Suominen Sakari, Vahtera Jussi, Korkeila Katariina, Helenius Hans, Kivimäki Mika, Koskenvuo Markku
Department of Public Health, University of Turku, Lemminkäisenkatu 1, FIN 20014 University of Turku, Finland.
J Occup Environ Med. 2007 Sep;49(9):990-6. doi: 10.1097/JOM.0b013e3181343e2b.
To examine job strain, adverse life events, and their co-occurrence as predictors of sickness absence.
Random sample-based mail survey data on 1806 Finns in gainful employment were linked to sickness absence records (1987-1998) from national health registers. Generalized linear models with negative binomial distribution assumption were applied.
After adjustment for demographic characteristics and health behavior, job strain (rate ratio [RR] 1.73; 95% confidence interval [CI] = 1.21-2.48), but not life events, independently predicted increased rate of sickness absence among men. The opposite was true for women, (RR for life events 1.39; 95% CI = 1.10-1.75). No statistically significant interaction between job strain and life events was detected.
In addition to job strain, strain originating in private life should be kept in mind when the need for sickness absence of women employees is evaluated within health care.
研究工作压力、不良生活事件及其共同出现情况作为病假预测因素的作用。
基于随机抽样的对1806名有酬工作芬兰人的邮寄调查数据，与国家健康登记处的病假记录（1987 - 1998年）相联系。应用了具有负二项分布假设的广义线性模型。
在对人口统计学特征和健康行为进行调整后，工作压力（率比[RR] 1.73；95%置信区间[CI] = 1.21 - 2.48）而非生活事件，独立预测男性病假率增加。女性情况则相反（生活事件的RR为1.39；95% CI = 1.10 - 1.75）。未检测到工作压力与生活事件之间有统计学显著的相互作用。
在医疗保健领域评估女性员工病假需求时，除了工作压力外，还应考虑源自私人生活的压力。
