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首页> 外文期刊>Occupational and environmental medicine >Frequent and long-term absence as a risk factor for work disability and job termination among employees in the private sector.
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Frequent and long-term absence as a risk factor for work disability and job termination among employees in the private sector.

机译：经常和长期缺勤是私营部门雇员工作残障和解雇的风险因素。

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OBJECTIVES: Frequent and long-term absentees were monitored over 5 years with regard to the risk of work disability and job termination. METHODS: A prospective longitudinal cohort study in 53,990 employees of Dutch postal and telecommunications companies. In the first year of the study, employees who were absent four times or more (frequent absentees; n = 4126), for 6 weeks or more (long-term absentees; n = 3585), and combined frequent and long-term absentees (n = 979) were distinguished, together with a reference population consisting of 45,300 employees. The disability rate (defined as the number of employees who were absent for >1 year per 100 employee-years) and the risk of job termination were determined over a period of 4 years. RESULTS: In the reference population, women had a higher disability rate (2.2 per 100 employee-years) than men (0.8 per 100 employee-years). Frequent absentees had a disability rate amounting to 2.5 per 100 employee-years in men and 4.2 per 100 employee-years in women. Long-term absentees had a disability rate of 6.7 per 100 employee-years in men and 9.1 per 100 employee-years in women. Combined frequent and long-term absentees had an even higher disability rate. The risk of employment being terminated (involuntarily) was higher in prior absentees as compared with the reference population (RR = 1.2-2.1 for job termination and RR = 1.5-2.5 for involuntary job termination). In men, absences due to neoplasms, mental disorders and respiratory disorders were associated with an increased disability risk as compared with musculoskeletal disorders. Neoplasms and mental disorders were also associated with a higher risk of job termination in men, whereas infectious and neurological diseases were associated with a higher risk of job termination in women. CONCLUSIONS: Prior frequent and/or long-term absentees show high work disability in a 4-year follow-up period. Moreover, they are at higher risk of (involuntary) job termination.
机译：目的：在5年内对经常缺勤和长期缺勤的人进行监测，以了解其工作残障和解雇的风险。方法：前瞻性纵向队列研究在荷兰邮政和电信公司的53,990名员工中进行。在研究的第一年，缺勤四次或以上（频繁缺勤; n = 4126），缺勤6周或以上（长期缺勤; n = 3585）并且经常缺勤和长期缺勤的员工（ n = 979），以及由45,300名员工组成的参考人群。残障率（定义为每100名员工年中缺勤> 1年的员工人数）和终止工作的风险，为期4年。结果：在参考人群中，女性的残障率（每100名员工年2.2）比男性（每100名员工年0.8）更高。经常缺勤的人中，男性的残障率为2.5每100雇员年，女性为4.2。长期缺席的男性残障率为6.7每100雇员年，女性为9.1。经常和长期缺席的人的残障率更高。与参考人群相比，先前的缺勤者（非自愿）终止工作的风险更高（终止工作的RR = 1.2-2.1，非自愿终止的RR = 1.5-2.5）。在男性中，与肌肉骨骼疾病相比，由于缺乏肿瘤，精神疾病和呼吸系统疾病而导致残疾风险增加。肿瘤和精神障碍也与男性更高的离职风险相关，而传染病和神经系统疾病与女性更高的离职风险相关。结论：先前的频繁和/或长期缺勤者在四年的随访期内表现出很高的工作能力。而且，他们处于（非自愿）终止工作的风险较高。

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