Gender Differences In Sickness Absence Research Articles

Occupational prestige and sickness absence inequality in Sweden: a registry-based study

Abstract Background Socioeconomic position has been linked to sickness absence (SA). However, less is known about the role of occupational prestige, a measure of social status afforded by one's occupation, in SA. To expand knowledge on socioeconomic determinants of SA and on gender differences in SA, this study aimed to investigate the association between occupational prestige and SA and the distribution of the association in women and men. The study also aimed to analyze the effects of intersections of gender and occupational prestige on SA. Methods The study was based on data of 97 397 employed individuals aged 25-59 years selected from the 2004, 2007 and 2010 waves of the Swedish Labour Force Survey. Baseline occupational prestige was measured with the Standard International Occupational Prestige Scale. Information on SA was retrieved from the national register. Two measures of SA were defined: the number of SA days in any particular year during a 3-year follow-up and long-term (>120 days) SA based on data of participants with at least one sick leave spell during the follow-up. Results Working in lower prestige occupations was associated with increased SA among women and men. The association was independent of other socioeconomic indicators, such as income, education, and occupational class. In the intersectional analysis, women regardless of prestige level and men in lower prestige occupations had higher probability of SA compared with men in high prestige occupations. Women in high prestige occupations had the highest absenteeism rates (IRR, 2.25, 95%CI, 2.20-2.31), while men in medium prestige occupations had the lowest rates (IRR, 1.17, 95%CI, 1.13-1.20). Compared with the rest of the groups, men in low and medium prestige occupations had higher odds for long-term absence. Conclusions Women, regardless of occupational prestige level, and men in lower occupational prestige had an increased risk of sickness absence. Key messages Occupational prestige was associated with sickness absence in women and men. There is need to pay close attention to occupational prestige as a factor that may influence health and labor market participation.

Gender difference in sickness absence: Do managers evaluate men and women differently with regard to the appropriateness of sickness absence?

Aims: Women have much higher rates of sickness absence than men, but the causes of the difference are not well understood. This study examines whether managers have more lenient attitudes towards women's than towards men's absence, as this might contribute to higher rates of sickness absence among women. Differences between managers and other employees are also assessed. Methods: Vignettes were used to measure attitudes towards the legitimacy of sickness absence. The vignettes consisted of brief case descriptions of individuals considering asking their physicians for sick leave, with information about the medical condition (mainly taken from the descriptions in ICPC-2), occupation and gender. Respondents judged how appropriate sickness absence was in each case. Quota sampling was used, and the effective sample size was 899 managers and 1396 other employees, with each respondent evaluating either four or six vignettes. Generalised ordinal logistic regression was used. Results: The gender of the vignette person had no effect on the managers' evaluations of the appropriateness of sickness absence. Irrespective of the gender of the vignette person, however, managers were generally more restrictive than non-managers. Conclusions: Different attitudes on the part of managers towards sickness absence in men and women do not seem to contribute to gender differences in sickness absence, but managers are generally more restrictive compared to non-managerial employees.

Explaining the gender gap in sickness absence.

In many western countries, women have a much higher rate of sickness absence than men. To what degree the gender differences in sickness absence are caused by gender differences in health is largely unknown. To assess to what degree the gender gap in sickness absence can be explained by health factors and work- and family-related stressors. Norwegian parents participating in the Tracking Opportunities and Problems (TOPP) study were asked about sickness absence and a range of factors possibly contributing to gender differences in sickness absence, including somatic and mental health, sleep problems, job control/demands, work-home conflicts, parent-child conflicts and stressful life events. Using a cross-sectional design, we did linear regression analyses, to assess the relative contribution from health and stressors. There were 557 study participants. Adjusting for health factors reduced the gender difference in sickness absence by 24%, while adjusting for stressors in the family and at work reduced the difference by 22%. A simultaneous adjustment for health factors and stressors reduced the difference in sickness absence by about 28%. Despite adjusting for a large number of factors, including both previously well-studied factors (e.g. health, job control/demands) and lesser-studied factors (parent-child conflict and sexual assault), this study found that most of the gender gap in sickness absence remains unexplained. Gender differences in health and stressors account for only part of the differences in sickness absence. Other factors must, therefore, exist outside the domains of health, work and family stressors.

Labour Market Segregation and Gender Differences in Sickness Absence: Trends in 2005-2013 in Finland.

Women have higher sickness absence rate than men, but less is known of changes in this difference over time. We examined gender differences in sickness absence trends focusing on gender segregation in the labour market. We used large nationwide register data on Finnish wage earners aged 25-59 and generalized estimation equations based on repeated logistic regression to estimate the annual risk of sickness absence lasting at least 2 weeks. Between 2005 and 2013, the age-adjusted proportion (%) of employees with all-cause sickness absence decreased from the initial levels of 10.6 among men and 15.1 among women by 16.7 and 13.6%, respectively. Among both genders, the largest decrease in sickness absence coincided with the peak of the economic recession in 2009. In sickness absence due to all causes and musculoskeletal diseases, also the excess decrease among men mainly occurred in 2009, and in sickness absence due to mental disorders 2 years later. In sickness absence due to all causes and musculoskeletal diseases, the increasing gender difference was mainly attributable to a larger decrease in sickness absence at the time of the recession in male-dominated groups, such as in manual and manufacturing work, than in other sectors and occupational classes. In mental disorders, the increasing gender difference was partly attributable to a later smaller decrease in sickness absence among female-dominated lower non-manual and lower income employment groups. The increasing gender differences did not result from differential distributional changes in employment or sociodemographic factors among the employed male and female populations. In fact, widening of the gender gap in sickness absence due to all causes and musculoskeletal diseases would have been even larger without faster increase among women in the educational level and in non-manual employment. Sickness absence decreased especially in male-dominated employment groups, resulting in a larger decrease in absences among men compared with women. More research is needed to ascertain whether these differential changes are attributable, for example, to reduced willingness to seek medical advice or increased presenteeism in male-dominated groups, or to increased work pressures in female-dominated groups. Selection mechanisms, i.e. men's increased ill-health-related exit from work through other routes than sickness absence, also cannot be ruled out.

Labour market segregation and gender differences in sickness absence: trends in 2005–2013 in Finland

Objectives Women have higher sickness absence rate than men, but less is known of changes in this difference over time. We examined gender differences in sickness absence trends focusing on gender segregation in the labour market. Methods We used large nationwide register data on Finnish wage earners aged 25-59 and generalized estimation equations based on repeated logistic regression to estimate the annual risk of sickness absence lasting at least 2 weeks. Results Between 2005 and 2013, the age-adjusted proportion (%) of employees with all-cause sickness absence decreased from the initial levels of 10.6 among men and 15.1 among women by 16.7 and 13.6%, respectively. Among both genders, the largest decrease in sickness absence coincided with the peak of the economic recession in 2009. In sickness absence due to all causes and musculoskeletal diseases, also the excess decrease among men mainly occurred in 2009, and in sickness absence due to mental disorders 2 years later. In sickness absence due to all causes and musculoskeletal diseases, the increasing gender difference was mainly attributable to a larger decrease in sickness absence at the time of the recession in male-dominated groups, such as in manual and manufacturing work, than in other sectors and occupational classes. In mental disorders, the increasing gender difference was partly attributable to a later smaller decrease in sickness absence among female-dominated lower non-manual and lower income employment groups. The increasing gender differences did not result from differential distributional changes in employment or sociodemographic factors among the employed male and female populations. In fact, widening of the gender gap in sickness absence due to all causes and musculoskeletal diseases would have been even larger without faster increase among women in the educational level and in non-manual employment. Conclusions Sickness absence decreased especially in male-dominated employment groups, resulting in a larger decrease in absences among men compared with women. More research is needed to ascertain whether these differential changes are attributable, for example, to reduced willingness to seek medical advice or increased presenteeism in male-dominated groups, or to increased work pressures in female-dominated groups. Selection mechanisms, i.e. men's increased ill-health-related exit from work through other routes than sickness absence, also cannot be ruled out.

Gender, occupational gender segregation and sickness absence

Women have much higher sickness absence rates than men. One prominent hypothesis is that this is a result of gender segregation in the labour market and the differences in employment or working conditions that follow from this. Previous studies assessing this idea give mixed results, but they do not take into account the possibility of selection effects. Long-term health differences between individuals may, for instance, influence both what jobs people end up in and their levels of sickness absence. In this paper, we provide new evidence on employment and working conditions as a cause of gender differences in sickness absence. We use individual fixed-effect models to account for selection based on stable individual characteristics. Like several previous studies, we find a U-shaped relationship with high absence in both male- and female-dominated occupations. However, the fixed-effect models show that this relationship is primarily caused by overrepresentation of absence-prone individuals in female-dominated occupations. Accounting for selection, the association between the proportion of women in the occupation and sickness absence is negative. As far as sickness absence is concerned, the gender segregation in the labour market thus seems to work to the advantage of women.

Occupational Segregation and Gender Differences in Sickness Absence: Evidence from 17 European Countries

Occupational Segregation and Gender Differences in Sickness Absence: Evidence from 17 European Countries

The influence of lifestyle and gender on sickness absence in Brazilian workers

BackgroundDespite an increasing body of knowledge concerning gender and lifestyle factors as determinants of sickness absence in well-developed countries, the relationship between these variables has not been elucidated in emerging economic power countries, where the burden of non-communicable diseases is particularly high. This study aimed to analyze the relationships among lifestyle-related factors and sick leave and to examine whether gender differences in sickness absence can be explained by differences in socio-demographic, work and lifestyle-related factors among Brazilian workers.MethodsIn this longitudinal study with a one year follow-up among 2.150 employees of a Brazilian airline company, sick leave was the primary outcome of interest. Independent variables collected by interview at enrolment in the study were gender, age, educational level, type of work, stress, and lifestyle-related factors (body mass index, physical activity and smoking). In addition, the risk for coronary heart disease was determined based on measurement of blood pressure, total cholesterol and glucose levels. The total number of days on sick leave during 12 months follow-up was available from the company register. Logistic regression analysis was used to determine the influence of socio-demographic, type of work and lifestyle-related factors on sick leave.ResultsYounger employees, those with lower educational level, those who worked as air crew members and those with higher levels of stress were more likely to have sick leave. Body mass index and level of physical activity were not associated with sick leave. After adjustment by socio-demographic variables, increased odds for 10 or more days of sick leave were found in smokers (OR = 1.51, CI = 1.05-2.17), and ex-smokers (OR = 1.45, CI = 1.01-2.10). Women were more likely to have 10 or more days of sick leave. Gender differences were reduced mainly when adjusted for type of work (15%) and educational level (7%).ConclusionsThe higher occurrence of sick leave among women than among men was partly explained by type of work and educational level. Our results suggest that type of work, a stressful life, and smoking are important targets for health promotion in this study population.

Does Postponement of First Pregnancy Increase Gender Differences in Sickness Absence? A Register Based Analysis of Norwegian Employees in 1993–2007

BackgroundFrom 1970–2012, the average age at first delivery increased from 23.2–28.5 in Norway. Postponement of first pregnancy increases risks of medical complications both during and after pregnancy. Sickness absence during pregnancy has over the last two decades increased considerably more than in non-pregnant women. The aim of this paper is twofold: Firstly to investigate if postponement of pregnancy is related to increased sickness absence and thus contributing to the increased gender difference in sickness absence; and secondly, to estimate how much of the increased gender difference in sickness absence that can be accounted for by increased sickness absence amongst pregnant women.MethodsWe employed registry-data to analyse sickness absence among all Norwegian employees with income equivalent to full-time work in the period 1993–2007.ResultsAfter control for age, education, and income, pregnant women's sickness absence (age 20–44) increased on average 0.94 percentage points each year, compared to 0.29 in non-pregnant women and 0.14 in men. In pregnant women aged 20–24, sickness absence during pregnancy increased by 0.96 percent points per calendar year, compared to 0.60 in age-group 30–34. Sickness absence during pregnancy accounted for 25% of the increased gender gap in sickness absence, accounting for changes in education, income and age.ConclusionsPostponement of first pregnancy does not explain the increase in pregnant women's sickness absence during the period 1993–2007 as both the highest level and increase in sickness absence is seen in the younger women. Reasons are poorly understood, but still important as it accounts for 25% of the increased gender gap in sickness absence.

Gender difference in sickness absence from work: a multiple mediation analysis of psychosocial factors

Previous research has shown that job characteristics, private life and psychosocial factors partially account for gender difference in work absences because of sickness. Most studies have analysed these factors separately. The aim of the present study was to evaluate whether these explanatory factors act as mediators when they are considered simultaneously. The evaluated data set comprises the merger of two Belgian longitudinal studies, BELSTRESS III and SOMSTRESS. It includes 3821 workers (1541 men) aged 21-66 years, employed in eight organizations. A multiple mediation analysis was performed to explain the higher prevalence among women. Estimated factors were occupational grade, total number of paid working hours per week, job strain, overcommitment, home-work interference and social support at and outside work. Prospective data concerning duration and frequency of medically justified sickness absence (registered by the organizations) were used as outcomes. Overall, the mediating factors partially account for gender difference in sickness absence. The strongest mediator for both outcomes is job strain. In addition, difference in absence duration is mediated by social support at work, whereas difference in frequency is mediated by professional grade and home-work interference. Our results call attention to the necessity to elaborate actual preventive actions aiming at favouring a better positioning of women on the labour market in term of hierarchical level as well as in terms of quality of work for reducing sickness absence in this group.

Gender Differences in Sickness Absence and the Gender Division of Family Responsibilities

This study investigates possible reasons for the gender difference in sickness absence. We estimate both short- and long-term effects of parenthood in a within-couple analysis based on the timing of parenthood. We find that after entering parenthood, women increase their sickness absence by between 0.5 days per month (during the child's third year) and 0.85 days per month (during year 17) more than their spouse. By investigating possible explanations for the observed effect, we conclude that the effect mainly stems from higher home commitment, which reduces women's labour market attachment and, in turn, increases female sickness absence.

Social Factors of Sickness Absences and the Significance of the Nature-culture Interplay in Coping

Conflict of interest: none declared.AimsThe aim of this study was to focus on and to discuss how social factors influence sickness absence. There were two aims of this study: a) To explore and reveal the absentees experiences and perceptions of sickness absence in daily life b) To explore and reveal the absentees own perceptions and experiences of coping while being on sickness absence. Methods. Qualitative method through a pragmatic synthesis of elements of ethnography and grounded theory were used. The sample from the county of Oppland, Norway (n=30) had a mental or a musculoskeletal diagnosis in accordance with the ICPC-2 medical classification system. Results. The interplay between working conditions and private life burdens has an impact on the development of illness and sickness absence, reinforcing the perception of a total life burden situation for women; including caring responsibilities. Men experience stress and conflicts at work, mostly from the leadership and its organizational structure. The majority of the sample used different techniques and strategies to cope with their illnesses, highlighting the significance of the nature-culture interplay. Conclusion. A holistic approach that considers the whole life situation must also be considered in order to understand gender differences in sickness absence. The importance of being involved in daily activities, and feelings of belonging to a social network were important for both men and women. This research may also add important awareness and understanding of Nature-Culture-Health (NaCuHeal) benefits in public health.

Social Causes to Sickness Absence among Men and Women with Mental Illnesses

The mental ill-health diagnoses seem to be increasing in Europe and there are global trends towards increasing stress and ill-health at work. In order to understand the social situation for the sickness absentees it is important to consider how identities and relationships are formed in interaction with other people. Aims: 1) To reveal the absentees own perceptions and experiences of being on sick leave; 2) To understand and uncover the absentees’ own views of the causes of their illnesses. Methods: This study takes an exploratory approach, examining an area where there has been little data and building upon work that has focused on sickness absence as a phenomenon. It attempted to do so through a pragmatic synthesis of elements of ethnography and grounded theory. The main study concentrates on two main groups of diagnoses: musculoskeletal and mental problems. A sample of 30 persons on sickness absence was selected from the county of Oppland, Norway. 14 were diagnosed with musculoskeletal problems and 16 with mental illnesses. This paper deals with one main group; mental illnesses. Seven men and nine women from the county of Oppland, Norway were diagnosed with mental illnesses in accordance with the ICD-10 medical classification system (n = 16). Results: Women experience family burdens and caring responsibilities as social factors to their sickness absence, often due to a lack of support and constant burden from both work and home. Men experience stress and conflicts at work, mostly from the leadership and its organizational structure. Conclusion: A holistic approach that considers the whole life situation must also be considered in order to understand gender differences in sickness absence. Furthermore, to investigate what can be done to reduce long-term sickness absence that is not caused by traditional somatic or severe psychological disorders.

Gender Differences in Sickness Absence among Japanese Workers

Gender Differences in Sickness Absence among Japanese Workers

Gender differences in sickness absence – the contribution of occupation and workplace

The aim of this study was to examine whether differences in male and female occupations and workplaces explain gender differences in self-certified (1-3 days) and medically confirmed sickness absence episodes of various lengths (> or = 4 days, >2 weeks, >60 days). Analyses in the main ICD-10 diagnostic groups were conducted for absence episodes of >2 weeks. Furthermore, we examined whether the contribution of occupation is related to different distributions of female and male jobs across the social class hierarchy. All municipal employees of the City of Helsinki at the beginning of 2004 (N=36 395) were followed-up until the end of 2007. Conditional fixed-effects Poisson regression was used to control for differences between occupations and workplaces. Controlling for occupation accounted for half of the female excess in self-certified and medically confirmed episodes lasting >60 days. In the intermediate categories, this explained about one third of the female excess. The effect of workplace was similar but weaker. Occupational and workplace differences explained the female excess in sickness absence due to mental and behavioral disorders, musculoskeletal diseases, and respiratory diseases. The effect of occupation was clearly stronger than that of social class in self-certified absence episodes, whereas in medically confirmed sickness absence episodes gender differences were to a large extent related to social class differences between occupations. Differences between occupations held by women and men explain a substantial part of the female excess in sickness absence. Mental and behavioral disorders and musculoskeletal diseases substantially contribute to this explanation.

Explanations for gender differences in sickness absence: evidence from middle-aged municipal employees from Finland

Objectives:To examine gender differences in sickness absence spells of various lengths and to explain these differences by health status, working conditions and family-related factors.Methods:The study included 5470 female and 1464...

Gender differences in experiencing negative encounters with healthcare: A study of long-term sickness absentees

In most countries there are gender differences in sickness absence and in absentees' return to work (RTW). According to different theories sick-listed persons' experiences of encounters with healthcare professionals can influence self-esteem and RTW. The aim was to analyse gender differences in sickness absentees' experiences of negative encounters with healthcare professionals. A questionnaire, comprising numerous questions on experiences of positive and negative encounters with professionals, was constructed and sent to 10,100 individuals who had been on sick leave for the last 6-8 months. The response rate was 58% (n = 5,802). Almost one-third (32%) of the female respondents and one-quarter of the male (24%), respectively, had experienced negative encounters. The most common of such experiences among both women and men were: that they were treated with indifference, with disrespect, that the professional did not take his/her time, did not listen, did not believe in, or doubted complaints. In regression analyses the women had higher significant crude odds ratios, ranging from 1.29 to 1.71, for agreeing to the separate statements on negative encounters. When adjusting for age, ethnicity, and level of education the gender differences were still significant for 14 of the 23 the statements. Women's high rate of sickness absence is considered a problem in most countries. The subjective experiences of women are an important factor to consider in efforts aiming at reducing the sick-leave rates. One important endeavour among professionals in healthcare could be to shift the focus towards a more empowering professional role.

Childcare involvement, job characteristics, gender and work attitudes as predictors of emotional exhaustion and sickness absence

Reports in the literature vary regarding the existence of gender differences in relation to burnout and sickness absence. To investigate this, the present study was aimed at investigating the role of several gender-relevant variables, particularly childcare obligations, job characteristics, and work attitudes in emotional exhaustion and sickness absence in 404 male and female nurses in an institution for people with learning difficulties. Questionnaires were administered reflecting demographic and job characteristics, work and non-work attitudes, and emotional exhaustion (as measured by the Emotional Exhaustion Scale of the Maslach Burnout Inventory). Female nurses were expected to report higher levels of emotional exhaustion and to be absent through sickness more often than men. Also, childcare investment, job characteristics, and (non) work attitudes were expected—via emotional exhaustion—to predict gender differences in sickness absence. It was found that women did not have higher sickness absence rates, and although a gender difference appeared in emotional exhaustion it was in the opposite direction from that predicted. For both genders, emotional exhaustion had a significant positive effect on sickness absence, and especially childcare investment and number of work hours appeared to contribute to both outcomes. These results are of interest because, despite current stereotypes, sickness absence was not higher in women, and neither were women more at risk for emotional exhaustion. In particular, load—workload as well as care load—appeared to predict emotional exhaustion and thus sickness absence.

Do Women or Men Have the Less Healthy Jobs? An Analysis of Gender Differences in Sickness Absence

In terms of wages and authority women are in less favourable jobs than men. This study examines whether women's jobs are also associated with more negative health consequences. Women's higher levels of sickness absence suggest that this might indeed be the case. Utilizing two large data-sets representative of the population of all employees in Norway, this study shows, however, that the gender difference in sickness absence is not due to women being in less healthy jobs. This conclusion is reached by comparing men and women who are both in the same detailed occupational category and at the same workplace, utilizing fixed-effects logistic regression models. This detailed control tends to increase rather than reduce the gender difference in sickness absence. This holds both for sickness absence in general and for major diagnostic categories. A single exception is psychological diagnoses: there is some tendency for women to be overrepresented in jobs with high levels of absence due to psychological conditions

Gender trends in sick-listing with musculoskeletal symptoms in a Swedish county during a period of rapid increase in sickness absence.

Sickness absence and disability pension due to musculoskeletal diagnoses has increased in Sweden. To study gender trends in sickness absence with musculoskeletal diagnoses and its changes in 1985-87. A prospective population-based study of all new sick-leave spells exceeding seven days in 1985-87. Sickness absence with "all diagnoses" was compared to "all musculoskeletal diagnoses", the latter group was also divided into three sub-groups. The county of Ostergötland, Sweden. All sick-leave insured aged 16-65; 107,000 women and 100,000 men. More women than men were sick-listed in "all diagnoses" in 1985. There were corresponding gender differences in sickness absence with musculoskeletal diagnoses except with the diagnosis "low back pain". Sick-listing with musculoskeletal diagnoses increased for both women and men from 1985 to 1987, but the increase was consistently much higher for women, especially for younger women.