当前位置： SCI文献检索 > BMJ Open期刊下所有文献 > Within-individual analysis of pain and sickness absence among employees from low and high occupational classes: a record linkage study.

Within-individual analysis of pain and sickness absence among employees from low and high occupational classes: a record linkage study.

Abstract：

OBJECTIVES:Pain is linked to an increased risk of sickness absence (SA); however, the extent to which unmeasured time-invariant differences explain this association is yet unknown. Therefore, we determined the within-individual associations between pain and short-term (in the survey year) and long-term (2 years following the survey years) SA risk in high and low occupational classes while controlling for the potential bias due to unobservable time-invariant characteristics. METHODS:The Helsinki Health Study data consisting of midlife public sector employees with mailed surveys from up to four time points, and SA record linkage were used (3983 persons). The within-individual estimates were calculated using hybrid negative binomial regression models. RESULTS:Acute/subacute pain was associated with a 13% increase in the rate of short-term SA days (incidence rate ratio 1.13 [95% CI 1.01 to 1.27]), while the association was somewhat stronger for chronic pain (1.32 [1.19-1.47]). For the employees in the low occupational class, these associations were robust (1.29 [1.10-1.50] for acute/subacute and 1.43 [1.23-1.66] for chronic pain), whereas only chronic pain was associated with SA among those in the high occupational class (1.25 [1.08-1.46]). Chronic pain was also associated with SA days in the long term without occupational class differences. Similar results were obtained for multisite pain (pain in several locations). CONCLUSIONS:These results indicate that particularly chronic and multisite pain have a within-individual link to SA but ignoring unobservable differences between those reporting pain and those not might yield overstated effect sizes. Pain might have a different relation to SA in low and high occupational classes.

journal_name

BMJ Open

journal_title

BMJ open

authors

Hiilamo A,Butterworth P,Shiri R,Ropponen A,Pietiläinen O,Mänty M,Kouvonen A,Lahelma E,Rahkonen O,Lallukka T

doi

10.1136/bmjopen-2018-026994

subject

Has Abstract

pub_date

2019-03-30 00:00:00

pages

e026994

issue

issn

2044-6055

pii

bmjopen-2018-026994

journal_volume

pub_type

杂志文章

在线工具

Within-individual analysis of pain and sickness absence among employees from low and high occupational classes: a record linkage study.