背景:大多数关于事故和创伤后应激障碍的研究,分别,要么是针对蓝领工人,或整个劳动人口。关于白领的研究很少。
目的:检查工作事故或PTSD后诊断特定的疾病缺勤(SA)和残疾抚恤金(DP),分别,在私人零售和批发行业的白领工人中。
方法:2012年对瑞典所有192,077名年龄在18-67岁(44%为女性)的此类工人进行了前瞻性人群队列研究,使用了来自全国范围内登记册的关联微观数据。我们确定了2012-2016年因与工作有关的事故(n=1114;31%的女性)或PTSD(n=216;79%的女性)而接受二级医疗保健的个人。他们的诊断特异性SA(在SA法术中>14天)和DP的平均净天数是在医疗保健访问之前365天和之后365天计算的。
结果:35%的女性和24%的男性由于工作事故在医疗保健后的365天内至少有一个新的SA法术。在女性中,SA/DP的平均天数从访问前一年的14天增加到第二年的31天;男性从9天增加到21天。由于骨折和其他损伤的SA天数增加最多,而由于精神诊断导致的SA天数有所增加。由于PTSD而接受医疗保健的73%的女性和64%的男性在明年至少有一个新的SA咒语。女性从121天增加到157天,男性从112天增加到174天。由于压力相关疾病和其他精神诊断的SA增加最多,而由应激相关诊断引起的DP和由肌肉骨骼诊断引起的SA略有增加。
结论:大约四分之一的因工作事故而接受二级医疗保健的人,大多数患有这种医疗保健的人,第二年有了新的SA。SA由于受伤和精神诊断,分别,增加最多,然而,由于其他诊断,SA/DP也略有增加。在工作事故后和PTSD患者的不同诊断中,需要更多关于与是否患有SA/DP相关的因素的知识。
BACKGROUND: Most studies about accidents and about PTSD, respectively, have been conducted either on blue-collar workers, or on the entire working population. There are very few such studies on white-collar workers.
OBJECTIVE: To examine diagnosis-specific sickness absence (SA) and disability pension (DP) after a work accident or PTSD, respectively, among white-collar workers in the private retail and wholesale industry.
METHODS: A prospective population-based cohort study of all 192,077 such workers aged 18-67 (44% women) in Sweden in 2012, using linked microdata from nationwide registers. We identified individuals who had secondary healthcare due to work-related accidents (n = 1114; 31% women) or to PTSD (n = 216; 79% women) in 2012-2016. Their average number of net days of diagnosis-specific SA (in SA spells > 14 days) and DP were calculated for 365 days before and 365 days after the healthcare visit.
RESULTS: 35% of the women and 24% of the men had at least one new SA spell during the 365 days after healthcare due to work accidents. Among women, the average number of SA/DP days increased from 14 in the year before the visit to 31 days the year after; among men from 9 to 21 days. SA days due to fractures and other injuries increased most, while SA days due to mental diagnoses increased somewhat. 73% of women and 64% of men who had healthcare due to PTSD had at least one new SA spell in the next year. Women increased from 121 to 157 SA/DP days and men from 112 to 174. SA due to stress-related disorders and other mental diagnoses increased the most, while DP due to stress-related diagnoses and SA due to musculoskeletal diagnoses increased slightly.
CONCLUSIONS: About a quarter of those who had secondary healthcare due to work accidents, and the majority of those with such healthcare due PTSD, had new SA in the following year. SA due to injury and mental diagnoses, respectively, increased most, however, SA/DP due to other diagnoses also increased slightly. More knowledge is needed on factors associated with having or not having SA/DP in different diagnoses after work accidents and among people with PTSD.