Gender differences in the duration of non-work-related sickness absence episodes due to musculoskeletal disorders.

Abstract:

BACKGROUND:There is wide evidence that women present longer duration of sickness absence (SA) than men. Musculoskeletal disorders are influenced by gender due to the sexual division of work. METHODS:354 432 episodes of non-work-related SA due to musculoskeletal disorders, which were registered in Catalonia between 2005 and 2008, were selected. The outcome variable was the duration of SA. Frailty survival models, stratified by sex and adjusted for explanatory variables (age, employment status, case management, economic activity and repeated episode), were fitted to study the association between each variable and the duration of SA, obtaining HRs. RESULTS:Women presented longer SA episodes than men in all variable categories. A trend from shorter to longer duration of SA with increasing age was observed in men, whereas in women, it had a fluctuating pattern. Analysing most frequent diagnostic subgroups from the sample, only 'non-specific lumbago' and 'sciatic lumbago' showed these age patterns. Frailty survival models applied to these 2 subgroups confirmed the described age patterns in SA duration. CONCLUSIONS:Women have longer non-work-related SA due to musculoskeletal disorders than men. However, while men have longer absences as their age increases, in women some older groups have shorter absences than younger ones. These findings could be explained by gender differences in the interaction between paid work and family demands. Our results highlight the need for continued research on SA from a gender perspective, in order to improve management of SA in terms of clinical practice and public policies.

authors

Arcas MM,Delclos GL,Torá-Rocamora I,Martínez JM,Benavides FG

doi

10.1136/jech-2014-204331

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

1065-1073

issue

11

eissn

0143-005X

issn

1470-2738

pii

jech-2014-204331

journal_volume

70

pub_type

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