Abstract:
OBJECTIVES:We aimed to provide previously unestablished information on population-based differences in cause-specific sickness absence trends between occupational classes and further between four large industrial sectors within the different occupational classes while controlling for other socioeconomic factors and employment patterns. We focused on the period 2005-2013, during which the labour market underwent large economic and structural changes in many countries. DESIGN:Register-based panel data study. SETTING:Large representative datasets on Finnish wage earners aged 25-59 years. OUTCOME MEASURE:Annual risk of sickness absence (>10 working days) based on repeated logistic regression. RESULTS:Between 2005 and 2013, the proportion of employees with sickness absence decreased. Occupational class differences in sickness absence trends varied by disease group. Overall, the decrease in absences was smallest among lower non-manual employees. Sickness absence levels were highest in the health and social work sector and in the manufacturing sector within the non-manual and manual classes, respectively. Absences due to musculoskeletal diseases decreased temporarily during the peak of the economic recession in 2009, particularly in the manufacturing sector within the manual class. The decrease in absences due to musculoskeletal diseases was smallest in the trade sector within the lower occupational classes. Overall, education, income and employment patterns partly explained the differences in the absence levels, but not in the trends. CONCLUSIONS:We found a complex interplay between the associations of occupational class and industrial sector with sickness absence trends. During the economic recession, absences due to musculoskeletal diseases decreased temporarily in a segment of wage earners who were known to have been hit hard by the recession. However, the trend differences were not explained by the measured structural changes in the characteristics of the study population. Both occupational class and industrial sector should be taken into account when tackling problems of work disability.
journal_name
BMJ Openjournal_title
BMJ openauthors
Leinonen T,Viikari-Juntura E,Husgafvel-Pursiainen K,Solovieva Sdoi
10.1136/bmjopen-2017-019822subject
Has Abstractpub_date
2018-04-07 00:00:00pages
e019822issue
4issn
2044-6055pii
bmjopen-2017-019822journal_volume
8pub_type
杂志文章相关文献
BMJ Open文献大全abstract:OBJECTIVE:Cancer of the oral cavity is the leading malignancy among males in Sri Lanka, and sixth among women. This study aimed to estimate costs of managing patients with oral cancer (OCA) in Sri Lanka for a 12 month period from diagnosis. DESIGN:Hospital based costing study. SETTINGS:Four selected cancer treatment ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-027661
更新日期:2019-07-19 00:00:00
abstract:OBJECTIVES:Endometriosis is a gynaecological disease most commonly causing severe and chronic pelvic pain as well as an impaired quality of life. The aim of this study was to investigate if and how endometriosis affects choices regarding professional life as well as the quality of daily working life. DESIGN, SETTING A...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-019570
更新日期:2019-01-09 00:00:00
abstract:INTRODUCTION:As adults age, their senses tend to decline and a large portion of those most affected by sensory decline reside in long-term care. At present, the creation of a sense-sensitive environment in long-term care is a difficult task as there is minimal evidence or tools available to guide this process. The 5Sen...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-027720
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVES:No intervention has been shown to prevent falls poststroke. We aimed to determine if perturbation-based balance training (PBT) can reduce falls in daily life among individuals with chronic stroke. DESIGN:Assessor-blinded randomised controlled trial. SETTING:Two academic hospitals in an urban area. INTERVE...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-021510
更新日期:2018-08-17 00:00:00
abstract:INTRODUCTION:Cancer-related cognitive impairment (CRCI) can have detrimental effects on quality of life, even among patients with non-central nervous system (CNS) cancers. Several studies have been conducted to explore different markers associated with CRCI to understand its pathobiology. It is proposed that the underl...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2017-017578
更新日期:2018-01-27 00:00:00
abstract:PURPOSE:Progression of stable coronary artery disease (CAD) towards acute coronary syndrome (ACS) is a dynamic and heterogeneous process with many intertwined constituents, in which a plaque destabilising sequence could lead to ACS within short time frames. Current CAD risk assessment models, however, are not designed ...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2016-012929
更新日期:2016-12-23 00:00:00
abstract:OBJECTIVES:To explore the extent to which doctor-rating websites are known and used among a sample of respondents from London. To understand the main predictors of what makes people willing to use doctor-rating websites. DESIGN:A cross-sectional study. SETTING:The Borough of Hammersmith and Fulham, London, England. ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001493
更新日期:2012-11-12 00:00:00
abstract:OBJECTIVE:To explore risks of experiencing intimate partner violence (IPV) after HIV infection among women with HIV in a postnatal care setting in Swaziland. DESIGN:A qualitative semistructured in-depth interview study, using thematic analysis with deductive and inductive coding, of IPV experiences after HIV infection...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006907
更新日期:2015-05-14 00:00:00
abstract:OBJECTIVES:Assessment of the relations between recorded gonorrhoea rates and clinical testing activity and disposable diagnostic tests. METHODS:In Denmark, two sources of information on the epidemiology of gonorrhoea are available: (1) a mandatory clinical notification system (since 1867) comprising summary informatio...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-008013
更新日期:2015-11-30 00:00:00
abstract:OBJECTIVES:The UK ambulance service is expected to now manage more patients in the community and avoid unnecessary transportations to hospital emergency departments (ED). Most people it attends who have experienced seizures have established epilepsy, have experienced uncomplicated seizures and so do not require the ful...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-014022
更新日期:2016-11-09 00:00:00
abstract:OBJECTIVES:To assess the quality of sleep of employees in the German offshore wind industry and to explore factors associated with poor sleep quality. DESIGN:Web-based cross-sectional survey. SETTING:Offshore companies operating in wind farms within the German exclusive economic zone. PARTICIPANTS:Workers with regul...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024006
更新日期:2018-11-18 00:00:00
abstract:BACKGROUND:Jordan, a Middle Eastern country, declared a state of national emergency due to COVID-19 and a strict nationwide lockdown on 17 March 2020, banning all travel and movement around the country, potentially impacting mental health. This study sought to investigate the association between mental health (eg, anxi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-041995
更新日期:2020-12-22 00:00:00
abstract:OBJECTIVES:The aim of this study was to (1) demonstrate the development and testing of tools and procedures designed to monitor and assess the integrity of a complex intervention for chronic pain (COping with persistent Pain, Effectiveness Research into Self-management (COPERS) course); and (2) make recommendations bas...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003555
更新日期:2013-11-15 00:00:00
abstract:RATIONALE:Sleep-disordered breathing (SDB) is strongly linked to adverse cardiovascular outcomes (cardiovascular diseases (CVD)). Whether heart rate changes measured by nocturnal R-R interval (RRI) dips (RRI dip index (RRDI)) adversely affect the CVD outcomes is unknown. OBJECTIVES:To test whether nocturnal RRDI predi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030559
更新日期:2019-07-17 00:00:00
abstract:INTRODUCTION:The rising popularity of social media, since their inception around 20 years ago, has been echoed in the growth of health-related research using data derived from them. This has created a demand for literature reviews to synthesise this emerging evidence base and inform future activities. Existing reviews ...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2018-022931
更新日期:2018-12-14 00:00:00
abstract:BACKGROUND:Dual antiplatelet therapy (DAPT) is frequently discontinued after drug-eluting stent (DES) implantation, which could increase the risk of major adverse cardiovascular events (MACEs). Few studies have attempted to improve DAPT adherence through web-based social media. OBJECTIVE:To explore the effect of socia...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033017
更新日期:2020-01-07 00:00:00
abstract:INTRODUCTION:Institutional care has been strongly promoted in China to meet seniors' long-term care needs. Empty-nest elderly, in comparison with their counterparts, have less social support and fewer caring networks. This study aimed to compare the utilisation willingness for institutional care and its predictors betw...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-022324
更新日期:2018-08-17 00:00:00
abstract:INTRODUCTION:Government efforts to address massive shortfalls in rural water and sanitation in India have centred on construction of community water sources and toilets for selected households. However, deficiencies with water quality and quantity at the household level and community coverage and actual use of toilets ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012719
更新日期:2017-03-31 00:00:00
abstract:INTRODUCTION:Social participation is an important part of a young person's life. It influences the social experience, social-emotional development and dimensions of competence experience. This applies to people with or without physical disabilities or chronic diseases. Currently, there is no reliable assessment tool fo...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028529
更新日期:2019-02-24 00:00:00
abstract:OBJECTIVES:Sex and relationship education (SRE) is regarded as vital to improving young people's sexual health, but a third of schools in England lacks good SRE and government guidance is outdated. We aimed to identify what makes SRE programmes effective, acceptable, sustainable and capable of faithful implementation. ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-014791
更新日期:2017-07-02 00:00:00
abstract:OBJECTIVE:To describe health-related quality of life (HRQOL) and psychological well-being of children and adolescents at enrolment in a multidisciplinary community-based obesity programme and to determine association with ethnicity. This programme targeted indigenous people and those from most deprived households. Furt...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2016-015776
更新日期:2017-08-09 00:00:00
abstract:INTRODUCTION:WHO recommends the introduction of at least one single dose of inactivated polio vaccine (IPV) in routine immunisation schedules. Thus, there has been an increased demand and concurrent supply shortages of IPV worldwide. One of the strategies to improve access is the use of fractional instead of full doses...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023308
更新日期:2019-03-09 00:00:00
abstract:INTRODUCTION:Women who have pathogenic mutations in the BRCA1 and BRCA2 genes are at greatly increased risks for breast and ovarian cancers. Although risk-reduction strategies can be undertaken by these women, knowledge regarding the uptake of these strategies is limited. Additionally, the healthcare behaviours of wome...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-025317
更新日期:2018-09-04 00:00:00
abstract:INTRODUCTION:The rates of suicide in the elderly population are generally higher than other age groups. Models of suicide that explain the phenomenon of suicide in later life may have research, clinical and educational implications for the field of ageing. The primary purpose of this systematic review is to identify an...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-022087
更新日期:2018-10-18 00:00:00
abstract:PURPOSE:Despite the growing evidence that physical activity and familial factors play a role in low back pain (LBP), there is a lack of robust longitudinal studies that (1) investigate the types and dosages of physical activity that are protective or harmful for LBP, (2) employ objective measures of physical activity a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036301
更新日期:2020-07-28 00:00:00
abstract:OBJECTIVES:Contingency management (CM) is a treatment for substance misuse that involves the provision of incentives. This review examines the hypothesis that adding another formal psychotherapy, such as cognitive-behavioural therapy (CBT) or motivational enhancement therapy (MET), to CM improves substance use outcomes...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034735
更新日期:2020-10-08 00:00:00
abstract:INTRODUCTION:Previous studies have showed association between smoking and central fat distribution. However, the impact of smoking on whole body fat distribution, particularly peripheral fat distribution remains unclear. METHODS:Nicotine dependence was assessed in a total of 1264 male adults aged 18-80 years using the...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-022465
更新日期:2019-03-12 00:00:00
abstract:INTRODUCTION:The importance of cardiovascular health in relation to pregnancy outcome is increasingly acknowledged. Women who develop certain pregnancy complications, in particular preeclampsia, are at higher risk for future cardiovascular disease. Independent of its outcome, pregnancy requires a substantial adaptive r...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033083
更新日期:2019-11-10 00:00:00
abstract:OBJECTIVE:Despite the increasing numbers of published trials of quality improvement (QI) interventions in diabetes, little is known about the risk of bias in this literature. DESIGN:Secondary analysis of a systematic review. DATA SOURCES:Medline, the Cochrane Effective Practice and Organisation of Care (EPOC) databas...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-002727
更新日期:2013-04-09 00:00:00
abstract:OBJECTIVES:To estimate the potential impact of the addition of culture-based screening for group B streptococcus (GBS) carriage in pregnancy to a risk-based prevention policy in the UK. We aimed to establish agreement within a multidisciplinary group of key stakeholders on the model input parameters. DESIGN:Determinis...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024324
更新日期:2019-03-23 00:00:00