Public Health Grade Program, Botucatu Medical School, Paulista State University, Botucatu, Sao Paulo 18618687, Brazil.
Department of Sociology, Social Work and Public Health, Universidad de Huelva, 21071 Huelva, Spain.
Int J Environ Res Public Health. 2018 Dec 21;16(1):17. doi: 10.3390/ijerph16010017.
The objective of this study is to analyse sick leave episodes of a university's collective of statutory workers in the State of São Paulo, between January 2010 and December 2015. For this, a descriptive study analysed 5776 registered spells of sick leave of four university units: agricultural sciences; human health, health and animal reproduction, and biological sciences; an administrative unit; and a university hospital. The medical expert assessment was carried out by general practitioners and psychiatrists who managed sick leave and return to work cases. Around 52% had up to three sick leave episodes, and 10% of the workers had 20 or more episodes. Each spell of sickness absence lasted a median of 30 days (IQR 8⁻60 days). Among all of sick leaves, 35% had as a primary cause mental or behavioural diseases, of which 30% were depressive disorders, followed by around 18% related to the musculoskeletal system and the connective tissues. In the medical reports, 80% of the workers reported pain and 30% reported psychological symptoms. The collective, seen as privileged by many for their job stability, has a high percentage of sick leave due to mental illness, with extended periods which affect the levels of disability and reduce possibilities of return.
这项研究的目的是分析 2010 年 1 月至 2015 年 12 月间圣保罗州一所大学的法定工作人员的病假情况。为此，进行了一项描述性研究，分析了四个大学单位（农业科学；人类健康、健康和动物繁殖以及生物科学；一个行政单位；和一家大学医院）的 5776 例登记在册的病假。医疗专家评估由管理病假和重返工作岗位的全科医生和精神科医生进行。大约 52%的人有不超过三个的病假，10%的人有 20 个或更多的病假。每次病假的平均持续时间为 30 天（IQR 8⁻60 天）。在所有病假中，35%的主要病因是精神或行为疾病，其中 30%为抑郁症，其次是约 18%与肌肉骨骼系统和结缔组织有关。在医疗报告中，80%的工人报告有疼痛，30%报告有心理症状。该群体因其工作稳定性而被许多人视为特权群体，但由于精神疾病导致的病假比例较高，病假时间延长，这会影响残疾程度并减少重返工作的可能性。
