Increase in sickness absence with psychiatric diagnosis in Norway: a general population-based epidemiologic study of age, gender and regional distribution
Open Access
- 22 August 2006
- journal article
- Published by Springer Science and Business Media LLC in BMC Medicine
- Vol. 4 (1), 19
- https://doi.org/10.1186/1741-7015-4-19
Abstract
The aim of this study was to assess the incidence of sickness absence with psychiatric diagnoses from 1994–2000, and the distribution across gender, age groups, diagnostic groups and regions in a general population. The population at risk was defined as all individuals aged 16–66 years who were entitled to sickness benefits in 1994, 1996, 1998 and 2000 (n = 2,282,761 in 2000). All individuals with a full-time disability pension were excluded. The study included approximately 77% of the Norwegian population aged 16–66 years. For each year, the study base started on 1 January and ended on 31 December. Individuals that were sick-listed for more than 14/16 consecutive days with a psychiatric diagnosis on their medical certificate were selected as cases. Included in this study were data for Norway, the capital city Oslo and five regions in the southeast of the country. Sickness absence with psychiatric diagnoses increased in all age groups, in women and men, and in all regions. At the national level, the cumulative incidence increased in women from 1.7% in 1994 to 4.6% in 2000, and in men from 0.8% in 1994 to 2.2% in 2000. The highest cumulative incidence was found in middle-aged women and men (30–59 years). Women had a higher incidence than men in all stratification groups. The cumulative incidences in 2000 varied between 4.6% to 5.6% in women in the different regions, and for men the corresponding figures were 2.1% to 3.2%. Throughout the four years studied, women in Oslo had more than twice as high incidence levels of sickness absence with alcohol and drug diagnoses as the country as a whole. There were some differences between regions in sickness absence with specific psychiatric diagnoses, but they were small and most comparisons were non-significant. Sickness absence with psychiatric diagnoses increased between 1994 and 2000 in Norway. The increase was highest in the middle-aged, and in women. Few regional differences were found. That the increase pervaded all stratification groups supports general explanations of the increase, such as changes in attitudes to psychiatric disorders in both patients and doctors, and increased mental distress probably associated with societal changes at a more structural level.Keywords
This publication has 29 references indexed in Scilit:
- Combined effects of uncertainty and organizational justice on employee health: Testing the uncertainty management model of fairness judgments among Finnish public sector employeesSocial Science & Medicine, 2005
- Preface: Evidence based medicine and the Swedish Council on Technology Assessment in Health Care (SBU)Scandinavian Journal of Public Health, 2004
- Risk factors for disability pension over 11 years in a cohort of young persons initially sick-listed with low back, neck, or shoulder diagnosesScandinavian Journal of Public Health, 2004
- Urbanization and hospital admission rates for alcohol and drug abuse: a follow-up study of 4.5 million women and men in SwedenAddiction, 2004
- Relation between health problems and sickness absence: gender and age differencesScandinavian Journal of Public Health, 2000
- Sickness Absence due to Mental Disorders in Japanese Workforce.Industrial Health, 1999
- Urbanization and psychosis: a study of 1942–1978 birth cohorts in The NetherlandsPsychological Medicine, 1998
- ICPC as a standard classification in NorwayFamily Practice, 1996
- Effects of responses to depression on the remediation of depressive affect.Journal of Personality and Social Psychology, 1990
- Some international trends in sickness absence 1950-68BMJ, 1969