Format

Send to

Choose Destination
Am J Public Health. 2005 Jul;95(7):1206-12. Epub 2005 Jun 2.

Work factors and occupational class disparities in sickness absence: findings from the GAZEL cohort study.

Author information

1
National Institute of Health and Medical Research, Saint-Maurice, France. maria.melchior@st-maurice.inserm.fr

Abstract

OBJECTIVES:

To estimate the contribution of stress-related and physical work factors to occupational class disparities in sickness absence from work.

METHODS:

Our sample consisted of 8847 men and 2886 women participating in the French GAZEL cohort study. Occupational class and medically certified sickness absence data (1995-2001) were obtained from the participants' employer. Work characteristics (physical and stress-related) were self-reported. We calculated rate ratios with Poisson regression models; fractions of sickness absence attributable to work factors were estimated with the Miettinen formula.

RESULTS:

Sickness absence was distributed along an occupational gradient. Work characteristics accounted for 19% (women) and 21% (men) of all absences. Physical work conditions accounted for 42% and 13% of absences for musculoskeletal reasons, and work stress accounted for 48% and 40% of psychiatric absences. Overall, about 20% of the occupational class gradient in sickness absence could have been associated with deleterious work conditions.

CONCLUSION:

Work conditions contribute to sickness absence, particularly among manual workers and clerks. Policies that decrease ergonomic constraints and work stress also could reduce the burden of ill health and sickness absence among the lowest strata of working populations.

PMID:
15933236
PMCID:
PMC1449341
DOI:
10.2105/AJPH.2004.048835
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Atypon Icon for PubMed Central
Loading ...
Support Center