørende å hindre at Sikkerhetsrådet endte opp i fullstendig handlingslammelse, særlig på saksområder som ikke hadde noen sammenheng med angrepskrigen mot Ukraina.

OBJECTIVE: Previous literature has established associations between psychosocial working conditions and sickness absence (SA), but only few studies have examined associations among younger employees. This study aimed to investigate associations between psychosocial working conditions and SA among employees, aged 15–30 years, who entered the labor market in Denmark between 2010 and 2018.METHOD: We followed 301 185 younger employees in registers for on average 2.6 years. Using job exposure matrices, we assessed job insecurity, quantitative demands, decision authority, job strain, emotional demands, and work-related physical violence. Adjusted rate ratios of SA spells of any length were estimated for women and men separately with Poisson models.RESULTS: Among women, employment in occupations with high quantitative demands, low decision authority, high job strain, high emotional demands, or high work-related physical violence was associated with higher rates of SA. Being employed in occupations with high versus low emotional demands showed the strongest association with SA, with a rate ratio of 1.44 [95% confidence interval (CI) 1.41–1.47]. Among men, being employed in occupations with low decision authority showed the strongest association with SA (1.34, 95% CI 1.31–1.37), whereas occupations with high quantitative demands, high job strain, and high emotional demands were associated with lower rates of SA.CONCLUSION: We found that several psychosocial working conditions were associated with SA spells of any length. Associations with SA spells of any length resemble associations with long-term SA, suggesting that results from previous studies on long-term SA may be generalizable to all lengths of SA among younger employees.

OBJECTIVES: Working few hours a week, known as marginal part-time work, may increase both job and income insecurity, which have been linked to the risk of depression. This study examines the association between marginal part-time work and depression and the mediating role of job and income insecurity.METHODS: We included 30 523 respondents of the Danish Labor Force Survey (DLFS) between 2010 and 2017 and linked them to register-based information on weekly working hours, which was used to identify full-time workers and model group-based trajectories of marginal part-time. These data were linked with survey information on job and income insecurity, and register-based information on hospital-diagnosed depression or redeemed anti-depressant drugs in the following two years. We estimated hazard ratios (HR) by Cox proportional hazards models and conducted mediation analyses to estimate the natural direct and indirect effects using job and income insecurity as mediators.RESULTS: We identified three distinct trajectories of marginal part-time work: constant marginal part-time work, mobile towards marginal part-time work, and fluctuating in and out of marginal part-time work. Compared with full-time workers, the constant [HR 2.42, 95% confidence interval (CI) 1.83–3.20], mobile (HR 2.84, 95% CI 2.16–3.75), and fluctuating (HR 3.51, 95% CI 2.07–5.97) trajectories all had higher risks of depression. There was no evidence of mediation by either job (HR 1.02, 95% CI 0.92–1.12) or income (HR 0.98, 95% CI 0.89–1.08) insecurity.CONCLUSIONS: We found a higher risk of depression following marginal part-time work. The higher risk was not mediated by job or income insecurity.

Dark matter (DM) simplified models are by now commonly used by the ATLAS and CMS Collaborations to interpret searches for missing transverse energy (ETmiss). The coherent use of these models sharpened the LHC DM search program, especially in the presentation of its results and their comparison to DM direct-detection (DD) and indirect-detection (ID) experiments. However, the community has been aware of the limitations of the DM simplified models, in particular the lack of theoretical consistency of some of them and their restricted phenomenology leading to the relevance of only a small subset of ETmiss signatures. This document from the LHC Dark Matter Working Group identifies an example of a next-generation DM model, called 2HDM+a, that provides the simplest theoretically consistent extension of the DM pseudoscalar simplified model. A comprehensive study of the phenomenology of the 2HDM+a model is presented, including a discussion of the rich and intricate pattern of mono-X signatures and the relevance of other DM as well as non-DM experiments. Based on our discussions, a set of recommended scans are proposed to explore the parameter space of the 2HDM+a model through LHC searches. The exclusion limits obtained from the proposed scans can be consistently compared to the constraints on the 2HDM+a model that derive from DD, ID and the DM relic density.

Dark matter (DM) simplified models are by now commonly used by the ATLAS and CMS Collaborations to interpret searches for missing transverse energy (ETmiss). The coherent use of these models sharpened the LHC DM search program, especially in the presentation of its results and their comparison to DM direct-detection (DD) and indirect-detection (ID) experiments. However, the community has been aware of the limitations of the DM simplified models, in particular the lack of theoretical consistency of some of them and their restricted phenomenology leading to the relevance of only a small subset of ETmiss signatures. This document from the LHC Dark Matter Working Group identifies an example of a next-generation DM model, called 2HDM+a, that provides the simplest theoretically consistent extension of the DM pseudoscalar simplified model. A comprehensive study of the phenomenology of the 2HDM+a model is presented, including a discussion of the rich and intricate pattern of mono-X signatures and the relevance of other DM as well as non-DM experiments. Based on our discussions, a set of recommended scans are proposed to explore the parameter space of the 2HDM+a model through LHC searches. The exclusion limits obtained from the proposed scans can be consistently compared to the constraints on the 2HDM+a model that derive from DD, ID and the DM relic density.

We estimate the effects of wait time for orthopedic surgery on health and labor market outcomes of Norwegian workers. Our identification strategy exploits variation in wait times for surgery generated by the idiosyncratic variation in system congestion at the time of referral. While we find no significant evidence of lasting health effects, longer wait times have persistent negative effects on subsequent labor supply. For every 10 days spent waiting for surgery, we estimate health-related workplace absences increase 8.7 days over the five years following referral, and the likelihood of permanent disability insurance increases by 0.4 percentage point. Cost benefit calculations point to sizable fiscal savings from shorter wait times

Godkjenningsordningen i fritt behandlingsvalg (GFBV) ble innført i november 2015 og åpnet for at private tilbydere kunne søke om å bli godkjente leverandører av utvalgte behandlinger i spesialisthelsetjenesten, slik at de kunne behandle pasienter for det offentliges regning. Formålet med vår undersøkelse var å beskrive sosioøkonomiske kjennetegn ved pasientene som benyttet GFBV i 2017. For å oppnå dette ble Helfo-refusjoner koblet på individnivå med sosioøkonomiske variabler fra Statistisk sentralbyrå. Over 90 prosent av pasientene som benyttet GFBV, var bosatt i opptaksområdet til Helse Sør-Øst. 34 prosent av pasientene som brukte GFBV, hadde høyere utdanning, og gjennomsnittsinntekten var 362 000 kroner i året. Overrepresentasjonen av pasienter med høyere utdanning i GFBV forble statistisk signifikant (odds ratio 1,2; 95 % KI 1,1–1,3) etter samtidig kontroll for alder og kjønn.

Background: Evidence exists that planned home births for low-risk women in settings in which they have access to hospital transfer if needed are safe. The costs of planned home births, compared to low-risk births in obstetric units, are not clear. The aim of this study was to compare costs associated with hospital births versus home births under different home birth organizations. Methods: We performed a cost minimisation analysis (CMA) based on decision-analytic modelling while assuming that health outcomes were not affected by place of birth. Estimations of resource use were mainly based on three existing Norwegian datasets: (1) women with planned home births (n = 354), (2) women with planned home births (n = 482) of which 63 were transferred to a hospital, and (3) women with planned births in a hospital (n = 1550). Results: Planned home birth costs 45.9% (credibility interval [CrI] 39.1–54.2) of a low-risk birth at a hospital. For planned home birth, the birth was the costliest activity (32.1%). The costs for planned home birth were estimated to be €1872 (CrI 1694–2071) and included hospitalisations for some. Costs for only those with actual home birth was €1353 (CrI 1244–1469). Costs of a birth, including possible birth-related complications, in low-risk women in a hospital was €4077 (CrI 3575–4615). When including the costs of being on call for one woman at a time, a planned home birth costs €5,531 (CrI 5,171–5,906), which is 135.7% (CrI 117.7–156.8) of low-risk births at a hospital. When organizing midwives in the on call teams for multiple women at a time, a planned home birth costs € 2,842 (CrI 2,647–3,053), which is 69.7% (CrI 60.3–80.9) of a low-risk birth in a hospital. Conclusions: Home birth can be cost-effective if the midwives who facilitate home births are organised into larger groups, or they work for hospitals that also facilitate home births. A model in which midwives work separately or in pairs to assist with a home birth and are on call for one birth at a time may not be cost-effective. [ABSTRACT FROM AUTHOR]

Purpose Common mental health problems are a substantial burden in many western countries. Studies have pointed out that work related factors can both increase and decrease the risk of developing mental health problems. Influence at work is a key factor relating the psychosocial work environment to employees mental health. However, little is known regarding how contemporary employees experience and understand influence at work. The purpose of this study is to explore this in depth. Methods We conducted semi-structured interviews with 59 employees in knowledge and relational work and analysed the data using principles from Interpretative Phenomenological Analysis (IPA). Findings TWe identified three themes each consisting of two interrelated parts, where the second part describes the consequences of the identified type of influence for employees: 1) work tasks and performance, 2) relations and belonging, 3) identity and becoming. Conclusions The interviewed employees had a multifaceted understanding of influence at work and that influence at work mattered to them in different but important ways. Our hope is that managers, employees and consultants will be inspired by the three themes when designing work tasks, organizations and interventions in order to increase the level of influence and thereby help enhance the mental well-being of employees.

Regression by composition is a new and flexible toolkit for building and understanding statistical models. Focusing here on regression models for a binary outcome conditional on a binary treatment and other covariates, we motivate the need for regression by composition. We do this first by exhibiting—using L'Abbé plots—the families of relationships between untreated and treated conditional outcome risks that emerge from generalized linear models for many different link functions. These are compared with the relationships (between untreated and treated risks) that arise from mechanistic sufficient component cause models, which are first principles causal models for binary outcomes. By considering mechanistic models that allow for non-monotone causal effects and by allowing sufficient causes to be associated, we expand upon similar discussions in the recent literature. We discuss conditions under which commonly used statistical models for binary data, such as logistic regression, arise from mechanistic models where the sufficient causes are associated in a particular way, as well as other situations in which the statistical models arising do not correspond to a generalized linear model but can be naturally expressed as a regression by composition model. [ABSTRACT FROM AUTHOR]

Influence at work is known to be an important factor for workers health. Researchers have called for studies on influence at work as a contextualized phenomenon. Based on individual interviews with managers and focus group interviews with employees in three care workplaces, the article shows how the materiality of the work setting ties employees’ influence to perform tasks in both hindering and enabling ways. We show that a work environment where employees’ influence is hindered produces negative experiences in the work environment, while an environment where employees’ influence is enabled produces positive experiences. Additionally, we study how employees influence the material aspects of their workplace.We present a view of influence at work as constituted by materiality and social organization in sociomaterial assemblages. This study reintroduces materiality as a concern in psychosocial work environment research and contributes a sociomaterial view on influence at work and materiality.

Abstract The relationship between collapsibility and confounding has been subject to an extensive and ongoing discussion in the methodological literature. We discuss two subtly different definitions of collapsibility, and show that by considering causal effect measures based on counterfactual variables (rather than measures of association based on observed variables) it is possible to separate out the component of non-collapsibility which is due to the mathematical properties of the effect measure, from the components that are due to structural bias such as confounding. We provide new weights such that the causal risk ratio is collapsible over arbitrary baseline covariates. In the absence of confounding, these weights may be used for standardization of the risk ratio.

The article focuses on the impact of work-related stress on labor market outcomes such as sickness absence, return to work probability, and early retirement, highlighting the scarcity of studies considering multiple labor outcomes and their interconnectivity, which could provide crucial insights into the relationship between recurrent sickness absence and decreased work participation.