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Diagnosis-specific Cumulative Incidence of Return-to-work, Resignation, and Death Among Long-term Sick-listed Employees: Findings From the Japan Epidemiology Collaboration on Occupational Health Study
- Source :
- Journal of Epidemiology. 32:431-437
- Publication Year :
- 2022
- Publisher :
- Japan Epidemiological Association, 2022.
-
Abstract
- Background While it is essential to understand how long is sufficient for return-to-work when designing paid sick-leave systems, little attempt has been done to collect cause-specific information on when and how many of sickness absentees returned to work, became unemployed, or passed away. Methods We studied the first sick-leave episode of ≥30 consecutive days in those ≤55 years of age during 2012-2013 among 11 Japanese private companies (n = 1209), which were followed until 2017. Overall and disease-specific cumulative incidences of return-to-work, resignations, and deaths were estimated using competing risk analysis. Results During the 3.5-year period (follow-up rate: 99.9%), 1014 returned to work, 167 became unemployed, and 27 died. Overall, return-to-work occurred within 1 year in 74.9% of all absentees and in 89.3% of those who successfully returned to work. Resignation occurred within 1 year in 8.7% of all absentees and in 62.9% of all subjects who resigned. According to ICD-10 chapters, the cumulative incidence of return-to-work ranged from 82.1% for mental disorders (F00-F99) to 95.3% for circulatory diseases (I00-I99). The cumulative incidence of return-to-work due to mental disorders ranged from 66.7% in schizophrenia (F20) to 95.8% in bipolar affective disorders (F31). Death was rarely observed except for cases of neoplasms (C00-D48), of which the cumulative incidence of death reached 14.2% by 1.5 years. Conclusions Return-to-work and resignations occurred commonly within 1 year of sick leave among long-term sickness absentees in the Japanese private companies. Our findings may assist occupational physicians and employers in developing effective social protection schemes.
- Subjects :
- medicine.medical_specialty
Epidemiology
030209 endocrinology & metabolism
Occupational physicians
Competing risks
Return to work
Occupational safety and health
03 medical and health sciences
Return to Work
0302 clinical medicine
Japan
Humans
Medicine
Cumulative incidence
030212 general & internal medicine
Occupational Health
Sickness absence
business.industry
Incidence
Mental Disorders
General Medicine
Sick leave
Sick Leave
business
Demography
Subjects
Details
- ISSN :
- 13499092 and 09175040
- Volume :
- 32
- Database :
- OpenAIRE
- Journal :
- Journal of Epidemiology
- Accession number :
- edsair.doi.dedup.....5bbaff3b11d8bd1c8320961ccc83b188