scholarly journals Occupation and Sickness Absence in the Different Autonomous Communities of Spain

2021 ◽  
Vol 18 (21) ◽  
pp. 11453
Author(s):  
Matilde Leonor Alba-Jurado ◽  
María José Aguado-Benedí ◽  
Noelia Moreno-Morales ◽  
Maria Teresa Labajos-Manzanares ◽  
Rocío Martín-Valero
Keyword(s):  
Mental Disorders ◽  
Sickness Absence ◽  
Average Duration ◽  
Basque Country ◽  
Occupational Groups ◽  
Autonomous Communities ◽  
Gender Divide ◽  
Almost All ◽  
Determining Factor

The occupation of a worker is a determining factor of sickness absence (SA) and can influence both the beginning and continuation of the latter. This study describes SA in Spain, separately in the different Autonomous Communities (AC) in relation to the occupation of workers, with the aim of determining the possible differences in its frequency and duration, relating it also to the diagnosis. A total of 6,543,307 workers, aged 16 years and older, who had at least one episode of SA in the year 2019, constituted the study sample. The obtained results indicate that SA is more frequent and shorter in more elemental occupations. The average duration increases with age and is longer in women, except in technical and administrative occupations, where there is no gender divide. Sickness absences caused by musculoskeletal and mental disorders are more frequent in the lower occupational classes, although their average duration is shorter than in other, more qualified groups. The ACs with shorter duration in almost all the occupational groups are Madrid, Navarre and the Basque Country. In conclusion, SA is more frequent and shorter in lower occupational classes.

scholarly journals Association between early working life patterns, in publicly and privately owned companies, and the course of future sickness absence due to mental disorders: a cohort study in Catalonia (Spain)

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e040480
Author(s):  
Amaya Ayala-Garcia ◽  
Laura Serra ◽  
Monica Ubalde-Lopez
Keyword(s):  
Cohort Study ◽  
Mental Disorders ◽  
Social Security ◽  
Sickness Absence ◽  
Multinomial Logistic Regression ◽  
Working Life ◽  
Men And Women ◽  
Permanent Employment ◽  
Life Patterns ◽  
The Relationship

ObjectivesTo assess the relationship between early working life patterns, at privately and publicly held companies, and the course of sickness absence (SA) due to mental disorders.MethodsCohort study of workers aged 18–28 years, affiliated with the Spanish social security system, living in Catalonia, who had at least one episode of SA due to mental disorders between 2012 and 2014. Individual prior working life trajectories were reconstructed through sequence analysis. Optimal matching analysis was performed to identify early working life patterns by clustering similar individual trajectories. SA trajectories were identified using latent class growth modelling analysis. Finally, the relationship between early working life patterns and subsequent SA trajectories was assessed via multinomial logistic regression models.ResultsAmong both men and women, four labour market participation (LMP) patterns were identified: stable permanent employment (reference group), increasing permanent employment, fluctuating employment and delayed employment. Among women, an increasing permanent employment pattern in early working life was related to a decrease of accumulated SA days over time (adjusted OR (aOR) 2.08; 95% CI 1.18 to 3.66). In men, we observed a trend towards a middle stable accumulation of SA days in those with fluctuating employment (aOR 1.25, 95% CI 0.57 to 2.74) or delayed employment (aOR 1.79; 95% CI 0.59 to 5.41). In both men and women, an early working life in big companies was related to a more favourable SA trajectory.ConclusionsEarly LMP patterns characterised by an increasing stability—decreased number of transitions between temporary contracts and lack of social security coverage towards permanent contracts—were related to a better future SA course due to mental diagnosis.

scholarly journals Does seeing a psychologist reduce sickness absence due to mental disorders? A quasi-experiment

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Lahti ◽  
J Harkko ◽  
H Sumanen ◽  
K Piha ◽  
O Pietiläinen ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Sickness Absence ◽  
Work Ability ◽  
Early Stage ◽  
Matched Sample ◽  
Full Sample ◽  
Common Support ◽  
The City ◽  
Quasi Experiment

Abstract Background Mental ill-health in young adults is a major public health and work-life problem. We examined in a quasi-experimental design whether occupational psychologist appointment can reduce subsequent sickness absence due to mental disorders among young Finnish employees. Methods The present study was conducted among 18-39-year-old employees of the City of Helsinki using register data from the City of Helsinki and the Social lnsurance Institution of Finland. We used Wald test to compare the differences in sickness absence days due to mental disorders (ICD-10, F-diagnosed) between those treated (occupational psychologist appointment for work ability support) and the non-treated (no psychologist appointment) during a one year follow-up. The full sample (n = 2156, 84% women) consisted of employees with mental disorder diagnosed sickness absence during 2009-2014. To account for the systematic differences between the treated and non-treated, the participants were matched according to their characteristics (age, sex, occupational class, education, previous sickness absence and psychotropic medication). The matched sample included 886 participants. We excluded those with treatment before the treatment screening time (± 3 months to the end of sickness absence period), non-treated with treatment during the follow-up and those that could not be matched (lack of common support). Results In the full sample, the mean of sickness absence days due to mental disorders was 17.7 (95% CI, 11.4, 24.1) days for those treated (n = 240) and 23.2 (95% CI, 20.5, 25.9) days for non-treated (n = 1916), difference being non-significant. The corresponding figures in the matched sample were (16.8, 95% CI, 9.5-24.1) for those treated (n = 195) and (27.8, 95% CI, 22.6-32.9) for non-treated (n = 691), difference being statistically significant (p = 0.02). Conclusions This quasi-experiment suggests that seeing an occupational psychologist to support work ability may be reduce mental health related sickness absence. Key messages We showed that supporting work ability at an early stage may prevent sickness absence due to mental disorders. More efforts to provide early stage support for maintaining work ability may prove useful in reducing sickness absence rates in younger employees.

scholarly journals Seeing an occupational health psychologist reduces sickness absence due to mental disorders: A quasi-experimental study

2021 ◽  
pp. 106611
Author(s):  
Jouni Lahti ◽  
Jaakko Harkko ◽  
Hilla Nordquist ◽  
Kustaa Piha ◽  
Olli Pietiläinen ◽  
...  
Keyword(s):  
Experimental Study ◽  
Mental Disorders ◽  
Occupational Health ◽  
Sickness Absence ◽  
Quasi Experimental ◽  
Health Psychologist

El personal directivo en las leyes autonómicas de desarrollo del EBEP

2011 ◽  
pp. 283-323
Author(s):  
Luis F. MAESO SECO
Keyword(s):  
Basque Country ◽  
State Level ◽  
Political Opportunity ◽  
Public Employment ◽  
Autonomous Communities ◽  
Administrative Culture ◽  
La Mancha ◽  
The One ◽  
Pais Vasco ◽  
Managerial Staff

LABURPENA: Lau urte dira Administrazio Publikoko Langileen Oinarrizko Estatutua indarrean sartu zela, baita horren 13. artikulua ere. Artikulu horretan gobernuei (estatukoa eta autonomia erkidegoetakoak) deia egin zitzaien, nahi izanez gero, zuzendaritzako langileen araubidea ezar zezaten. Arrazoi batzuengatik edo beste batzuengatik (aukera politikoa, administrazioaren erresistentzia, kontrako egoera ekonomikoak, eta abar), dei hori ez du aintzat hartu ez estatuko indar legegileak ez estatuko gobernuak. Zenbait autonomia erkidegotako legegileek eta gobernuek, ordea, kontuan izan dute; horiek Administrazio Publikoko Langileen Oinarrizko Estatutua garatu dute —edo garatzeko izapideak egiten ari dira— eta zuzendaritzako langileen araubidea ezarri dute (Valentzian eta Gaztela-Mantxan, esate baterako, onartu dituzte dagoeneko enplegu publikoaren legeak). Horrez gain, horietako batzuek, hemen G10 deitutako taldea osatzen dutenek hain zuzen ere, berrikuntza asko egin dituzte gai honetan. Funtsezko edukietan, Balear Uharteetako Autonomia Erkidegoa eta Euskal Autonomia Erkidegoa nabarmendu dira gainontzekoen gainetik. Horiei buruz mintzatzen da bereziki, bada, azterlana. RESUMEN: Hace ya más de cuatro años que el EBEP entró en vigor y también su artículo 13. Un artículo en el que se hacía una llamada a los ejecutivos (estatal y autonómicos) para que, sí así lo deseaban, estableciesen un régimen del personal directivo. Pues bien, lo cierto es que, por unas razones u otras (de oportunidad política, de resistencias administrativas, de coyunturas económicas desfavorables, etc.), aquella llamada no ha sido atendida por el legislador o el ejecutivo estatal. Pero sí por los legisladores y ejecutivos de varias Comunidades Autónomas que, no sólo no han dudado en desarrollar el EBEP —o están en trámite de hacerlo— y establecer un régimen de su personal directivo (caso de Valencia o de Castilla-La Mancha, con sus leyes de empleo público ya aprobadas), sino que algunas de ellas (las que integran el aquí llamado G10) han innovado de forma considerable en la materia. Destacando en lo sustantivo y por encima del resto, la Comunidad de las Islas Baleares y el País Vasco. A las cuales está dedicado de manera especial este estudio. ABSTRACT: The Basic Statute for Civil Servants (EBEP in Spanish) came into force more than four years ago, and also its article 13. This article 13 made a call to (state and regional) executives to establish a regime for the managerial staff, if they so wished. Well then the truth is that due to different reasons (political opportunity, administrative culture and others related to economic crisis), that call was not taken into account at the State level. However, Legislators and Executives from different Autonomous Communities have responded to this call. On the one hand, by developing the EBEP (or they are in the process of doing so) and by establishing a regime for managerial staff (the case of Valencia and Castilla-La Mancha, whose public employment acts had already been passed). Also and in addi tion, some of them (those members of the so called G10) have made remarkable innovations on the matter. The Communities of the Balearic Islands and Basque Country stand out above the rest, to which this study is specially devoted.

scholarly journals National survey of Canadian residents and program directors regarding parental leave during residency

2020 ◽  
Author(s):  
Karen Willoughby ◽  
Marie Julien ◽  
Benjamin Rich Zendel ◽  
Vernon Curran
Keyword(s):  
Return To Work ◽  
Residency Program ◽  
Parental Leave ◽  
Average Duration ◽  
Program Directors ◽  
Work Hours ◽  
Medical Resident ◽  
The Mean ◽  
Almost All ◽  
Residency Program Directors

Background: Despite the advantages of having a child as a medical resident, the transition back to residency after parental leave can be challenging. This study is the first to investigate this issue using a nation-wide Canadian sample of both residents and program directors. Method: A questionnaire was developed and made available online. Respondents included 437 female residents, 33 male residents, and 172 residency program directors. The mean length of parental leave was nine months for female residents and six weeks for male residents. Almost all female residents (97.5%) breastfed with an average duration of 12 months. The top challenges reported by residents were feeling guilty for being away from their family, long and unpredictable work hours, sleep deprivation, and finding time to study. When female residents and program directors were matched to both school and program (N = 99 pairs), there was no difference in the total number of challenges reported, but program directors reported offering significantly more accommodations than female residents reported being offered, t(196) = 13.06, p < .001. Results: Our data indicate there is a need for better communication between resident parents and program directors, as well as clear program-specific parental leave policies, particularly for supporting breastfeeding mothers as they return to work.

Nursing Homes in Spain and Their High Number of Deaths by COVID-19 as an Alarm in the Study of Indoor Air Quality

2021 ◽  
pp. 118-145
Author(s):  
Gastón Sanglier Contreras ◽  
Jose Amílcar Rizzo Sierra ◽  
Eduardo José López Fernández ◽  
Roberto Alonso González Lezcano
Keyword(s):  
Energy Efficiency ◽  
Statistical Analysis ◽  
Air Quality ◽  
Nursing Homes ◽  
Population Density ◽  
Indoor Air Quality ◽  
Autonomous Communities ◽  
La Mancha ◽  
Number Of Factors ◽  
Determining Factor

Nursing homes have been one of the most prominent targets of the COVID-19 coronavirus in Spain. The factors that have determined that this is the case are very diverse. In this study, physical agents and chemical pollutants, population density, and different capacities of the residences are analyzed to see their influence on the number of elderly people who have died in the geriatric centres in the different autonomous communities (AACC) of Spain. A statistical analysis has been carried out on the variables observed. The conclusions show that in many places where this overflow of deaths has occurred, the residences were private, with some exceptions. The influence of physical agents and pollutants has been shown to be a determining factor, especially for the communities of Extremadura and Castilla-La Mancha, although it is true that the large number of factors makes the study complicated. The dilemma between air quality and energy efficiency is of great importance, especially when human health is at stake.

scholarly journals Suicide attempt following sickness absence and disability pension due to common mental disorders: a prospective Swedish twin study

2019 ◽  
Vol 55 (8) ◽  
pp. 1053-1060 ◽  
Author(s):  
M. Wang ◽  
L. Mather ◽  
P. Svedberg ◽  
E. Mittendorfer-Rutz
Keyword(s):  
Mental Disorders ◽  
Suicide Attempt ◽  
Sickness Absence ◽  
Disability Pension ◽  
Depressive Disorders ◽  
Proportional Hazards ◽  
Common Mental Disorders ◽  
Cox Proportional Hazards ◽  
Shared Environment ◽  
Familial Factors

Abstract Purpose The aim of this study was to investigate if sickness absence and disability pension (SA/DP) in general and due to specific common mental disorders (CMDs) are associated with subsequent suicide attempt among women and men by taking familial factors (genetics and shared environment) into consideration. Methods This register-based cohort study includes 4871 twin pairs 18–65 years of age discordant for SA/DP due to CMDs 2005–2010. Twins were followed up for suicide attempt from inpatient and specialised outpatient care until December 2012. Conditional Cox proportional hazards regression models, adjusting for familial factors, were used to calculate hazard ratios (HR) with 95% confidence intervals (CI). Results SA/DP due to CMDs was associated with a higher risk of suicide attempt (HR 3.14, CI 2.51–3.93). The risk of suicide attempt was five times higher among men and three times higher among women, compared to the SA/DP unaffected co-twins. In the diagnosis-specific analysis, SA/DP due to anxiety disorders resulted in the highest HR (4.09, CI 2.37–7.06) for suicide attempt, followed by depressive disorders (HR 3.70, CI 2.66–5.14) and stress-related disorders (HR 1.96, CI 1.35–2.84). The stratified analysis on zygosity indicates that there seems to be a genetic influence on the associations between SA/DP due to CMDs and suicide attempt, particularly among women and among those with SA/DP due to depressive disorders. Conclusions SA/DP due to CMDs was a risk factor for suicide attempt among women and men. Genetic factors might explain part of the associations for women and for those with SA/DP due to depressive disorders.

scholarly journals Preventing sickness absence among employees with common mental disorders or stress-related symptoms at work: a cluster randomised controlled trial of a problem-solving-based intervention conducted by the Occupational Health Services

2020 ◽  
Vol 77 (7) ◽  
pp. 454-461 ◽  
Author(s):  
Marijke Keus van de Poll ◽  
Lotta Nybergh ◽  
Caroline Lornudd ◽  
Jan Hagberg ◽  
Lennart Bodin ◽  
...  
Keyword(s):  
Mental Health ◽  
Problem Solving ◽  
Mental Disorders ◽  
Occupational Health ◽  
Sickness Absence ◽  
Primary Outcome ◽  
Common Mental Disorders ◽  
Significant Group ◽  
Secondary Outcomes

ObjectivesCommon mental disorders (CMDs) are among the main causes of sickness absence and can lead to suffering and high costs for individuals, employers and the society. The occupational health service (OHS) can offer work-directed interventions to support employers and employees. The aim of this study was to evaluate the effect on sickness absence and health of a work-directed intervention given by the OHS to employees with CMDs or stress-related symptoms.MethodsRandomisation was conducted at the OHS consultant level and each consultant was allocated into either giving a brief problem-solving intervention (PSI) or care as usual (CAU). The study group consisted of 100 employees with stress symptoms or CMDs. PSI was highly structured and used a participatory approach, involving both the employee and the employee’s manager. CAU was also work-directed but not based on the same theoretical concepts as PSI. Outcomes were assessed at baseline, at 6 and at 12 months. Primary outcome was registered sickness absence during the 1-year follow-up period. Among the secondary outcomes were self-registered sickness absence, return to work (RTW) and mental health.ResultsA statistical interaction for group × time was found on the primary outcome (p=0.033) and PSI had almost 15 days less sickness absence during follow-up compared with CAU. Concerning the secondary outcomes, PSI showed an earlier partial RTW and the mental health improved in both groups without significant group differences.ConclusionPSI was effective in reducing sickness absence which was the primary outcome in this study.

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