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Occup Environ Med 60:295-300 doi:10.1136/oem.60.4.295
  • Original article

Health problems and psychosocial work environment as predictors of long term sickness absence in employees who visited the occupational physician and/or general practitioner in relation to work: a prospective study

Table 2

Logistic regression of indicators of health problems and psychosocial work environment on no/short sickness absence (0–7 days; n=488) versus sickness absence of 1–3 months (30–89 days; n=250), 3–6 months (90–179 days; n=131), and at least 6 months (180 days and more; n=76) for employees who indicated having visited the GP and/or OP in relation to work during the past 4 months at baseline

No/short sickness absence versus sickness absence of 1–3 months No/short sickness absence versus sickness absence of 3–6 months No/short sickness absence versus sickness absence of at least 6 months
Variable Crude OR (95% CI) Adj OR 1 (95% CI) Adj OR 2 (95% CI) Crude OR (95% CI) Adj OR 1 (95% CI) Adj OR 2 (95% CI) Crude OR (95% CI) Adj OR 1 (95% CI) Adj OR 2 (95% CI)
*p<0.05 difference compared to score in group NO/SHORT SICKNESS ABSENCE;
**p<0.01 difference compared to score in group NO/SHORT SICKNESS ABSENCE;
***p<0.001 difference compared to score in group NO/SHORT SICKNESS ABSENCE.
Adj OR 1 = odds ratio adjusted for demographics (gender, age, and highest level of education); Adj OR 2 = Adj OR 1 + adjusted for indicators of health problems and psychosocial work environment; CIS = Checklist Individual Strength; GHQ = 12 item General Health Questionnaire; JCQ = Job Content Questionnaire.
Indicators of health problems
    Presence at least one long term disease 1.66** 1.48* 1.62** 2.35*** 2.23*** 2.49*** 2.77*** 2.38** 2.36**
(1.18 to 2.32) (1.04 to 2.10) (1.13 to 2.34) (1.53 to 3.61) (1.43 to 3.47) (1.57 to 3.96) (1.61 to 4.77) (1.36 to 4.17) (1.29 to 4.29)
    Likeliness of mental illness (GHQ-Likert total score per SD  increase) 1.02 1.01 1.00 1.01 1.00 0.97 1.05** 1.04 0.98
(0.99 to 1.04) (0.98 to 1.04) (0.96 to 1.03) (0.98 to 1.04) (0.97 to 1.03) (0.93 to 1.02) (1.01 to 1.09) (1.00 to 1.08) (0.93 to 1.04)
    Fatigue (CIS total score per SD increase) 1.06 1.04 0.86 1.15 1.15 0.97 1.79*** 1.75*** 1.48
(0.91 to 1.26) (0.87 to 1.24) (0.69 to 1.08) (0.93 to 1.41) (0.92 to 1.43) (0.71 to 1.32) (1.37 to 2.35) (1.31 to 2.33) (0.99 to 2.21)
Psychosocial work environment
    JCQ total score per subscale
        Job demands (per SD increase) 1.08 1.06 0.97 1.01 1.09 1.02 1.25 1.19 1.19
(0.92 to 1.28) (0.90 to 1.26) (0.81 to 1.17) (0.90 to 1.35) (0.89 to 1.35) (0.81 to 1.28) (0.96 to 1.62) (0.91 to 1.55) (0.90 to 1.56)
        Decision latitude (per SD increase) 0.69*** 0.76** 0.78* 0.64*** 0.67*** 0.72* 0.58*** 0.57*** 0.59**
(0.59 to 0.81) (0.64 to 0.90) (0.64 to 0.96) (0.52 to 0.79) (0.54 to 0.83) (0.56 to 0.93) (0.45 to 0.74) (0.42 to 0.75) (0.42 to 0.82)
        Social support (per SD increase) 0.82* 0.85 0.9 0.78* 0.80* 0.92 0.74* 0.79 1.06
(0.70 to 0.97) (0.71 to 1.00) (0.74 to 1.11) (0.63 to 0.95) (0.65 to 0.99) (0.72 to 1.18) (0.57 to 0.97) (0.61 to 1.04) (0.77 to 1.46)
    Job satisfaction 0.59** 0.60* 0.73 0.51** 0.49** 0.59 0.39** 0.45** 0.77
(0.40 to 0.86) (0.40 to 0.90) (0.44 to 1.20) (0.32 to 0.81) (0.30 to 0.79) (0.32 to 1.08) (0.23 to 0.69) (0.25 to 0.81) (0.37 to 1.61)

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