2017
DOI: 10.3390/ijerph14060625
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The Magnitude of Occupational Class Differences in Sickness Absence: 15-Year Trends among Young and Middle-Aged Municipal Employees

Abstract: 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). R… Show more

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Cited by 11 publications
(17 citation statements)
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References 66 publications
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“…In the present context, primary care visits can be interpreted as an indicator of incidence of acute illnesses, as the Finnish OHS system distinguish visits related to occupational health hazards. The present results concerning primary care visits are in line with previous findings from our own and other studies showing the socioeconomic differences in SA among employees and the gender differences in SA, that is, women having more absence than men 7 10 14 18 21. It can be assumed that large number of OHS visits precede SA 27…”
Section: Discussionsupporting
confidence: 92%
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“…In the present context, primary care visits can be interpreted as an indicator of incidence of acute illnesses, as the Finnish OHS system distinguish visits related to occupational health hazards. The present results concerning primary care visits are in line with previous findings from our own and other studies showing the socioeconomic differences in SA among employees and the gender differences in SA, that is, women having more absence than men 7 10 14 18 21. It can be assumed that large number of OHS visits precede SA 27…”
Section: Discussionsupporting
confidence: 92%
“…However, the differences remained high in both genders after adjustments. Studies regarding socioeconomic differences in SA have also found that the differences are steeper among men,7 17 18 but the former studies mostly concentrate on older employees.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Socio-economic differences in sickness absence are well established and previous studies show that those in the lower socioeconomic positions have a higher risk for sickness absence than those in the higher positions [ 37 , 38 , 39 , 40 ]. Our results show that the socioeconomic gradient is not fully clear in self-certified sickness absence among young female and male employees.…”
Section: Discussionmentioning
confidence: 99%
“…In that study, cleaners and porters were the lowest socioeconomic group and had a lower risk of one-to-three day sickness absence spells than the highest socioeconomic group of doctors. This type of socioeconomic structure in shorter absences might be related to lowest occupational classes exceeding other classes in case of longer absences (total sickness absence days) [ 29 , 40 ] and all-length spells [ 41 ]. This would mean that the diseases responsive of the absence would be more severe in the lowest class.…”
Section: Discussionmentioning
confidence: 99%