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Work-Related Exposures and Sickness Absence Trajectories: A Nationally Representative Follow-up Study among Finnish Working-Aged People

Author

Listed:
  • Tea Lallukka

    (Department of Public Health, University of Helsinki, P.O. Box 20, 00014 Helsinki, Finland
    Finnish Institute of Occupational Health, P.O. Box 40, 00032 Helsinki, Finland)

  • Leena Kaila-Kangas

    (Finnish Institute of Occupational Health, P.O. Box 40, 00032 Helsinki, Finland)

  • Minna Mänty

    (Department of Public Health, University of Helsinki, P.O. Box 20, 00014 Helsinki, Finland
    City of Vantaa, Asematie 7, 01300 Vantaa, Finland)

  • Seppo Koskinen

    (Unit of Statistics and research, National Institute for Health and Welfare, Helsinki, P.O. Box 30, 00271 Helsinki, Finland)

  • Eija Haukka

    (Finnish Institute of Occupational Health, P.O. Box 40, 00032 Helsinki, Finland)

  • Johanna Kausto

    (Finnish Institute of Occupational Health, P.O. Box 40, 00032 Helsinki, Finland)

  • Päivi Leino-Arjas

    (Finnish Institute of Occupational Health, P.O. Box 40, 00032 Helsinki, Finland)

  • Risto Kaikkonen

    (Department of Public Health, University of Helsinki, P.O. Box 20, 00014 Helsinki, Finland)

  • Jaana I. Halonen

    (Finnish Institute of Occupational Health, P.O. Box 40, 00032 Helsinki, Finland)

  • Rahman Shiri

    (Finnish Institute of Occupational Health, P.O. Box 40, 00032 Helsinki, Finland)

Abstract

The contribution of physically demanding work to the developmental trajectories of sickness absence (SA) has seldom been examined. We analyzed the associations of 12 physical work exposures, individually and in combination, with SA trajectories among the occupationally active in the Finnish nationally representative Health 2000 survey. We included 3814 participants aged 30–59 years at baseline, when exposure history to work-related factors was reported. The survey and interview responses were linked with the annual number of medically confirmed SA spells through 2002–2008 from national registries. Trajectory analyses identified three SA subgroups: 1 = low (54.6%), 2 = slowly increasing (33.7%), and 3 = high (11.7%). After adjustments, sitting or use of keyboard >1 year was inversely associated with the high SA trajectory (odds ratio, OR, 0.57; 95% 95% confidence interval, CI, 0.43–0.77). The odds of belonging to the trajectory of high SA increased with an increasing number of risk factors, and was highest for those with ≥4 physical workload factors (OR 2.71; 95% CI 1.99–3.69). In conclusion, these findings highlight the need to find ways to better maintain the work ability of those in physically loading work, particularly when there occurs exposure to several workload factors.

Suggested Citation

  • Tea Lallukka & Leena Kaila-Kangas & Minna Mänty & Seppo Koskinen & Eija Haukka & Johanna Kausto & Päivi Leino-Arjas & Risto Kaikkonen & Jaana I. Halonen & Rahman Shiri, 2019. "Work-Related Exposures and Sickness Absence Trajectories: A Nationally Representative Follow-up Study among Finnish Working-Aged People," IJERPH, MDPI, vol. 16(12), pages 1-12, June.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:12:p:2099-:d:239602
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    Citations

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    Cited by:

    1. Päivi Leino-Arjas & Jorma Seitsamo & Clas-Håkan Nygård & Prakash K.C. & Subas Neupane, 2021. "Process of Work Disability: From Determinants of Sickness Absence Trajectories to Disability Retirement in a Long-Term Follow-Up of Municipal Employees," IJERPH, MDPI, vol. 18(5), pages 1-18, March.
    2. Emma Drake & Maria M. Ekblom & Örjan Ekblom & Lena V. Kallings & Victoria Blom, 2020. "Cardiorespiratory Fitness and Device-Measured Sedentary Behaviour are Associated with Sickness Absence in Office Workers," IJERPH, MDPI, vol. 17(2), pages 1-10, January.

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