Objectives-Large socioeconomic differences exist in disease and mortality.
This paper describes the distribution of specific medical reasons for sickness absence by grade of employment in the Whitehall II study and validates the medical reason by comparison with general practitioners'records.
Methods-Analysis of sickness absence data on 5620 male and female civil servants aged 35-55 years.
Data have been collected from 12 of the 20 London based civil service departments participating in the Whitehall II study, where medical reason for absence was available.
Rates and distributions of reasons for absence for short spells (¾ 7 days) and long spells (>7 days) were analysed.
Tespiratory disorders and gastroenteritis accounted for over half of all spells of absence, with headache and migraine, musculoskeletal disorders, injury, and neurosis accounting for a further 20% - 30% of absences.
There was an inverse association with employment grade, the lower the grade the higher the rate of absence for both short spells (¾7 days) and long spells (>7 days).
In general, women had higher rates of absence than men.
Comparison of reason for very long spells of absence (>21 days) showed moderate agreement between civil service and general practitioner.
Conclusion-There is a lack of national comprehensive data on sickness absence and medical reason for absence, in particular for women and for spells of different duration. (...)
Mots-clés Pascal : Maladie, Absentéisme, Milieu professionnel, Hiérarchie, Catégorie socioprofessionnelle, Sexe, Statut socioéconomique, Epidémiologie, Royaume Uni, Europe, Homme, Médecine travail, Etude longitudinale, Santé, Morbidité, Mortalité
Mots-clés Pascal anglais : Disease, Absenteeism, Occupational environment, Hierarchy, Socioeconomic category, Sex, Socioeconomic status, Epidemiology, United Kingdom, Europe, Human, Occupational medicine, Follow up study, Health, Morbidity, Mortality
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0126706
Code Inist : 002B30B04. Création : 22/06/1998.