Unequal access? Use of sickness absence benefits by precariously employed workers with common mental disorders: a register-based cohort study in Sweden

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  • dc.contributor.author Hernando Rodríguez, Julio César, 1988-
  • dc.contributor.author Matilla Santander, Nuria
  • dc.contributor.author Murley, Chantelle
  • dc.contributor.author Blindow, Katrina
  • dc.contributor.author Kvart, Signild
  • dc.contributor.author Almroth, Melody
  • dc.contributor.author Kreshpaj, Bertina
  • dc.contributor.author Thern, Emelie
  • dc.contributor.author Badarin, Kathryn
  • dc.contributor.author Muntaner, Carles, 1957-
  • dc.contributor.author Gunn, Virginia
  • dc.contributor.author Padrosa Sayeras, Eva, 1993-
  • dc.contributor.author Julià, Mireia
  • dc.contributor.author Bodin, Theo
  • dc.date.accessioned 2024-04-26T06:32:37Z
  • dc.date.available 2024-04-26T06:32:37Z
  • dc.date.issued 2023
  • dc.description.abstract Objective: This study compares the use of sickness absence benefits (SABs) due to a common mental disorder (CMD) between precariously employed and non-precariously employed workers with CMDs. Design: Register-based cohort study. Participants: The study included 78 215 Swedish workers aged 27-61 who experienced CMDs in 2017, indicated by a new treatment with selective serotonin reuptake inhibitors (SSRIs). Excluded were those who emigrated or immigrated, were self-employed, had an annual employment-based income <100 Swedish Krona, had >90 days of unemployment per year, had student status, had SABs due to CMDs during the exposure measurement (2016) and the two previous years, had an SSRI prescription 1 year or less before the start of the SSRI prescription in 2017, had packs of >100 pills of SSRI medication, had a disability pension before 2017, were not entitled to SABs due to CMDs in 2016, and had no information about the exposure. Outcome: The first incidence of SABs due to CMDs in 2017. Results: The use of SABs due to a CMD was slightly lower among precariously employed workers compared with those in standard employment (adjusted OR [aOR] 0.92, 95% CI 0.81 to 1.05). Particularly, women with three consecutive years in precarious employment had reduced SABs use (aOR 0.48, 95% CI 0.26 to 0.89), while men in precarious employment showed weaker evidence of association. Those in standard employment with high income also showed a lower use of SABs (aOR 0.74, 95% CI 0.67 to 0.81). Low unionisation and both low and high-income levels were associated with lower use of SABs, particularly among women. Conclusions: The study indicates that workers with CMDs in precarious employment may use SABs to a lower extent. Accordingly, there is a need for (1) guaranteeing access to SABs for people in precarious employment and/or (2) reducing involuntary forms of presenteeism.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Hernando-Rodriguez JC, Matilla-Santander N, Murley C, Blindow K, Kvart S, Almroth M, et al. Unequal access? Use of sickness absence benefits by precariously employed workers with common mental disorders: a register-based cohort study in Sweden. BMJ Open. 2023 Jul 19;13(7):e072459. DOI: 10.1136/bmjopen-2023-072459
  • dc.identifier.doi http://dx.doi.org/10.1136/bmjopen-2023-072459
  • dc.identifier.issn 2044-6055
  • dc.identifier.uri http://hdl.handle.net/10230/59909
  • dc.language.iso eng
  • dc.publisher BMJ Publishing Group
  • dc.relation.ispartof BMJ Open. 2023 Jul 19;13(7):e072459
  • dc.rights © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by/4.0/
  • dc.subject.keyword Epidemiology
  • dc.subject.keyword Mental health
  • dc.subject.keyword Occupational & industrial medicine
  • dc.subject.keyword Public health
  • dc.title Unequal access? Use of sickness absence benefits by precariously employed workers with common mental disorders: a register-based cohort study in Sweden
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion

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