Evaluating sickness absence duration by musculoskeletal and mental health issues: a retrospective cohort study of Scottish healthcare workers

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• dc.contributor.author Demou, Evangeliaca
• dc.contributor.author Smith, Shanleyca
• dc.contributor.author Bhaskar, Abitaca
• dc.contributor.author Mackay, Daniel F.ca
• dc.contributor.author Brown, Judithca
• dc.contributor.author Hunt, Kateca
• dc.contributor.author Vargas-Prada Figueroa, Sergio, 1976-ca
• dc.contributor.author Macdonald, Ewan B.ca
• dc.date.accessioned 2018-10-19T08:37:17Z
• dc.date.available 2018-10-19T08:37:17Z
• dc.date.issued 2018
• dc.description.abstract OBJECTIVES: Sickness absence (SA) among healthcare workers is associated with occupational and non-occupational risk factors and impacts employee health, healthcare delivery and patient health. At the same time, healthcare is one of the employment sectors with the highest rates of work-related ill health in the UK. Musculoskeletal (MSK) and mental health (MH) issues are leading causes of SA, but there is a lack of research on how certain MSK/MH conditions impact on SA duration. The study aim is to determine differences in SA duration by MH and MSK disorders in healthcare employees. METHODS: Survival analyses were used to estimate SA duration due to MSK and MH problems over 6 years, and Cox's proportional hazards models to determine the HRs of returning to work, using a bespoke Scottish health board database with over 53 000 SA events. SA duration and time to return-to-work (RTW) were estimated for employees by age, gender, job and health conditions. RESULTS: MSK and MH conditions accounted for 27% and 6% of all SA events and 23.7% and 19.5% of all days lost, respectively. Average SA duration was 43.5 days for MSK and 53.9 days for MH conditions. For MSK conditions, employees with low back or neck pain had the fastest RTW (median P50: 7 days), whereas employees absent due to depression took the longest (P50: 54 days). The most influential sociodemographic variables affecting RTW were age, gender and job category. CONCLUSIONS: Using a unique and rich database, we found significant differences in SA duration by presenting condition in healthcare workers. MH conditions, and depression specifically, accounted for the most working days' absence. Significant variations in duration were also observed for MSK conditions. Our findings can inform public health practitioners and healthcare managers of the most significant factors impacting MSK-related and MH-related SA to develop and implement tailored and targeted workplace interventions. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
• dc.format.mimetype application/pdf
• dc.identifier.citation Demou E, Smith S, Bhaskar A, Mackay DF, Brown J, Hunt K et al. Evaluating sickness absence duration by musculoskeletal and mental health issues: a retrospective cohort study of Scottish healthcare workers. BMJ Open. 2018 Jan 26;8(1):e018085. DOI : 10.1136/bmjopen-2017-018085
• dc.identifier.doi http://dx.doi.org/10.1136/bmjopen-2017-018085
• dc.identifier.issn 2044-6055
• dc.identifier.uri http://hdl.handle.net/10230/35624
• dc.language.iso eng
• dc.publisher BMJ Publishing Groupca
• dc.relation.ispartof BMJ Open. 2018 Jan 26;8(1):e018085
• dc.rights Copyright © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://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 Anxiety
• dc.subject.keyword Depression
• dc.subject.keyword Healthcare worker
• dc.subject.keyword Mental health
• dc.subject.keyword Musculoskeletal disorders
• dc.subject.keyword Return to work
• dc.subject.other Treballadors
• dc.subject.other Ansietat
• dc.subject.other Salut Mental
• dc.title Evaluating sickness absence duration by musculoskeletal and mental health issues: a retrospective cohort study of Scottish healthcare workersca
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion