Sumanen Hilla, Pietiläinen Olli, Lahelma Eero, Rahkonen Ossi
Department of Public Health, University of Helsinki.
J Occup Health. 2017 Jul 27;59(4):352-355. doi: 10.1539/joh.17-0024-BR. Epub 2017 May 12.
Mental disorders are a key cause of sickness absence (SA) and challenge prolonging working careers. Thus, evidence on the development of SA trends is needed. In this study, educational differences in long SAs due to mental disorders were examined in two age groups among employees of the City of Helsinki from 2004 to 2013.
All permanently and temporarily employed staff aged 18-34 and 35-49 were included in the analyses (n=~27800 per year). SA spells of ≥14 days due to mental disorders were examined annually. Education was classified to higher and lower levels. Joinpoint regression was used to identify major turning points in SA trends.
Joinpoint regression models showed that lower educated groups had more long SAs spells due to mental disorders than those groups with higher education. SA trends decreased during the study period in all studied age and educational groups. Lower educated age groups had similar SA trends. Younger employees with higher education had the fewest SAs.
A clear educational gradient was found in long SAs due to mental disorders during the study period. SA trends decreased from 2004 to 2013.
精神障碍是病假（SA）的一个关键原因，也是延长工作生涯的一大挑战。因此，需要有关病假趋势发展的证据。在本研究中，对2004年至2013年期间赫尔辛基市员工中两个年龄组因精神障碍导致的长期病假的教育差异进行了研究。
分析纳入了所有年龄在18 - 34岁和35 - 49岁的长期和临时雇员（每年约27800人）。每年检查因精神障碍导致的持续≥14天的病假情况。教育程度分为高等和低等。采用连接点回归来确定病假趋势的主要转折点。
连接点回归模型显示，受教育程度较低的群体因精神障碍导致的长期病假天数比受教育程度较高的群体更多。在所有研究的年龄和教育程度组中，病假趋势在研究期间均有所下降。受教育程度较低的年龄组病假趋势相似。受过高等教育的年轻员工病假天数最少。
在研究期间，因精神障碍导致的长期病假存在明显的教育梯度差异。2004年至2013年病假趋势有所下降。
