Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 171 77, Stockholm, Sweden.
Finnish Institute of Occupational Health, Helsinki, Finland.
Sci Rep. 2022 Nov 4;12(1):18695. doi: 10.1038/s41598-022-21892-z.
The aim was to investigate occurrence and duration of sickness absence (SA) among young employees with previous depression/anxiety in private and public sectors. This population-based prospective study included 11,519 Swedish twin individuals of age 19-29 years that were followed regarding SA during 2006-2016. Data on previous depression/anxiety came from two screening surveys in 2005. Data on SA and employment sector were received from national registries. Descriptive statistics and logistic regression were used, also controlling for familial factors. Proportion of employees with SA was significantly higher among those with, as compared to those without, previous depression/anxiety, regardless the employment sector. Individuals with previous depression/anxiety had increased risk for future SA, in both private (OR 2.25, 95% CI 1.90-2.66) and public sectors (OR 2.10, 95% CI 1.73-2.54). Familial factors played a role in the association among employees in the private sector. A higher proportion of long-term SA was observed among employees with previous depression/anxiety in the private as compared to the public sector. To conclude, previous depression/anxiety tends to increase risk for SA among young employees in both employment sectors, whereas long-term SA seemed to be more prevalent among those in the private as compared to the public sector.
目的在于探究曾患有抑郁/焦虑症的年轻员工在私营和公共部门中的缺勤(SA)发生和持续时间。这项基于人群的前瞻性研究纳入了年龄在 19-29 岁的 11519 名瑞典双胞胎个体,他们在 2006 年至 2016 年间被跟踪观察 SA 情况。曾患有抑郁/焦虑症的数据来自于 2005 年的两次筛查调查。SA 和就业部门的数据来自国家登记处。采用描述性统计和逻辑回归方法进行分析,同时还控制了家族因素。无论就业部门如何,与无既往抑郁/焦虑症的个体相比,有既往抑郁/焦虑症的个体的 SA 员工比例明显更高。与无既往抑郁/焦虑症的个体相比,既往患有抑郁/焦虑症的个体未来发生 SA 的风险增加,无论是在私营部门(OR 2.25,95%CI 1.90-2.66)还是公共部门(OR 2.10,95%CI 1.73-2.54)。家族因素在私营部门员工中发挥了作用。与公共部门相比,曾患有抑郁/焦虑症的个体在私营部门中观察到的长期 SA 比例更高。结论是,既往抑郁/焦虑症往往会增加年轻员工在私营和公共部门中发生 SA 的风险,而长期 SA 似乎在私营部门比公共部门更为普遍。