Job strain and informal caregiving as predictors of long-term sickness absence: A longitudinal multi-cohort study
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Job strain and informal caregiving as predictors of long-term sickness absence : A longitudinal multi-cohort study. / Mortensen, Jesper; Dich, Nadya; Lange, Theis; Alexanderson, Kristina; Goldberg, Marcel; Head, Jenny; Kivimäki, Mika; Madsen, Ida E. H.; Rugulies, Reiner; Vahtera, Jussi; Zins, Marie; Rod, Naja Hulvej.
In: Scandinavian Journal of Work, Environment & Health, Vol. 43, No. 1, 01.01.2017, p. 5-14.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Job strain and informal caregiving as predictors of long-term sickness absence
T2 - A longitudinal multi-cohort study
AU - Mortensen, Jesper
AU - Dich, Nadya
AU - Lange, Theis
AU - Alexanderson, Kristina
AU - Goldberg, Marcel
AU - Head, Jenny
AU - Kivimäki, Mika
AU - Madsen, Ida E. H.
AU - Rugulies, Reiner
AU - Vahtera, Jussi
AU - Zins, Marie
AU - Rod, Naja Hulvej
PY - 2017/1/1
Y1 - 2017/1/1
N2 - OBJECTIVES: The aim of this study was to investigate the individual, joint and interactive effects of job strain and informal caregiving on long-term sickness absence with special attention to gender differences.METHODS: The study comprised a prospective cohort study of 6798 working adults from France, 14 727 from Finland, and 5275 from the UK. A total of 26 800 participants, age 52 (interquartile range 47-56) years participated in the study. Job strain was assessed using the demand-control model. Informal caregiving was defined as care for a sick, disabled, or elderly person. Long-term sickness absence spells defined as absence >14 consecutive days were registered during two years follow-up. We used recurrent-events Cox regression in random-effects meta-analyses.RESULTS: A total of 12% men and 21% women had ≥1 long-term sickness absence spell. Among women, both high job strain [hazard ratio (HR) 1.08, 95% confidence interval (95% CI) 1.00-1.17] and informal caregiving (HR 1.13, 95% CI 1.04-1.23) were associated with a modestly higher risk of sickness absence. Women doubly exposed to high job strain and informal caregiving also showed a moderately higher risk of sickness absence (HR 1.20, 95% CI 1.03-1.41), but the excess risk was not more than expected from joint exposure to caregiving and job strain. Neither job strain nor informal caregiving predicted sickness absence for men.CONCLUSIONS: High job strain and informal caregiving predicted long-term sickness absence among women. However there was no noticeable interaction in the presence of both exposures.
AB - OBJECTIVES: The aim of this study was to investigate the individual, joint and interactive effects of job strain and informal caregiving on long-term sickness absence with special attention to gender differences.METHODS: The study comprised a prospective cohort study of 6798 working adults from France, 14 727 from Finland, and 5275 from the UK. A total of 26 800 participants, age 52 (interquartile range 47-56) years participated in the study. Job strain was assessed using the demand-control model. Informal caregiving was defined as care for a sick, disabled, or elderly person. Long-term sickness absence spells defined as absence >14 consecutive days were registered during two years follow-up. We used recurrent-events Cox regression in random-effects meta-analyses.RESULTS: A total of 12% men and 21% women had ≥1 long-term sickness absence spell. Among women, both high job strain [hazard ratio (HR) 1.08, 95% confidence interval (95% CI) 1.00-1.17] and informal caregiving (HR 1.13, 95% CI 1.04-1.23) were associated with a modestly higher risk of sickness absence. Women doubly exposed to high job strain and informal caregiving also showed a moderately higher risk of sickness absence (HR 1.20, 95% CI 1.03-1.41), but the excess risk was not more than expected from joint exposure to caregiving and job strain. Neither job strain nor informal caregiving predicted sickness absence for men.CONCLUSIONS: High job strain and informal caregiving predicted long-term sickness absence among women. However there was no noticeable interaction in the presence of both exposures.
U2 - 10.5271/sjweh.3587
DO - 10.5271/sjweh.3587
M3 - Journal article
C2 - 27556905
VL - 43
SP - 5
EP - 14
JO - Scandinavian Journal of Work, Environment & Health
JF - Scandinavian Journal of Work, Environment & Health
SN - 0355-3140
IS - 1
ER -
ID: 166169812