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.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Arcas MM,Delclos GL,Torá-Rocamora I,Martínez JM,Benavides FGdoi
10.1136/jech-2014-204331subject
Has Abstractpub_date
2016-11-01 00:00:00pages
1065-1073issue
11eissn
0143-005Xissn
1470-2738pii
jech-2014-204331journal_volume
70pub_type
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