芬兰诊断特定病缺的职业阶级趋势:2011-2021年基于登记的观察性研究
Jenni Blomgren1, Riku Perhoniemi2
1The Social Insurance Institution, Helsinki, Finland jenni.blomgren@kela.fi.
长期病缺 (LTSA) 总体下降,但精神障碍增加,特别是在较低的非人工雇员中. 在LTSA的职业差异发生了转变,突出了在工作场所解决心理健康问题的必要性.
科学领域:
- 职业健康 职业健康 职业健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 长期病假 (LTSA) 带来了重大的社会经济挑战.
- 了解LTSA的职业差异对于有针对性的干预至关重要.
- 根据诊断和职业的LTSA趋势需要持续监测.
研究的目的:
- 分析2011年至2021年芬兰不同职业阶级中LTSA的流行率和持续时间.
- 根据关键诊断组调查LTSA趋势,包括精神障碍,肌肉骨疾病和伤害.
- 为了在十年内确定LTSA职业差异的变化.
主要方法:
- 一项基于人口的跨部门研究,利用芬兰 (2011-2021) 国家登记数据.
- 每年包括大约200万年龄在25-64岁的就业人士和企业家.
- 用回归模型分析年龄标准化的LTSA患病率和日数,按性别,职业阶级和诊断分层.
主要成果:
- 所有原因的LTSA略有下降,但根据职业和诊断有不同的趋势.
- 由于精神障碍导致的LTSA在2016年后的所有职业类别中增加.
- 肌肉骨疾病和伤害的LTSA持续下降;与精神障碍相关的LTSA在较低的非人工雇员中增长最多,特别是女性.
结论:
- 在2011年至2021年期间,LTSA的职业阶级差异发生了显著的转变.
- 精神疾病相关的LTSA的增加,特别是在员工中,与体质诊断相关的LTSA的减少形成鲜明对比.
- 对LTSA的预防策略必须考虑职业差异和心理健康问题的日益增加的负担.
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