Work Arrangements, Physical Working Conditions, and Psychosocial Working Conditions as Risk Factors for Sickness Absence: Bayesian Analysis of Prospective Data
Work Arrangements, Physical Working Conditions, and Psychosocial Working Conditions as Risk Factors for Sickness Absence: Bayesian Analysis of Prospective Data
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DOI：
10.1016/j.annepidem.2010.02.004
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发表时间：
2010-05-01
影响因子：
5.6
通讯作者：
Lahelma, Eero
中科院分区：
文献类型：
--
作者：
Laaksonen, Mikko;Pitkaniemi, Janne;Lahelma, Eero
目的：确定哪些工作安排、身体工作条件和社会心理工作条件是因病缺勤的重要风险因素。方法：将 2000 年至 2002 年赫尔辛基市雇员的工作条件调查数据（N = 6503，答复率为 67%）与雇主随后 3 年的因病缺勤记录联系起来。通过使用贝叶斯模型平均的比例风险模型来检查首次发生的短期（1-3 天）、中期（4-14 天）和长期（15 天或以上）病假事件 结果： 加班使短期病假风险降低了 19% 繁重的体力工作负荷和危险暴露始终与所有长度的病假事件增加相关 中长期病假事件的风险增加体力工作负荷每增加一个标准差，增加 24% 至 28% 低 女性的工作控制力和男性的工作不满会增加各种时间长度的病假风险。结论：繁重的体力工作负荷和危险暴露与病假的关联性最强 此外，女性的低工作控制力和男性的工作不满情绪始终与病假风险增加相关。未发现不同长度的病假风险因素存在系统性差异流行病学 2010 年，20 332-338。 (C) 2010 爱思唯尔公司保留所有权利
PURPOSE: To determine which work arrangements, physical working conditions, and psychosocial working conditions are important risk factors for sickness absence.METHODS: Survey data on working conditions collected among the employees of the City of Helsinki during 2000 to 2002 (N = 6503, response rate 67%) were linked to the employer's sickness absence records for the subsequent 3 years. First occurrences of short-term (1-3 days), intermediate (4-14 days), and long-term (15 days or more) sickness absence episodes were examined by the use of proportional hazards models with Bayesian model averagingRESULTS: Working overtime decreased the risk of short-term sickness absence by 19% Heavy physical work load and hazardous exposures were consistently associated with increased sickness absence episodes of all lengths The risk of intermediate and long-term absence episodes was increased by 24% to 28% per one standard deviation increase in physical work load Low Job control in women and job dissatisfaction in men increased the risk of sickness absence episodes of all lengths.CONCLUSIONS: Heavy physical work load and hazardous exposures had the strongest associations with sickness absence Furthermore, low job control in women and job dissatisfaction in men were consistently associated with increased risk of sickness absence Systematic differences in risk factors for absence episodes of different lengths were not found Ann Epidemiol 2010, 20 332-338. (C) 2010 Elsevier Inc All rights reserved