Evidence map›Paper›PMID 40785645›Full record

ArticleScandinavian journal of public health2026

Seasonal patterns of long sickness absence due to 411 diagnostic groups: a nationwide register-based study in Finland during 2020-2023.

Aapo Hiilamo, Tea Lallukka

Abstract read
In one paragraph

Article in Scandinavian journal of public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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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

1 citing paper in PubMed.

  1. 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

2 authors.

Aapo HiilamoMax Planck Institute for Demographic Research, Rostock, Germany.ORCID 0000-0003-3104-1035
Tea LallukkaDepartment of Public Health, Faculty of Medicine, University of Helsinki, Finland.ORCID 0000-0003-3841-3129

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimSeasonal patterns in sickness absence (SA) are little studied but crucially important to understand in order to design preventative measures and allocate resources. We aimed to identify seasonal patterns in long-term SA, that is, absences longer than 10 working days, due to different diagnostic groups.

methodLong-term SA recipients on a monthly basis from 2020 through 2023 were analyzed (2,257,011 long-term SA recipients in total). Monthly relative deviations from the expected SA recipient numbers given no seasonality were calculated for each diagnostic group defined by digits of ICD-10 codes. The seasonal deviations in 411 different diagnoses were used as input in an unsupervised learning method, the K-means clustering algorithm, to identify specific diagnoses susceptible to seasonal variation.

resultsThe number of long-term SA recipients was lowest in the summer, and reached three peaks in February-March, October, and December. We identified three seasonal patterns by diagnostic group. A winter and autumn peaks cluster (6% of SA recipients) consisted of 42 diagnostic groups, such as sleep disorders. A spring high cluster (81%) included mainly mental and musculoskeletal diagnoses. An autumn high cluster (13%) consisted of a mixed set of 262 diagnostic groups, including stress-, injury-, and musculoskeletal disorder-related diagnoses. These clusters differed in terms of the age and gender of the recipients.

conclusions

Indexed as

AbsenteeismSeasonsSick LeaveAdultFemaleFinlandHumansMaleRegistriesclusteringSeasonalitysickness absence

Identifiers

PMID40785645
PMCPMC13356261

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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.