Socioeconomic differences in health check-ups and medically certified sickness absence: a 10-year follow-up among middle-aged municipal employees in Finland

Piha, Kustaa; Sumanen, Hilla; Lahelma, Eero; Rahkonen, Ossi

doi:10.1136/jech-2016-208185

Cited by 5 publications

(12 citation statements)

References 20 publications

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“…However, some studies have found HCU to be a valuable component of Finnish OHC. The targeted HCU may work as triggers for interventions to address poor work ability (9,40) while they can also work as interventions themselves (8). The health education given during HCU may have some effect in the prevention of occupational asthma and accidents (41).…”

Section: Discussionmentioning

confidence: 99%

Quality improvement activity in occupational healthcare associated with reduced need for disability retirement: A Bayesian mixed effects modelling study in Finland

Kuronen¹,

Winell²,

Kopra³

et al. 2020

Scand J Work Environ Health

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Being affiliated with the occupational healthcare (OHC) quality network (OQN)-a voluntary collaborative forum in Finland-can reduce the need for disability pensions among employees in the care of the OHC unit. When the OHC unit participates in common quality improvement (QI) activities (quality measurements of intervening in excess use of alcohol, quality facilitator training, and the focus of work ability measurements) it may decrease the risk of work disability pensions.

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Section: Discussionmentioning

confidence: 99%

Quality improvement activity in occupational healthcare associated with reduced need for disability retirement: A Bayesian mixed effects modelling study in Finland

Kuronen¹,

Winell²,

Kopra³

et al. 2020

Scand J Work Environ Health

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“…However, earlier prevention where the intervention is implemented before diagnosis could be more efficient [70]. For example, in a Finnish study, age-based health check-ups offered by the occupational health care reduced subsequent SA and those in the lower occupational classes participated actively, but socioeconomic differences were not reduced [71]. If the intervention is not targeted to all employees, previous evidence shows that objective selection of the participants who could benefit for early intervention is more effective and should be promoted in future interventions [72].…”

Section: Discussionmentioning

confidence: 99%

The Magnitude of Occupational Class Differences in Sickness Absence: 15-Year Trends among Young and Middle-Aged Municipal Employees

Sumanen

Lahelma

Pietiläinen

et al. 2017

IJERPH

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Background: Our aim was to examine the magnitude of relative occupational class differences in sickness absence (SA) days over a 15-year period among female and male municipal employees in two age-groups. Methods: 18–34 and 35–59-year-old employees of the City of Helsinki from 2002 to 2016 were included in our data (n = ~37,500 per year). Occupational class was classified into four groups. The magnitude of relative occupational class differences in SA was studied using the relative index of inequality (RII). Results: The relative occupational class differences were larger among older than younger employees; the largest differences were among 35–59-year-old men. Among women in both age-groups the relative class differences remained stable during 2002–2016. Among younger and older men, the differences were larger during the beginning of study period than in the end. Among women in both age-groups the RII values were between 2.19 (95% confidence intervals (CI) 1.98, 2.42) and 3.60 (95% CI 3.28, 3.95). The corresponding differences varied from 3.74 (95% CI 3.13, 4.48) to 1.68 (95% CI 1.44, 1.97) among younger and from 6.43 (95% CI 5.85, 7.06) to 3.31 (95% CI 2.98, 3.68) among older men. Conclusions: Relative occupational class differences were persistent among employees irrespective of age group and gender. Preventive measures should be started at young age.

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“…Piha et al . () reported that the income level of employees is an influential factor in attending health checks. Lee et al .…”

Section: Datamentioning

confidence: 94%

“…Piha et al . () found that employees with lower socio‐economic positions participate more actively in health checks than do other cohorts. Screening history and general practice visits are also influential in the attendance rate of health checks (Labeit et al ., ).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Health inequality due to social status was indicated as a critical factor in some studies, whereby socially disadvantaged people are more likely to make no response to invitations for health checks (Janßen et al, 2012;Hoebel et al, 2013Hoebel et al, , 2014. Piha et al (2016) found that employees with lower socio-economic positions participate more actively in health checks than do other cohorts. Screening history and general practice visits are also influential in the attendance rate of health checks (Labeit et al, 2013).…”

Section: Determinants Of Participation In Health Checks and Selectionmentioning

confidence: 99%

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The Effect of General Health Checks on Healthcare Utilization: Accounting for Self-Selection Bias

Yoon

Jun

Park

2019

Journal of the Royal Statistical Society Series A: Statistics in Society

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Summary The general health check is one of the most common preventive healthcare measures in many countries. In this study, we propose an empirical approach which jointly models the decision to obtain a general health check and healthcare utilization, tackling the self‐selection problem by using eligibility to obtain a health check for free as an instrumental variable. Eligibility has some exogenous variations by design and this helps us to partial out the effect of general health checks from self‐selection biases. We apply the model to a large 12‐year panel data set provided by the Korean National Health Insurance Service. We find that participation in the general health check increases healthcare utilization and ignored self‐selection generates substantial upward bias in the estimates. We also find that the health check effect shows noteworthy heterogeneity across gender and income groups. Before health checks, healthcare utilization of males and people in low income groups is lower than those of females and people in high income groups respectively. However, these become comparable across different groups after health checks. This finding implies that general health checks can be an effective vehicle for health equity.

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Socioeconomic differences in health check-ups and medically certified sickness absence: a 10-year follow-up among middle-aged municipal employees in Finland

Abstract: Age-based health check-ups reduced subsequent sickness absence and should be promoted. Attendance to health check-ups should be as high as possible. Contextual factors need to be taken into account when applying the results in interventions in other settings.

Cited by 5 publications

References 20 publications

Quality improvement activity in occupational healthcare associated with reduced need for disability retirement: A Bayesian mixed effects modelling study in Finland

Quality improvement activity in occupational healthcare associated with reduced need for disability retirement: A Bayesian mixed effects modelling study in Finland

The Magnitude of Occupational Class Differences in Sickness Absence: 15-Year Trends among Young and Middle-Aged Municipal Employees

The Effect of General Health Checks on Healthcare Utilization: Accounting for Self-Selection Bias

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