PT  - JOURNAL ARTICLE
AU  - Labriola, Merete
AU  - Holte, Kari Anne
AU  - Christensen, Karl Bang
AU  - Feveile, Helene
AU  - Alexanderson, Kristina
AU  - Lund, Thomas
TI  - The attribution of work environment in explaining gender differences in long-term sickness absence: results from the prospective DREAM study
AID  - 10.1136/oem.2010.060632
DP  - 2011 Sep 01
TA  - Occupational and Environmental Medicine
PG  - 703--705
VI  - 68
IP  - 9
4099  - http://oem.bmj.com/content/68/9/703.short
4100  - http://oem.bmj.com/content/68/9/703.full
SO  - Occup Environ Med2011 Sep 01; 68
AB  - Objectives To identify differences in risk of long-term sickness absence between female and male employees in Denmark and to examine to what extent differences could be explained by work environment factors.Methods A cohort of 5026 employees (49.1% women, mean age 40.4 years; 50.9% men, mean age 40.2 years) was interviewed in 2000 regarding gender, age, family status, socio-economic position and psychosocial and physical work environment factors. The participants were followed for 18 months in order to assess their incidence of long-term sickness absence exceeding 8 consecutive weeks.Results 298 workers (5.9%) received sickness absence compensation for 8 weeks or more. Women had an excess risk of 37% compared to men, when adjusting for age, family status and socio-economic position. Physical work environment exposures could not explain this difference, whereas differences in psychosocial work environment exposures explained 32% of the differences in risk of long-term sickness absence between men and women, causing the effect of gender to become statistically insignificant. The combined effect of physical and psychosocial factors was similar, explaining 30% of the gender difference.Conclusion Differences in psychosocial work environments in terms of emotional demands, reward at work, management quality and role conflicts, explained roughly 30% of women's excess long-term sickness absence risk. Assuming women and men had identical working conditions would leave the larger part of the gender difference in long-term sickness absence from work unexplained.