Sickness absence in the Whitehall II study, London : the role of social support and material problems.
To investigate the role of social supports, social networks, and chronic stressors : (i) as predictors of sickness absence ; and (ii) as potential explanations for the socioeconomic gradient in sickness absence.
A prospective cohort study (Whitehall II study) with sociodemographic factors, health and social support measured at baseline, and spells of sickness absence measured prospectively.
Twenty London based non-industrial departments of the British civil service.
Participants were civil servants (n=10 308), aged 35-55 years at baseline, of whom 67% (6895) were men and 33% (3413) were women.
The overall response rate for Whitehall II was 73% (74% for men and 71% for women).
The analysis is based on 41% of the sample who had data on reasons for sickness absence and were administered all social support questions.
Only 4.3% of participants did not complete all necessary questions and were excluded.
Measurements and main results
High levels of confiding/emotional support from the « closest person » predicted higher levels of both short and long spells of sickness absence.
After adjusting for baseline physical and psychological health the effects were increased, suggesting that high levels of confiding/emotional support may encourage illness behaviour rather than generate illness.
Mots-clés Pascal : Absentéisme, Maladie, Epidémiologie, Homme, Support social, Réseau social, Stress, Fonctionnaire, Royaume Uni, Congé maladie, Europe
Mots-clés Pascal anglais : Absenteeism, Disease, Epidemiology, Human, Social support, Social network, Stress, Civil servant, United Kingdom, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0554439
Code Inist : 002B30A01A2. Création : 01/03/1996.