From the Division of Occupational Medicine, Department of Medicine, University of Toronto, Toronto, Canada (A.A.); Division of Preventive Medicine, University of Alberta, Edmonton, Canada (Q.D.-M., T.Z., N.C.); Research Department, Institut de recherche Robert-Sauvé en santé et en sécurité du travail, Montreal, Canada (F.L.); and Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Canada (S.R.).
J Occup Environ Med. 2023 Nov 1;65(11):958-966. doi: 10.1097/JOM.0000000000002945. Epub 2023 Aug 12.
The aim of the study is to identify modifiable factors associated with sickness absence duration after a COVID-19 infection.
Participants in a prospective cohort of 4964 Canadian healthcare workers were asked how many working days they had missed after a positive COVID-19 test. Only completed episodes with absence ≤31 working day and no hospital admission were included. Cox regression estimated the contribution of administrative guidelines, vaccinations, work factors, personal characteristics, and symptom severity.
A total of 1520 episodes of COVID-19 were reported by 1454 participants. Days off work reduced as the pandemic progressed and were fewer with increasing numbers of vaccines received. Time-off was longer with greater symptom severity and shorter where there was a provision for callback with clinical necessity.
Vaccination, an important modifiable factor, related to shorter sickness absence. Provision to recall workers at time of clinical need reduced absence duration.
本研究旨在确定与 COVID-19 感染后病假持续时间相关的可改变因素。
4964 名加拿大医护人员前瞻性队列研究的参与者被问及他们在 COVID-19 检测呈阳性后错过了多少个工作日。仅纳入缺勤 ≤31 个工作日且无住院治疗的完整发作。Cox 回归估计了行政指导、疫苗接种、工作因素、个人特征和症状严重程度的贡献。
1454 名参与者报告了 1520 例 COVID-19 发作。随着大流行的进展,休假天数减少,接种疫苗的次数增加,休假天数减少。症状严重程度越高,休假时间越长;有临床需要召回员工的规定,休假时间越短。
疫苗接种是一个重要的可改变因素,与病假时间缩短有关。在临床需要时召回员工的规定减少了缺勤时间。