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首页> 外文期刊>Scandinavian journal of public health >Return to work after first incidence of long-term sickness absence: A 10-year prospective follow-up study identifying labour-market trajectories using sequence analysis
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Return to work after first incidence of long-term sickness absence: A 10-year prospective follow-up study identifying labour-market trajectories using sequence analysis

机译：在第一次发生长期疾病缺席后重返工作：一个10年的前瞻性后续研究识别使用序列分析的劳动力市场轨迹

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Aims: The study aim was to identify prototypical labour-market trajectories following a first incidence of long-term sickness absence (LTSA), and to assess whether baseline socio-demographic characteristics are associated with the return-to-work (RTW) process and labour-market attachment (LMA). Methods: This prospective study used Norwegian administrative registers with quarterly information on labour-market participation to follow all individuals born 1952-1978 who underwent a first LTSA during the first quarter of 2004 (n =9607) over a 10-year period (2004-2013). Sequence analysis was used to identify prototypical labour-market trajectories and LMA; trajectory membership was examined with multinomial logistic regression. Results: Sequence analysis identified nine labour-market trajectories illustrating the complex RTW process, with multiple states and transitions. Among this sample, 68.2% had a successful return to full-time work, while the remaining trajectories consisted of part-time work, unemployment, recurrence of LTSA, rehabilitation and disability pension (DP). A higher odds ratio (OR) for membership to trajectories of weaker LMA was found for females and older participants, while being married/cohabitating, having children, working in the public sector, and having a higher education, income and occupational class were associated with a lower OR of recurrence, unemployment, rehabilitation and DP trajectories. These results are consistent with three LMA indicators. Conclusions: Sequence analysis revealed prototypical labour-market trajectories and provided a holistic overview of the heterogeneous RTW processes. While the most frequent outcome was successful RTW, several unfavourable labour-market trajectories were identified, with trajectory membership predicted by socio-demographic measures.
机译：目的：研究目标是在长期疾病缺席（LTSA）的第一次发病率之后识别原型劳动力市场轨迹，并评估基线社会人口特征是否与返回工作（RTW）流程相关联劳动力市场附件（LMA）。方法：该潜在研究采用挪威行政登记委员会有关劳动力市场参与的季度信息，遵循1952-1978的所有人，在10年期2013）。序列分析用于识别原型劳动力市场轨迹和LMA;使用多项式物流回归检查轨迹会员资格。结果：序列分析确定了九个劳动力市场轨迹，说明了复杂的RTW过程，具有多种状态和过渡。在此样品中，68.2％的成功返回全职工作​​，而剩余的轨迹包括兼职工作，失业，LTSA的复发，康复和残疾养恤金（DP）。对于较弱的LMA的成员资格（或）为女性和较大的参与者找到了较高的赔率比（或），同时已婚/同居，让孩子们，在公共部门工作，以及具有更高的教育，收入和职业阶层的较低或复发，失业，康复和DP轨迹。这些结果与三个LMA指标一致。结论：序列分析揭示了原型劳动力市场轨迹，提供了异构RTW过程的整体概述。虽然最常见的结果是成功的RTW，但确定了几个不利的劳动力市场轨迹，并通过社会人口措施预测了轨迹成员。

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