Mortensen, J;
Dich, N;
Lange, T;
Alexanderson, K;
Goldberg, M;
Head, J;
Kivimaeki, M;
... Rod, NH; + view all
(2017)
Job strain and informal caregiving as predictors of long-term sickness absence: A longitudinal multi-cohort study.
Scandinavian Journal of Work Environment & Health
, 43
(1)
pp. 5-14.
10.5271/sjweh.3587.
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Abstract
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.
| Type: | Article |
|---|---|
| Title: | Job strain and informal caregiving as predictors of long-term sickness absence: A longitudinal multi-cohort study |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.5271/sjweh.3587 |
| Publisher version: | http://doi.org/10.5271/sjweh.3587 |
| Language: | English |
| Additional information: | Copyright © Scandinavian Journal of Work, Environment & Health. This work is licensed under a Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/) |
| Keywords: | Gender difference; informal caregiving; interaction; job strain; long-term sickness absence; multi-cohort; predictor; sick leave; sickness absence; unpaid care; women |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1508744 |
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