scholarly journals Frequent short sickness absence, occupational health service utilisation and long-term sickness absence due to mental disorders among young employees

2021 ◽  
Author(s):  
Jaakko Harkko ◽  
Hilla Nordquist ◽  
Olli Pietiläinen ◽  
Kustaa Piha ◽  
Minna Mänty ◽  
...  
Keyword(s):  
Primary Care ◽  
Mental Disorders ◽  
Health Service ◽  
Occupational Health ◽  
Sickness Absence ◽  
Cox Regression ◽  
Occupational Health Service ◽  
Linkage Data ◽  
Service Utilisation

Abstract Objectives We examined whether frequent short-term sickness absence (FSTSA) and primary care use in occupational health service (OHS) were associated with medically-certified long-term sickness absence (LTSA) due to mental disorders among young employees. Methods We used record-linkage data covering the young employees (< 35 years) of the City of Helsinki, Finland (n = 8,282) from 2010 to 2014. The outcome was LTSA due to mental disorders. Cox regression models were fitted. Results FSTSAs were associated with subsequent LTSA. Also OHS use predicted LTSA due to mental disorders; however, this association was not found for those with prior FSTSA. Conclusions Both FSTSA and primary care use indicate subsequent LTSA independently, and together these indicators identify a larger proportion of individuals at risk of LTSA due to mental disorders.

scholarly journals Socioeconomic Differences in Occupational Health Service Utilization and Sickness Absence Due to Mental Disorders: A Register-Based Retrospective Cohort Study

2020 ◽  
Vol 17 (6) ◽  
pp. 2064
Author(s):  
Jaakko Harkko ◽  
Hilla Sumanen ◽  
Olli Pietiläinen ◽  
Kustaa Piha ◽  
Minna Mänty ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Health Service ◽  
Occupational Health ◽  
Sickness Absence ◽  
Cox Regression ◽  
Age Groups ◽  
Occupational Health Service ◽  
Linkage Data ◽  
Socioeconomic Differences ◽  
Care Services

Occupational health service (OHS) is the main provider of primary care services for the working population in Finland. We investigated whether socioeconomic differences in the utilization of OHS predict sickness absence (SA) due to mental disorders. We used register linkage data covering the employees of the City of Helsinki aged 18–34 years (N = 6545) and 35–54 years (N = 15,296) from 2009 to 2014. The outcome was medically certified long-term (over 11 days) SA due to mental disorders. Cox regression analyses were performed to obtain hazard ratios (HR) and their 95% confidence intervals (CIs). Employees with low socioeconomic position (SEP) used OHS more frequently. The number of OHS visits independently predicted SA due to mental disorders. HRs were 1.59 (95% CI 1.35, 1.86) for those with frequent visits and 1.73 (95% CI 1.30, 2.29) for those with a clustered visit pattern among 18–34 year old employees; and 1.46 (95% CI 1.18, 1.81) and 1.41 (95% CI 1.14, 1.74) among 35–54 year old employees, respectively. In both age groups, lower education and routine non-manual worker position indicated the highest probability of SA. Low SEP predicts both high OHS utilization and subsequent SA due to mental disorders. Medical records may be used to accurately predict future SA, and the results indicate that preventive measures should be targeted particularly to younger employees with lower SEP.

scholarly journals Exploring the need for an occupational health service for those working in primary care

1997 ◽  
Vol 47 (8) ◽  
pp. 485-490 ◽  
Author(s):  
R. Chamber ◽  
D. Miller ◽  
P. Tweed ◽  
I. Campbell
Keyword(s):  
Primary Care ◽  
Health Service ◽  
Occupational Health ◽  
Occupational Health Service

scholarly journals Association between socioeconomic position and occupational health service utilisation trajectories among young municipal employees in Finland

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e028742
Author(s):  
Hilla Sumanen ◽  
Jaakko Harkko ◽  
Kustaa Piha ◽  
Olli Pietilainen ◽  
Ossi Rahkonen ◽  
...  
Keyword(s):  
Health Service ◽  
Occupational Health ◽  
Occupational Health Service ◽  
Health Study ◽  
Annual Number ◽  
Service Utilisation ◽  
Occupational Class ◽  
Class Differences ◽  
Care Services ◽  
Municipal Employees

ObjectivesTo identify groups of municipal employees between the ages of 20 and 34 years with distinct utilisation trajectories of primary care services provided by occupational health service (OHS), measured as the annual number of OHS visits, and to identify demographic and socioeconomic risk factors that distinguish employees in the high utilisation trajectory group(s).MethodsThe present study is a retrospective register-based cohort study. All municipal employees of the City of Helsinki, Finland, aged 20–34 in the Helsinki Health Study, recruited from 2004 to 2013, with follow-up data for 4 years were included in the study (n=9762). The outcome measure was group-based trajectories of OHS utilisation, identified with a group-based trajectory analysis. The demographic and socioeconomic variables used to predict the outcome were age, first language, educational level and occupational class. The analyses were stratified by gender.ResultsA large proportion of the young employees do not use OHS. Trajectory groups of ‘No visits’ (50%), ‘Low/increasing’ (18%), ‘Low/decreasing’ (22%) and ‘High/recurrent’ (10%) use were identified. We found occupational class differences in OHS utilisation patterns showing that lower occupational classes had a higher propensity for ‘High/recurrent’ OHS utilisation for both genders.ConclusionsPreventive measures should be targeted particularly to the trajectory groups of ‘Low/increasing’ and ‘High/recurrent’ in order to intervene early. In addition, OHS utilisation should be closely monitored among the two lowest occupational classes. More research with longitudinal OHS data is needed.

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