Abstract:
BACKGROUND AND OBJECTIVE:A comparison of sick leave in pregnancy between countries is difficult as most studies have been conducted in single countries in Scandinavia. The objective of this study was to explore patterns of and reasons for sick leave during pregnancy on a multinational level, focusing on medication use but also differences in sick leave policies. DESIGN AND SETTING:Cross-sectional, web-based study in 12 European countries from October 2011 to February 2012. Data were collected via an electronic questionnaire. PARTICIPANTS:Pregnant women and mothers of children under the age of 1 year. PRIMARY OUTCOME MEASURE:Sick leave prevalence in pregnancy. RESULTS:Of 6686 women included, 3385 (50.6%) had been on sick leave during pregnancy. The rates of sick leave varied across countries, ranging from 31.7%-34.8% in Sweden and the UK to 62.4%-71.3% in Norway, Serbia, Croatia and Poland. The most common reasons for being on sick leave were pregnancy complications (26.5%); pain in the neck, back or pelvic girdle (16.2%); and nausea and vomiting (NVP, 16.0%). Women using medications for acute illnesses were more likely to be on sick leave than their non-medicated counterparts, while an opposite trend was observed for women with chronic disorders, where non-medicated women were more likely to be on sick leave. Women from countries with 'low' sick leave policies were less likely to have extensions of sick leaves compared with women from countries with 'medium' policies (adjusted OR 0.63, 95% CI 0.49 to 0.82). CONCLUSION:The rates of sick leave in pregnancy vary greatly across European countries. Women using medications were more likely to be on sick leave, especially for acute illnesses. The differences in sick leave patterns across countries only partially reflected differences in sick leave policies, which implies that sick leave in pregnancy is also affected by other national differences.
journal_name
BMJ Openjournal_title
BMJ openauthors
Truong BT,Lupattelli A,Kristensen P,Nordeng Hdoi
10.1136/bmjopen-2016-014934subject
Has Abstractpub_date
2017-08-03 00:00:00pages
e014934issue
8issn
2044-6055pii
bmjopen-2016-014934journal_volume
7pub_type
杂志文章相关文献
BMJ Open文献大全abstract:OBJECTIVE:To determine anticoagulant therapy at hospital discharge for patients with acute venous thromboembolism (VTE) and secondarily, to describe factors affecting choice of therapy. DESIGN:A retrospective chart review. SETTING:Canadian hospitals in Edmonton, Alberta (n=4), Regina, Saskatchewan (n=2) and rural Alb...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-022065
更新日期:2018-10-31 00:00:00
abstract:OBJECTIVES:To examine the prevalence of binge drinking in adolescence and its persistence into adulthood in an Australian cohort. DESIGN:15-year prospective cohort study. SETTING:Victoria, Australia. PARTICIPANTS:1943 adolescents were recruited from secondary schools at age 14-15 years. PRIMARY OUTCOME MEASURES:Lev...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003015
更新日期:2013-08-19 00:00:00
abstract::Objective To investigate the views and practices of UK medical schools regarding the inclusion (or exclusion) of complementary and alternative medicine (CAM) in undergraduate medical curricula. Design Survey (by email) of UK medical schools offering MBBS (or equivalent) degrees. Results The overall response rate was...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2011-000074
更新日期:2011-06-08 00:00:00
abstract:INTRODUCTION:Cryptococcal meningitis is responsible for around 15% of all HIV-related deaths globally. Conventional treatment courses with amphotericin B require prolonged hospitalisation and are associated with multiple toxicities and poor outcomes. A phase II study has shown that a single high dose of liposomal ampho...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2018-026288
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVE:To clarify prognostic factors for idiopathic inflammatory myopathy (IIM)-associated interstitial lung disease (ILD). DESIGN:Systematic review and meta-analysis using the Grades of Recommendation, Assessment, Development and Evaluation system. DATA SOURCES:Medline, EMBASE and Science Citation Index Expanded ...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2018-023998
更新日期:2018-12-16 00:00:00
abstract:OBJECTIVES:To introduce multilevel repeated measures (RM) models and compare them with multilevel difference-in-differences (DID) models in assessing the linear relationship between the length of the policy intervention period and healthcare outcomes (dose-response effect) for data from a stepped-wedge design with a hi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013247
更新日期:2017-02-22 00:00:00
abstract:OBJECTIVES:Low-dose methoxyflurane is a non-opioid, inhaled analgesic administered via the Penthrox inhaler and was recently licensed in Europe for emergency relief of moderate-to-severe trauma-associated pain in conscious adults. This non-interventional study investigated occupational exposure to methoxyflurane in the...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034647
更新日期:2020-02-10 00:00:00
abstract:OBJECTIVES:Taiwan succeeded in raising the proportion of peritoneal dialysis (PD) usage after the National Health Insurance (NHI) payment scheme introduced financial incentives in 2005. This study aims to compare the economic costs between automated PD (APD) and continuous ambulatory PD (CAPD) modalities from a societa...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-015067
更新日期:2017-03-21 00:00:00
abstract:OBJECTIVES:Respiratory symptoms are associated with spirometry results but more strongly with smoking history, suggesting that alterations in the lung other than those revealed by spirometry contribute to cause symptoms. Smoking may cause obstruction of peripheral airways that is poorly detected by spirometry. The slop...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001488
更新日期:2012-11-27 00:00:00
abstract:INTRODUCTION:Obesity is a global epidemic and is a risk factor for developing other comorbidities. Young adulthood is a critical period for body weight change and establishing healthy lifestyle behaviours. The 'Freshman 15' suggests that undergraduate students gain 15 lbs (6.8 kg) during their first year of university,...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019365
更新日期:2017-12-10 00:00:00
abstract:INTRODUCTION:Pain is an expected and appropriate experience following traumatic musculoskeletal injury. By contrast, chronic pain and disability are unhelpful yet common sequelae of trauma-related injuries. Presently, the mechanisms that underlie the transition from acute to chronic disabling post-traumatic pain are no...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-017876
更新日期:2018-04-28 00:00:00
abstract:INTRODUCTION:North America is amid an opioid use epidemic. Opioid agonist treatment (OAT) effectively reduces extramedical opioid use and related harms. As with all pharmacological treatments, there are risks associated with OAT, including fatal overdose. There is a need to better understand risk for adverse outcomes d...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025204
更新日期:2018-08-05 00:00:00
abstract:INTRODUCTION:Acute kidney injury (AKI) is a frequent complication after cardiac surgery with adverse short-term and long-term outcomes. Although prevention of AKI (PrevAKI) is strongly recommended, the optimal strategy is uncertain. The Kidney Disease: Improving Global Outcomes (KDIGO) guideline recommended a bundle of...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034201
更新日期:2020-04-06 00:00:00
abstract:OBJECTIVES:Social interaction may be particularly important for people with chronic health conditions, due to the numerous benefits to an individual's health. This paper aims to determine if labour force participation is a factor that influences individuals with chronic health conditions partaking in social or cultural...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-002054
更新日期:2013-01-30 00:00:00
abstract:OBJECTIVES:Social Autopsy (SA) is an innovative strategy where a trained facilitator leads community groups through a structured, standardised analysis of the physical, environmental, cultural and social factors contributing to a serious, non-fatal health event or death. The discussion stimulated by the formal process ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010490
更新日期:2016-08-23 00:00:00
abstract:OBJECTIVE:The objective of the study was to explore the experiences of those who have experienced miscarriage, focusing on men's and women's accounts of miscarriage. DESIGN:This was a qualitative study using a phenomenological framework. Following in-depth semistructured interviews, analysis was undertaken in order to...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011382
更新日期:2017-03-27 00:00:00
abstract:OBJECTIVE:To determine whether neuromuscular blocking agents (NMBAs) can decrease the mortality of patients with acute respiratory distress syndrome (ARDS) and improve their clinical outcomes. DESIGN:Systematic review, meta-analysis and meta-regression. DATA SOURCES:PubMed, Embase, Cochrane Library, Web of Science an...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037737
更新日期:2020-11-19 00:00:00
abstract:INTRODUCTION:Residential fires remain a significant global public health problem. It is recognised that the reported number of residential fires, fire-related injuries and deaths significantly underestimate the true number. Australian surveys show that around two-thirds of respondents who experience a residential fire ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037709
更新日期:2020-09-23 00:00:00
abstract:OBJECTIVE:Perioperative shivering (POS) is a common complication in patients undergoing spinal anaesthesia. The present study investigated the efficacy of 5-HT3 receptor antagonists in preventing POS following spinal anaesthesia. DESIGN:Systematic review and meta-analysis. DATA SOURCES:Pubmed, Embase, the Web of Scie...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038293
更新日期:2020-10-05 00:00:00
abstract:OBJECTIVES:To evaluate the impact of comorbidities, acute illness burden and social determinants of health on predicting the risk of frequent hospital admissions. DESIGN:Multivariable logistic regression was used to associate the predictive variables extracted from electronic health records and frequent hospital admis...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012705
更新日期:2016-10-14 00:00:00
abstract:OBJECTIVES:Cadmium exposure has been found to be associated with atherosclerotic plaques in the carotid arteries and with circulating levels of the proatherogenic intercellular adhesion molecule-1 (ICAM-1). The research questions were (1) if blood and urinary cadmium levels are associated with low ankle-brachial index ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-002489
更新日期:2013-03-06 00:00:00
abstract:OBJECTIVE:To assess the effect of the Pregnant+ app on the 2-hour glucose level of the routine postpartum oral glucose tolerance test (OGTT) among women with gestational diabetes mellitus (GDM). The Pregnant+ app was designed to provide information about GDM, and promote physical activity and a healthy diet. DESIGN:A ...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2019-030884
更新日期:2019-11-11 00:00:00
abstract:OBJECTIVES:To estimate the prevalence of sleepiness on duty among day workers and watchkeepers on board. DESIGN:Cross-sectional survey in a maritime field study. SETTING:10 shipping companies with container vessels under German management. PARTICIPANTS:The whole crew (75 day workers and 123 watchkeepers) during 18 v...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028449
更新日期:2019-07-09 00:00:00
abstract:OBJECTIVES:Few studies have focused on pulmonary arterial hypertension (PAH) associated with connective tissue diseases (CTDs). The optimal treatment for CTD-PAH has yet to be established. DESIGN:Meta-analysis of the data from evaluations of treatment for PAH generally (19 studies) and CTD-PAH specifically (nine studi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003113
更新日期:2013-08-01 00:00:00
abstract:OBJECTIVE:This study sought to assess knowledge of schizophrenia and help-seeking behaviour among undergraduate students of a Nigerian university. Sociodemographic predictors of correct recognition were also explored. DESIGN:The study was a cross-sectional descriptive survey. SETTING:The study was carried out at the ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-028913
更新日期:2019-09-12 00:00:00
abstract:OBJECTIVES:With a marginally effective vaccine and no significant breakthroughs in new treatments, a sensitive and specific method to distinguish active tuberculosis from latent tuberculosis infection (LTBI) would allow for early diagnosis and limit the spread of the pathogen. The analysis of multiple cytokine profiles...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039501
更新日期:2020-10-07 00:00:00
abstract:INTRODUCTION:Chronic thoracic aortic aneurysm (CTAA) affecting the arch or descending aorta is an indolent but life-threatening condition with a rising prevalence as the UK population ages. Treatment may be in the form of open surgical repair (OSR) surgery, endovascular stent grafting (ESG) or best medical therapy (BMT...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2015-008147
更新日期:2015-06-02 00:00:00
abstract:OBJECTIVES:Intrinsic capacity (IC) was proposed by the WHO as a new concept for capturing an individual's functional capacities across their lifetime. We aimed to investigate the prevalence and factors associated with IC decline and examine associations between IC and adverse outcomes among community-dwelling older adu...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-043062
更新日期:2021-01-05 00:00:00
abstract:INTRODUCTION:Trabeculotomy and combined trabeculotomy-trabeculectomy (CTT) are major surgical options for primary congenital glaucoma (PCG). However, it is unclear which of these two surgical procedures should be recommended as the optimum first-line treatment for PCG. This trial aims to determine whether the outcomes ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032957
更新日期:2020-02-25 00:00:00
abstract:BACKGROUND:Implementing venous thromboembolism (VTE) risk assessment guidance on admission to hospital has proved difficult worldwide. In 2010, VTE risk assessment in English hospitals was linked to financial sanctions. This study investigated possible barriers and facilitators for VTE risk assessment in medical patien...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001668
更新日期:2012-11-06 00:00:00