Evidence map›Paper›PMID 30810815›Full record

ArticleInternational archives of occupational and environmental health2019

Perceived stress and sickness absence: a prospective study of 17,795 employees in Denmark.

Sannie Vester Thorsen, Jacob Pedersen, Mari-Ann Flyvholm, Jesper Kristiansen, Reiner Rugulies, Ute Bültmann

Abstract read
In one paragraph

Article in International archives of occupational and environmental health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

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  13. Causes of Sickness Absenteeism in Europe-Analysis from an Intercountry and Gender Perspective.International journal of environmental research and public health · 2021
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  14. Article
  15. Article
  16. Unplanned Absenteeism: The Role of Workplace and Non-Workplace Stressors.International journal of environmental research and public health · 2020
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  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sannie Vester ThorsenThe National Research Centre for the Working Environment (NRCWE), Lersø Parkallé 105, 2100, Copenhagen, Denmark. svt@nrcwe.dk.ORCID 0000-0002-8778-9053
Jacob PedersenThe National Research Centre for the Working Environment (NRCWE), Lersø Parkallé 105, 2100, Copenhagen, Denmark.ORCID 0000-0003-4429-3485
Mari-Ann FlyvholmThe National Research Centre for the Working Environment (NRCWE), Lersø Parkallé 105, 2100, Copenhagen, Denmark.ORCID 0000-0002-8942-754X
Jesper KristiansenThe National Research Centre for the Working Environment (NRCWE), Lersø Parkallé 105, 2100, Copenhagen, Denmark.ORCID 0000-0002-1637-8900
Reiner RuguliesThe National Research Centre for the Working Environment (NRCWE), Lersø Parkallé 105, 2100, Copenhagen, Denmark.ORCID 0000-0002-7752-131X
Ute BültmannThe National Research Centre for the Working Environment (NRCWE), Lersø Parkallé 105, 2100, Copenhagen, Denmark.

Funding

Danish Working Environment Research Fund (Arbejdsmiljøforskningsfonden) AMFF-10-2016-02
6 · The paper itself

Abstract

objectivesThe aims were to examine (1) the prospective association between perceived stress and sickness absence, and if this association (2) differed by sex, and (3) was stronger when only long-term sickness absence (≥ 31 days) instead of all-length sickness absence (≥ 1 day) was included. Moreover, different cut-points for the length of the sickness absence periods were applied.

methodsWe followed respondents (10,634 women and 7161 men) from the 'Work Environment and Health in Denmark' 2014-survey for up to 18 months in the 'Register of Work Absences' from Statistics Denmark. Perceived stress was measured by a single question: "In the last 2 weeks, how often have you felt stressed?" We used Cox-regression with repeated events, adjusted for age, sector, education, and previous sickness absence.

resultsThe hazard ratio (HR) for all-length sickness absence (≥ 1 day) for "Often/Always" stress compared to "Seldom/Never" stress was statistically significant among both men (HR = 1.25 [1.13-1.38]) and women (HR = 1.43 [1.34-1.51]). The HR was statistically significant for women (HR = 2.26 [1.89-2.70]), but not for men (HR = 1.22 [0.86-1.73]), when the analyses were restricted to long-term sickness absence (≥ 31 days). The sex-difference was statistically significant. Additional analyses with cut-points at ≥ 2, ≥ 4, ≥ 6, ≥ 8, ≥ 11, ≥ 15, ≥ 20, and ≥ 25 sickness absence days showed that among women, the HR increased gradually with increasing lengths of the sickness absence periods.

conclusionsThe prospective association of perceived stress with risk of sickness absence was stronger among women than men. Among women, perceived stress was more strongly associated with long-term sickness absence than with all-length sickness absence.

Indexed as

AdolescentAdultAgedDenmarkFemaleHumansMaleMiddle AgedProspective StudiesSex FactorsSick LeaveStress, PsychologicalSurveys and QuestionnairesTime FactorsLong-term sickness absenceSex differenceShort-term sickness absenceStress reactionStress symptom

Identifiers

PMID30810815
PMCPMC6609587

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.