Self-Certiﬁed Sickness Absence among Young Municipal Employee : Changes from 2002 to 2016 and Occupational Class Differences
Sumanen, Hilla; Pietiläinen, Olli; Mänty, Minna (2017)
CC BY 4.0
Julkaisun pysyvä osoite on
We examined changes in self-certiﬁed, one-to-three day sickness absence (SA) among young employees from 2002 to 2016 and the magnitude of occupational class differences during that period. All 18–34-year-old employees of the City of Helsinki, Finland were included (2002–2016, n=~11,725 per year). Employer’s personnel and SA registers were used. Occupational class was categorized to four groups. Changes in self-certiﬁed SA from 2002 to 2016 were analyzed with Joinpoint regression and the magnitudes of occupational class differences were estimated with the relativeindexofinequality(RII).Most of the trends ﬁrst increased and turned t odecrease in2007/2010. Managers and professionals had the least amount of SA,but steadily increasing trends were observed among men. Self-certiﬁed SA followed only partially the typical socioeconomic gradient, as routine non-manuals had the highest levels of SA. The magnitude of occupational class differences in self-certiﬁed SA was stable during the study period only among women. Self-certiﬁed SA and occupational class differences have increased in recent years among men in the lower occupational classes. Socioeconomic differences exist in self-certiﬁed SA among young employees, but gradient is only partial. Overall, high amounts of self-certiﬁed SA especially in the lower occupational classes require further studies and preventive measures.