Department of Diagnostic and Ambulatory Medicine at Hospital Israelita Albert Einstein, São Paulo, Brazil.
J Occup Environ Med. 2020 Oct;62(10):e543-e547. doi: 10.1097/JOM.0000000000001974.
To investigate the association of sickness absence with severe psychiatric outcomes in the workforce of a health institution.
This cross-sectional analysis included 16,890 employees from a health institution. The association of all-cause sick-leave spells and mental sick-leave spells with a composite outcome (psychiatric hospital admission and/or suicidality) was investigated with logistic regression, adjusted for age, sex, education, and job position.
There were 18,855 sick-leave spells among 6428 employees and 8.2% were mental sick-leaves. All-cause sick-leave was associated with the composite outcome (OR = 6.81; 95% CI = 2.99-15.52). This association was driven by mental-sick leave (OR = 100.52; 95% CI = 41.26-244.91), and the odds were higher among men.
Health promotion interventions on workers with mental sick-leave should be implemented to minimize the impact of mental disorders in this high-risk group.
调查医疗机构员工因病缺勤与严重精神不良结局之间的关系。
本横断面分析纳入了一家医疗机构的 16890 名员工。使用逻辑回归调查全因病假和精神病假与综合结局（精神病院入院和/或自杀意念）的相关性，调整因素为年龄、性别、教育程度和职位。
在 6428 名员工中发生了 18855 次病假，其中 8.2%为精神病假。全因病假与综合结局相关（OR=6.81；95%CI=2.99-15.52）。这种关联是由精神病假引起的（OR=100.52；95%CI=41.26-244.91），男性的患病风险更高。
应针对患有精神疾病的员工实施健康促进干预措施，以尽量减少该高风险群体中精神障碍的影响。
