Skerjanc A
Health Insurance Institute in Slovenia, Mala ulica 3, 1000 Ljubljana, Slovenia.
Occup Environ Med. 2001 Jul;58(7):432-6. doi: 10.1136/oem.58.7.432.
To compare sickness absence among diabetic and non-diabetic employees.
A cross sectional case-control study was conducted in a random sample of 400 diabetic employees 21--50 years old from Ljubljana that compared their sickness absence in the year 1996 with sickness absence of non-diabetic employees matched by sex, age, and occupation. Sickness absence was compared in total and also in subgroups formed by sex, age, occupation, and disability. Non-parametric statistics were used (chi(2) test, Wilcoxon matched pairs test).
The randomised sample consisted of 61.2% of men (245) and 38.8% of women (155) with a mean age of 42.5 years. Unskilled workers made up 30.2% of employees, and less than 16.4% were highly educated. Among diabetic employees there were 7.0% disabled and among non-diabetic employees 2.0%. The mean frequency of sickness absences of diabetic employees was 0.89 times in the year 1996 (95% confidence interval (95% CI) 0.70 to 1.08), and of non-diabetic employees 0.56 times (95% CI 0.47 to 0.65), p=0.01. The mean total duration of sickness absence of diabetic employees was 31.71 days (95% CI 24.86 to 38.57), of non-diabetic employees 16.57 days (95% CI 11.72 to 21.42), p<0.01. Differences were also found in subgroups but the size of subgroups was not sufficient to detect significant differences.
The study confirmed that diabetes affects the ability to work. Appropriate work and good control of the disease are important to prevent long term complications.
比较糖尿病员工与非糖尿病员工的病假情况。
对卢布尔雅那400名年龄在21至50岁之间的糖尿病员工进行随机抽样,开展横断面病例对照研究,将他们1996年的病假情况与按性别、年龄和职业匹配的非糖尿病员工的病假情况进行比较。对病假情况进行了总体比较,还按性别、年龄、职业和残疾情况分组进行了比较。采用非参数统计方法(卡方检验、威尔科克森配对检验)。
随机样本中男性占61.2%(245人),女性占38.8%(155人),平均年龄为42.5岁。非技术工人占员工总数的30.2%,受过高等教育的员工不到16.4%。糖尿病员工中有7.0%残疾,非糖尿病员工中有2.0%残疾。1996年糖尿病员工的平均病假频率为0.89次(95%置信区间[95%CI]为0.70至1.08),非糖尿病员工为0.56次(95%CI为0.47至0.65),p = 0.01。糖尿病员工的平均病假总时长为31.71天(95%CI为24.86至38.57),非糖尿病员工为16.57天(95%CI为11.72至21.42),p<0.01。在各亚组中也发现了差异,但亚组规模不足以检测到显著差异。
该研究证实糖尿病会影响工作能力。适当的工作和良好的疾病控制对于预防长期并发症很重要。