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Has the Spanish economic crisis affected the duration of sickness absence episodes?

Author

Listed:
  • Murcia López, Guillermo
  • Delclós Clanchet, Jordi
  • Ubalde López, Mònica
  • Calvo Bonacho, Eva
  • Benavides, Fernando G.

Abstract

The global economic crisis has had particularly intense effects on the Spanish labor market. We investigated whether the duration of non-work related sickness absence (SA) episodes in salaried workers had experienced any changes before and after the crisis started. This was a repeated cross-sectional analysis conducted in a dynamic cohort in 2006 and 2010. Database was provided by eight mutual insurance companies, covering 983,108 workers and 451,801 SA episodes. Descriptive analysis and crude, bivariate and multivariate analyses using Cox proportional hazards modeling were performed, to quantify the changes in duration of SA episodes between 2006 and 2010, stratified by sex. There was a higher number of episodes in 2010 for both sexes, but especially for women. Unadjusted median duration in men was similar for both years, while for women it was shorter in 2010. Final multivariate models show a greater risk of longer episode duration for men in 2010 (HR 0.95; 95% CI, 0.95–0.95), but a shorter one for women (HR 1.07; 95% CI, 1.07–1.07). Once the economic crisis started affecting the Spanish labor market, the number of SA episodes in women equalized with those in men. There was a decrease of episodes in the youngest age groups, in the construction and in temporary contracts. The relative ranking of leading diagnoses was similar in both years with an increase in infectious, nervous system and respiratory diseases and in mental disorder episodes for both sexes, but especially for women. The risk of longer episode duration was greater in 2010 among men, but smaller in women.

Suggested Citation

  • Murcia López, Guillermo & Delclós Clanchet, Jordi & Ubalde López, Mònica & Calvo Bonacho, Eva & Benavides, Fernando G., 2016. "Has the Spanish economic crisis affected the duration of sickness absence episodes?," Social Science & Medicine, Elsevier, vol. 160(C), pages 29-34.
    • Handle: RePEc:eee:socmed:v:160:y:2016:i:c:p:29-34
    DOI: 10.1016/j.socscimed.2016.05.009
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    References listed on IDEAS

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    1. Burström, B. & Nylén, L. & Barr, B. & Clayton, S. & Holland, P. & Whitehead, M., 2012. "Delayed and differential effects of the economic crisis in Sweden in the 1990s on health-related exclusion from the labour market: A health equity assessment," Social Science & Medicine, Elsevier, vol. 75(12), pages 2431-2436.
    2. Catalina-Romero, C. & Sainz, J.C. & Pastrana-Jiménez, J.I. & García-Diéguez, N. & Irízar-Muñoz, I. & Aleixandre-Chiva, J.L. & Gonzalez-Quintela, A. & Calvo-Bonacho, E., 2015. "The impact of poor psychosocial work environment on non-work-related sickness absence," Social Science & Medicine, Elsevier, vol. 138(C), pages 210-216.
    3. Eva Real & Lluís Jover & Ricard Verdaguer & Antoni Griera & Cinto Segalàs & Pino Alonso & Fernando Contreras & Antoni Arteman & José M Menchón, 2016. "Factors Associated with Long-Term Sickness Absence Due to Mental Disorders: A Cohort Study of 7.112 Patients during the Spanish Economic Crisis," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-16, January.
    4. Francisco Carballo-Cruz, 2011. "Causes and Consequences of the Spanish Economic Crisis: Why the Recovery is Taken so Long?," Panoeconomicus, Savez ekonomista Vojvodine, Novi Sad, Serbia, vol. 58(3), pages 309-328, September.
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    Cited by:

    1. Ángel L. Martín-Román & Alfonso Moral & Sara Pinillos-Franco, 2024. "Are women breaking the glass ceiling? A gendered analysis of the duration of sick leave in Spain," International Journal of Health Economics and Management, Springer, vol. 24(1), pages 107-134, March.

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