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[Occupation- and age-related differences in work absence due to frequent cardiovascular diseases using essential

C Brendler1, F Liebers, U Latza

  • 1Bundesanstalt für Arbeitsschutz und Arbeitsmedizin (BAuA), Nöldnerstrasse 40/42, Berlin, Germany. brendler.claudia@baua.bund.de

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
|March 5, 2013
PubMed

Insights

Cardiovascular diseases like hypertension and heart attacks lead to significant sick leave. Lower-skilled workers face higher risks, especially as they age, highlighting the need for prevention.

Area of Science:

  • Public Health
  • Occupational Health
  • Epidemiology

Background:

  • Cardiovascular diseases (CVD) are a leading cause of death and disability.
  • Essential hypertension (I10) and acute myocardial infarction (AMI, I21) are significant CVD diagnoses.
  • Understanding occupational and age-related sick leave patterns is crucial for public health interventions.

Purpose of the Study:

  • To analyze occupational and age-dependent sick leave patterns for essential hypertension and acute myocardial infarction.
  • To identify high-risk occupational groups and age demographics for CVD-related sick leave.
  • To inform primary and secondary prevention strategies for CVD in the workforce.

Main Methods:

  • Secondary data analysis of sick leave data from 26.2 million German social security insured individuals in 2008.
  • Gender-stratified analysis calculating sick leave cases by sex and age.
  • Estimation of indirectly standardized morbidity ratios (SMR) with 99.99% confidence intervals for occupational groups.

Main Results:

  • Age significantly influenced occupational group-dependent sick leave for CVD.
  • In younger age groups, hypertension and AMI risks were similar across occupations.
  • In middle and older age groups, low-skilled service and manual workers showed increased risks compared to qualified sales/administrative roles.

Conclusions:

  • Occupational and age factors significantly impact sick leave due to cardiovascular diseases.
  • Low-skilled service and manual occupations are associated with higher CVD risks in older workers.
  • Proactive primary and secondary CVD prevention across all age groups and occupations is strongly recommended, especially given an aging workforce.

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