Affiliations: [a] Department for Analysis and Forecast, Swedish Social Insurance Agency, Stockholm, Sweden
| [b] Department of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, Stockholm, Sweden
| [c] Department of Economics and Uppsala Center for Labor Studies, Uppsala University, Uppsala, Sweden
Correspondence:
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Address for correspondence: Ulrik Lidwall, Department for Analysis and Forecast, Statistical Analysis Unit, Swedish Social Insurance Agency, SE-103 51 Stockholm, Sweden. Tel.: +46 10 116 97 26; Fax: +46 8 786 95 80; E-mail: ulrik.lidwall@socialagency.se.
Abstract: BACKGROUND:The inability to perform productive work due to mental disorders is a growing concern in advanced societies. OBJECTIVE:To investigate medically certified mental disorder and all-cause sick leave in a working population using demographic, socioeconomic and occupational predictors. METHODS:The study population was the entire Swedish work force aged 16-64 years in December 31st 2011. The outcome was sick leave exceeding 14 days in 2012 with adjustment for 13 confounders. RESULTS:The risk of sick leave with a mental disorder is higher among women compared to men, among persons aged 30–39 and among parents in families with underage children. Employees in welfare service occupations within health care, education and social services have an elevated risk of mental disorder sick leave and constitute a large proportion of the workforce. CONCLUSION:The results support the need for improving early detection and prevention of mental disorders in the workforce. Improvements in psychosocial work environments are essential, where the higher risk in female dominated welfare occupations particularly, have repercussions on the quality of the welfare services provided for vulnerable groups in society. Better work-life balance in families with younger children could also mitigate the effects of a high total workload in that particular phase of life.
