因精神障碍导致的缺勤：巴西东北部塞阿拉州抗地方病工作者。
Absenteeism Due to Mental Disorders in Agents Fighting Endemic Diseases in Ceará/Northeast Brazil.
机构信息
From the Federal University of Ceará, Medical School, Fortaleza, Ceará, Brazil (M.L.A.B., T.G.S.C., M.J.M.F.); and London School of Hygiene and Tropical Medicine, London, United Kingdom (E.M.L.).
出版信息
J Occup Environ Med. 2023 Aug 1;65(8):e534-e537. doi: 10.1097/JOM.0000000000002881. Epub 2023 May 9.
OBJECTIVE
The purpose of this study is to quantify the days away from work by mental disorders (MDs) in endemic fighting agents (EFAs) in the state in Northeast Brazil.
METHODS
This is a historical cohort carried out from the survey of 584 expert medical records of EFA. The association measures were performed using Poisson regression models.
RESULTS
The days away from work increased over time. Endemic fighting agents who have been on sick leaves by mood disorders ([cumulative incidence like relative risk (IRR)], 21.37; 95% CI, 12.36-36.93), alcoholism (IRR, 17.12; 95% CI, 10.04-29.34), and stress-related disorders (IRR, 10.32; 95% CI, 6.05-17.63) have a higher risk of absenteeism longer than 15 days.
CONCLUSION
This study reinforces the importance of actions for coping with MD in EFA.
目的
本研究旨在量化巴西东北部流行战斗人员（EFAs）精神障碍（MDs）导致的旷工天数。
方法
这是一项历史队列研究，对 584 名 EFAs 的专家病历进行了调查。采用泊松回归模型进行关联度量。
结果
旷工天数随时间推移而增加。因心境障碍（累积发病率似然比 [IRR]，21.37；95%CI，12.36-36.93）、酒精中毒（IRR，17.12；95%CI，10.04-29.34）和与压力相关的障碍（IRR，10.32；95%CI，6.05-17.63）请过病假的 EFAs 缺勤超过 15 天的风险更高。
结论
本研究强调了针对 EFAs 中 MD 采取应对措施的重要性。
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