Abstract：
UNASSIGNED: To investigate whether mental and work-related stress predicts a one-year incidence of sick leave in a cohort of middle-aged working women.
UNASSIGNED: The 2016/17 survey was part of the Population Study of Women in Gothenburg, Sweden, with registry data information on sick leave during one year pre- and post-baseline.
UNASSIGNED: A cohort of women aged 38 and 50 in 2016/17 (n = 573; 68% participation), of which 504 women were gainfully employed and not on sick leave ± 2 weeks around baseline examination; 493 women had complete data on stress exposure.
UNASSIGNED: We studied associations between self-assessed mental and work-related stress and incident sick leave of >14 days during the year following the baseline examination. We used multiple logistic regression, adjusting for age and previous sick leave, and additionally for sleep quality, well-being, and physical activity.
UNASSIGNED: Overall, 75 women (16%) experienced at least one period of sick leave after baseline. Permanent stress during the last five years almost tripled the risk for incident sick leave, OR = 2.8 (95% CI 1.2-6.3), independent of previous sick leave, OR = 2.3 (95% CI 1.3-4.2). Among 21 specific work-related problems, conflicts at work, OR = 2.2 (95% CI 1.3-3.6), and low decision latitude, OR = 1.7 (95% CI 1.0-2.9), were associated with incident sick leave. The association with conflicts at work remained upon further covariate adjustment.
UNASSIGNED: Low decision latitude and conflicts at work are risk factors for incident sick leave among working women. The impact of conflicts at work, irrespective of own involvement, may indicate a specific vulnerability among women of interest for future interventions.
About 75% of around 500 middle-aged women reported mental stress in 2016/17. Low decision latitude and conflicts at work predicted incident sick leave independent of general mental stress and previous periods of sick leave. Efforts to improve the work environment may be essential for interventions aiming to reduce absenteeism among working women.
UNASSIGNED: The 2016/17 survey was part of the Population Study of Women in Gothenburg, Sweden, with registry data information on sick leave during one year pre- and post-baseline.
UNASSIGNED: A cohort of women aged 38 and 50 in 2016/17 (n = 573; 68% participation), of which 504 women were gainfully employed and not on sick leave ± 2 weeks around baseline examination; 493 women had complete data on stress exposure.
UNASSIGNED: We studied associations between self-assessed mental and work-related stress and incident sick leave of >14 days during the year following the baseline examination. We used multiple logistic regression, adjusting for age and previous sick leave, and additionally for sleep quality, well-being, and physical activity.
UNASSIGNED: Overall, 75 women (16%) experienced at least one period of sick leave after baseline. Permanent stress during the last five years almost tripled the risk for incident sick leave, OR = 2.8 (95% CI 1.2-6.3), independent of previous sick leave, OR = 2.3 (95% CI 1.3-4.2). Among 21 specific work-related problems, conflicts at work, OR = 2.2 (95% CI 1.3-3.6), and low decision latitude, OR = 1.7 (95% CI 1.0-2.9), were associated with incident sick leave. The association with conflicts at work remained upon further covariate adjustment.
UNASSIGNED: Low decision latitude and conflicts at work are risk factors for incident sick leave among working women. The impact of conflicts at work, irrespective of own involvement, may indicate a specific vulnerability among women of interest for future interventions.
About 75% of around 500 middle-aged women reported mental stress in 2016/17. Low decision latitude and conflicts at work predicted incident sick leave independent of general mental stress and previous periods of sick leave. Efforts to improve the work environment may be essential for interventions aiming to reduce absenteeism among working women.
摘要：
■调查在一群中年职业妇女中，精神和工作相关的压力是否预示一年病假的发生率。
■2016/17年度调查是哥德堡妇女人口研究的一部分，瑞典,提供基线前后一年病假的登记数据信息。
■2016/17年度38岁和50岁的女性队列（n=573；68％的参与率），其中504名女性在基线检查前后±2周有报酬就业且未休病假;493名女性有关于压力暴露的完整数据.
我们研究了基线检查后一年中自我评估的精神和工作相关压力与>14天病假之间的关联。我们使用多元逻辑回归，调整年龄和以前的病假，此外，对于睡眠质量，幸福,和身体活动。
■总的来说，75名妇女（16％）在基线后至少经历了一次病假。在过去的五年中，永久性的压力几乎使病假的风险增加了两倍，OR=2.8（95%CI1.2-6.3），独立于以前的病假，OR=2.3（95%CI1.3-4.2）。在21个具体的工作相关问题中，工作中的冲突,OR=2.2（95%CI1.3-3.6），低决策纬度，OR=1.7（95%CI1.0-2.9），与病假有关。与工作中的冲突的关联仍取决于进一步的协变量调整。
■决策纬度低和工作冲突是职业妇女病假的危险因素。冲突对工作的影响，不管自己的参与，可能表明妇女对未来的干预有兴趣。
在2016/17年度，大约500名中年女性中约有75％报告了精神压力。决策纬度低和工作中的冲突预测了病假事件，而与一般的精神压力和以前的病假无关。改善工作环境的努力对于旨在减少职业妇女缺勤的干预措施至关重要。
■2016/17年度调查是哥德堡妇女人口研究的一部分，瑞典,提供基线前后一年病假的登记数据信息。
■2016/17年度38岁和50岁的女性队列（n=573；68％的参与率），其中504名女性在基线检查前后±2周有报酬就业且未休病假;493名女性有关于压力暴露的完整数据.
我们研究了基线检查后一年中自我评估的精神和工作相关压力与>14天病假之间的关联。我们使用多元逻辑回归，调整年龄和以前的病假，此外，对于睡眠质量，幸福,和身体活动。
■总的来说，75名妇女（16％）在基线后至少经历了一次病假。在过去的五年中，永久性的压力几乎使病假的风险增加了两倍，OR=2.8（95%CI1.2-6.3），独立于以前的病假，OR=2.3（95%CI1.3-4.2）。在21个具体的工作相关问题中，工作中的冲突,OR=2.2（95%CI1.3-3.6），低决策纬度，OR=1.7（95%CI1.0-2.9），与病假有关。与工作中的冲突的关联仍取决于进一步的协变量调整。
■决策纬度低和工作冲突是职业妇女病假的危险因素。冲突对工作的影响，不管自己的参与，可能表明妇女对未来的干预有兴趣。
在2016/17年度，大约500名中年女性中约有75％报告了精神压力。决策纬度低和工作中的冲突预测了病假事件，而与一般的精神压力和以前的病假无关。改善工作环境的努力对于旨在减少职业妇女缺勤的干预措施至关重要。
