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Do birthrates contribute to sickness absence differences in women? A cohort study in Catalonia, Spain, 2012-2014

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  • Andrew N March
  • Rocío Villar
  • Monica Ubalde-Lopez
  • Fernando G. Benavides
  • Laura Serra

Abstract

Aims: This study explores the differences in sickness absence trends in women according to reproductive age group and medical diagnoses. Methods: Data were obtained from two administrative registries: the Continuous Working Life Sample and the Catalonian Institute of Medical Evaluations from 2012 to 2014, containing 47,879 female employees. Incidence rates and incidence risk ratios derived from Poisson and negative binomial models were calculated to compare sickness absence trends among reproductive age groups based on Catalonian birthrates: early-reproductive (25–34 years old), middle-reproductive (35–44) and late-reproductive (45–54), according to diagnostic groups, selected diseases, type of contract, occupational category, and country of origin. Results: Younger women show a higher incidence of overall sickness absence compared to late-reproductive-aged women. Incidence risk ratios of sickness absence decreased significantly from early-reproductive to late-reproductive age for low back pain, hemorrhage in early pregnancy, nausea and vomiting, and abdominal and pelvic pain. Discussion: The higher incidence of sickness absence due to pregnancy-related health conditions in early-reproductive women compared to other reproductive age groups, may explain the sickness absence differences by age in women. Proper management of sickness absence related to pregnancy should be a goal to reduce the sickness absence gap between younger and older women.

Suggested Citation

  • Andrew N March & Rocío Villar & Monica Ubalde-Lopez & Fernando G. Benavides & Laura Serra, 2020. "Do birthrates contribute to sickness absence differences in women? A cohort study in Catalonia, Spain, 2012-2014," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-14, August.
    • Handle: RePEc:plo:pone00:0237794
    DOI: 10.1371/journal.pone.0237794
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    References listed on IDEAS

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    1. Anja M S Ariansen & Arnstein Mykletun, 2014. "Does Postponement of First Pregnancy Increase Gender Differences in Sickness Absence? A Register Based Analysis of Norwegian Employees in 1993–2007," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-12, March.
    2. Jessica Nisén & Mikko Myrskylä & Karri Silventoinen & Pekka Martikainen, 2014. "Effect of family background on the educational gradient in lifetime fertility of Finnish women born 1940-50," Population Studies, Taylor & Francis Journals, vol. 68(3), pages 321-337, November.
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