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188 FREQUENT AND LONG-TERM ABSENTEEISM AS A RISK FACTOR FOR DISABILITY PENSION AND JOB TERMINATION AMONG EMPLOYEES IN THE PRIVATE SECTOR
Frequent and long-term absentees were monitored over a period of 4 years after their absence with regard to the risk of disability and job termination.
Based on their absenteeism in the reference year 53 990 employees, working at three large Dutch companies, were distinguished into the following cohorts: 4126 frequent absentees (four times or more absent), 3585 long-term absentees (duration more than 6 weeks), 979 frequent and long-term absentees, and a reference population consisting of 45 300 employees.
In the next 4 years frequent absentees had a higher disability rate – defined as 1 year of incapacity for work – amounting to 2.5 in men and 4.2 in women per 100 employee years as compared to the reference population (0.8 in men and 2.2 in women). Long-term absent men have a disability rate of 6.7 and women of 9.1 per 100 work-years. Frequent and long-term absentees have a disability rate of 8.1 in men and 10.4 in women. The risk of terminating employment is higher in former absent groups (range 20%–25% in men and 31%–37% in women) as compared to the reference population (18% in men and 24% in women). Females, older employees, employees on lower salary scales and employees working in urban regions are more at risk for disability and job termination. In men, absence due to malignant disease (OR 3.8), mental disorders (OR 1.5) or respiratory disorders (OR 1.4) gives an increased disability risk as compared to musculoskeletal disorders. There was no differential increase in disability risk by diagnosis in women. Being long-term absent due to injuries lowers the disability rate in both sexes. In men, malignant disease (RR 2.9) or mental disorders (RR 1.3) gives a higher risk of job termination and in women neurological diseases (RR 2.1). In both sexes, the type of mental or musculoskeletal disorder is …