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Self-reported health problems and sickness absence in different age groups predominantly engaged in physical work.

机译:不同年龄段的自我报告的健康问题和疾病缺乏主要从事体力劳动。

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OBJECTIVES: To study the associations between self-reported health problems and sickness absence from work. METHODS: The results of a questionnaire survey were combined with archival data of sickness absence of 1341 employees (88% males; 62% blue-collar) in the construction, service and maintenance work within one corporation in Finland. Sex, age and occupational grading were controlled as confounders. A zero-inflated negative binomial (ZINB) regression model was used in the statistical analysis of sickness absence data. RESULTS: The prevalence of self-reported health problems increased with age, from 23% in 18-30-year-olds to 54% in 55-61-year-olds. However, in those aged 18-30 years, 71% had been absent from work and in those aged 55-61 years this proportion was 53%. When health problems and occupational grading were accounted for in the ZINB model, age as such was not associated with the number of days on sick leave, but the young workers still had higher propensity for (any) sickness absence than the old. Self-rated future working ability and musculoskeletal impairment were strong determinants of sickness absence. Among those susceptible to taking sick leave, the estimated mean number of absence days increased by 14% for each rise of 1 unit of the impairment score (scale 0-10). CONCLUSIONS: Young subjects had surprisingly high probability for sickness absence although they reported better health than their older colleagues. A higher total count of absence days was found among subjects reporting health problems and poorer working ability, regardless of age, sex and occupational grade. These findings have implications for both management and the healthcare system in the prevention of work disability.
机译:目的:研究自我报告的健康问题与因病缺勤之间的关系。方法:将问卷调查的结果与1341名员工在芬兰一家公司的建设,服务和维护工作中缺病的档案数据相结合(男性为88%;蓝领为62%)。性别,年龄和职业等级被控制为混杂因素。零膨胀负二项式(ZINB)回归模型用于疾病缺席数据的统计分析。结果:自我报告的健康问题的患病率随着年龄的增长而增加,从18-30岁的23%上升到55-61岁的54%。但是,在18至30岁的人群中,有71%的人缺勤,而在55至61岁的人群中,这一比例是53%。当在ZINB模型中考虑健康问题和职业等级时,年龄本身与病假天数无关,但是年轻工人的(任何)疾病缺席倾向仍然比老年人高。自我评估的未来工作能力和肌肉骨骼损伤是疾病缺乏的重要决定因素。在那些容易请病假的人中,每增加1单位的损害评分(0-10级),估计的缺勤天数平均增加14%。结论:尽管年轻受试者报告的健康状况较年长同事好,但他们缺病的可能性却出乎意料的高。在报告健康问题且工作能力较差的受试者中,无论年龄,性别和职业等级如何,缺勤天数均较高。这些发现对预防工作残疾的管理和医疗体系都有影响。

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