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Long-term sickness absence and social exclusion
1Centre for Health Equity Studies (CHESS), Stockholm University/Karolinska Institute, SE-106 91 Stockholm, Sweden. anna.bryngelson@chess.su.se
Scandinavian Journal of Public Health
|September 4, 2009
Summary
Long-term sickness absence increases the risk of adverse economic and social conditions, potentially indicating social exclusion. This study highlights increased financial precarity and social isolation for individuals experiencing extended sick leave.
Area of Science:
- Sociology
- Public Health
- Economics
Background:
- Ill-health and labor market marginalization are linked to broader social exclusion.
- Limited research exists on the societal consequences of long-term sickness absence.
Purpose of the Study:
- To investigate the relationship between long-term sickness absence (≥ 60 days) and social exclusion.
- To analyze the economic and social impacts of extended sick leave on individuals.
Main Methods:
- Longitudinal data from the Swedish Level of Living Survey (N=3,144) were utilized.
- Logistic regression analyses were performed, integrating survey and register data.
Main Results:
- Long-term sickness absence was associated with higher odds of lacking "cash margins" (excess funds) for both genders.
- Women with long-term sickness absence showed higher odds of lacking cash margins, being single, and having no close friends.
- Employment status partially mediated the observed economic and social disparities.
Conclusions:
- Long-term sickness absence elevates the risk of negative economic and social outcomes.
- The study suggests these adverse conditions may serve as indicators of social exclusion, though further research is needed.
- Findings underscore the need for interventions addressing the multifaceted consequences of prolonged sick leave.
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