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Comparisons of self-reported and register data on sickness absence among public employees in Sweden.

机译：瑞典公职人员自我报告和登记的疾病缺勤数据比较。

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AIM: Self-reported assessments of sickness absence are often performed in epidemiological studies. The objective of this study was to compare the number of sick-leave days according to self-reported data over 12 months with data from the employer's register for the same period. An additional aim was to ascertain whether the self-reported information and the recorded data would show equivalent associations with self-reported general health. METHODS: The study was based on a cohort of 4869 municipal employees in Sweden, about 80% women, who answered a questionnaire in 2001-2. The responses provided by the employees included information on number of sick-leave days and self-rated health. Data on sick-leave days, occupation and age were derived from the employers' computerised registers. The questionnaire information on sick-leave days was compared with the corresponding information retrieved from the employer register by means of calculating sensitivity and specificity, using the employers' data as the "gold standard". RESULTS: The annual number of sick-leave days was lower according to the self-reported information than to the register data. For women the agreement between the two sickness absence measures for no sick-leave days, 1-7 days and >/=28 days were 74%, 72% and 67%, respectively. The sensitivity of questionnaire versus register information regarding any self-reported sick-leave day was 91% and the specificity was 74%. Sensitivity and specificity for sickness absence >/=28 days were 67% and 98%, respectively. The results for men were similar to those for women. Self-reported and recorded sickness absence were both associated with self-rated health. The odds ratios were 7.27 and 8.25, for subjects with >/=28 recorded and self-reported number of sick-leave days respectively, compared to subjects with no sickness absence. CONCLUSIONS: Good agreement was found between self-reported and register information on sickness absence. Self-reported data on sickness absence may be useful in common epidemiological applications.
机译：目的：在流行病学研究中经常进行自我报告的疾病缺席评估。这项研究的目的是根据12个月的自我报告数据与同期雇主登记册中的数据比较病假天数。另一个目的是确定自我报告的信息和记录的数据是否显示出与自我报告的一般健康状况同等的关联。方法：该研究基于瑞典4869名市政雇员的队列，其中约80％为女性，她们在2001-2年回答了问卷。员工提供的回复包括有关病假天数和自我评估健康的信息。有关病假天数，职业和年龄的数据来自雇主的计算机注册表。使用雇主的数据作为“黄金标准”，通过计算敏感性和特异性，将病假期间的问卷信息与从雇主登记册中检索到的相应信息进行比较。结果：根据自我报告的信息，每年的病假天数少于登记数据。对于女性，两种无病假措施在无病假天，1-7天和> / = 28天之间的一致性分别为74％，72％和67％。关于任何自我报告的病假日，问卷相对于登记信息的敏感性为91％，特异性为74％。 ≥28天疾病缺席的敏感性和特异性分别为67％和98％。男性的结果与女性相似。自我报告和记录的疾病缺席都与自我评估的健康有关。与没有病假的受试者相比，记录> / = 28的受试者和自己报告病假天数的受试者的优势比分别为7.27和8.25。结论：自我报告的病假信息与登记信息之间存在良好的一致性。关于疾病缺席情况的自我报告数据可能在常见的流行病学应用中很有用。

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