Background Reduction of personnel by businesses and other organisations (organisational downsizing) is common in Europe, but little is known about its effects on the health of employees.
Methods We used employers'records to investigate the relation between downsizing and subsequent absenteeism because of ill health in 981 local-government workers who remained in employment in Raisio, south-western Finland, during a period of economic decline (1991-95).
Data were separated into three time periods :
1991, before downsizing ;
1993, major downsizing in some workplaces and occupations ;
and 1993-95, after downsizing.
We obtained data on sick leave from records kept by the occupational health-care unit in Raisio.
We also investigated whether the effects of downsizing were dependent on ten other predictors of sick leave.
Findings There was a significant association between downsizing and medically certified sick leave.
The rate of absenteeism was 2.3 times greater (95% Cl 2.0-2.7) after major downsizing, classified by occupation, than after minor downsizing.
The corresponding rate ratios for musculoskeletal disorders and trauma were 5.7 (4.1-8.0) and 2.7 (1.7-4.2), respectively.
The effects of downsizing by workplace depended on the age distribution of the staff.
When the proportion of employees who were older than 50 years was high, downsizing increased the individual risk of absence because of ill health by 3.2-14.0 times, depending on diagnostic category. (...)
Mots-clés Pascal : Réduction, Personnel, Lombalgie, Médecine travail, Arrêt, Travail, Maladie, Traumatisme, Homme, Age, Douleur, Système ostéoarticulaire pathologie, Rachis pathologie, Rachialgie
Mots-clés Pascal anglais : Reduction, Personnel, Low back pain, Occupational medicine, Shutdown, Labour, Disease, Trauma, Human, Age, Pain, Diseases of the osteoarticular system, Spine disease, Rachialgia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0548473
Code Inist : 002B30B02B. Création : 24/03/1998.