Work-family conflicts and sickness absence due to mental disorders among female municipal employees – a register-linked study comparing health and social care employees to employees in other sectors
OBJECTIVES: This study aimed to examine (i) if work-to-family conflicts (WtFC) and family-to-work conflicts (FtWC) are associated with sickness absence due to mental disorders and (ii) whether these associations are different among health and social care (HSC) employees compared to other municipal e...
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| Format: | Article |
| Language: | English |
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Nordic Association of Occupational Safety and Health (NOROSH)
2024-12-01
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| Series: | Scandinavian Journal of Work, Environment & Health |
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https://www.sjweh.fi/article/4191
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| author | Jaakko Harkko Aino Salonsalmi Noora A Heinonen Tea Lallukka Anne Kouvonen |
| author_facet | Jaakko Harkko Aino Salonsalmi Noora A Heinonen Tea Lallukka Anne Kouvonen |
| author_sort | Jaakko Harkko |
| collection | DOAJ |
| description | OBJECTIVES: This study aimed to examine (i) if work-to-family conflicts (WtFC) and family-to-work conflicts (FtWC) are associated with sickness absence due to mental disorders and (ii) whether these associations are different among health and social care (HSC) employees compared to other municipal employee sectors. METHODS: The Helsinki Health Study survey data collected in 2017 among 19–39-year-old female municipal employees (N=2557) were prospectively linked to administrative Social Insurance Institution of Finland register data on long-term sickness absence due to mental disorders (SA-MD) covering a follow-up of up to five years. The associations of WtFC and FtWC and SA-MD were analyzed using Cox regression models stratified by employment sector (HSC, education, other), adjusting for sociodemographic and health-related covariates. RESULTS: Of HSC employees, 16% had SA-MD during the follow-up, which surpassed the figures for employees in education (12%) and other (11%) sectors. In the HSC sector, the youngest employees had the highest prevalence of SA-MD and, among HSC employees, prior SA-MD was the most common. In Kaplan–Meier curves, the steepest increase in SA-MD was observed for HSC employees. WtFC [hazard ratio (HR) 1.84, 95% confidence interval (CI) 1.39–2.45] and FtWC (HR 1.78, 95% CI 1.32–2.40) were associated with SA-MD among HSC employees. The associations were rather similar for employees in education and other sectors. Adjusting for work-related factors and health history somewhat attenuated the associations. CONCLUSIONS: Better possibilities to combine work and family life might aid in preventing SA-MD in all employment sectors. |
| format | Article |
| id | doaj-art-45fa3b61f62d411abff6a2b691419122 |
| institution | Kabale University |
| issn | 0355-3140 1795-990X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Nordic Association of Occupational Safety and Health (NOROSH) |
| record_format | Article |
| series | Scandinavian Journal of Work, Environment & Health |
| spelling | doaj-art-45fa3b61f62d411abff6a2b6914191222024-11-28T09:19:15ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2024-12-0150863164010.5271/sjweh.41914191Work-family conflicts and sickness absence due to mental disorders among female municipal employees – a register-linked study comparing health and social care employees to employees in other sectorsJaakko Harkko0Aino Salonsalmi1Noora A Heinonen2Tea Lallukka3Anne Kouvonen4Department of Public Health University of Helsinki, PO Box 20 (Tukholmankatu 8 B), 00014 University of Helsinki, Finland.Orcid ID: 0000-0002-3939-2844.Department of Public Health University of Helsinki, PO Box 20 (Tukholmankatu 8 B), 00014 University of Helsinki, Finland.Orcid ID: 0000-0002-3939-2844.Department of Public Health University of Helsinki, PO Box 20 (Tukholmankatu 8 B), 00014 University of Helsinki, Finland.Orcid ID: 0000-0002-3939-2844.Department of Public Health University of Helsinki, PO Box 20 (Tukholmankatu 8 B), 00014 University of Helsinki, Finland.Orcid ID: 0000-0002-3939-2844.Department of Public Health University of Helsinki, PO Box 20 (Tukholmankatu 8 B), 00014 University of Helsinki, Finland.Orcid ID: 0000-0002-3939-2844.OBJECTIVES: This study aimed to examine (i) if work-to-family conflicts (WtFC) and family-to-work conflicts (FtWC) are associated with sickness absence due to mental disorders and (ii) whether these associations are different among health and social care (HSC) employees compared to other municipal employee sectors. METHODS: The Helsinki Health Study survey data collected in 2017 among 19–39-year-old female municipal employees (N=2557) were prospectively linked to administrative Social Insurance Institution of Finland register data on long-term sickness absence due to mental disorders (SA-MD) covering a follow-up of up to five years. The associations of WtFC and FtWC and SA-MD were analyzed using Cox regression models stratified by employment sector (HSC, education, other), adjusting for sociodemographic and health-related covariates. RESULTS: Of HSC employees, 16% had SA-MD during the follow-up, which surpassed the figures for employees in education (12%) and other (11%) sectors. In the HSC sector, the youngest employees had the highest prevalence of SA-MD and, among HSC employees, prior SA-MD was the most common. In Kaplan–Meier curves, the steepest increase in SA-MD was observed for HSC employees. WtFC [hazard ratio (HR) 1.84, 95% confidence interval (CI) 1.39–2.45] and FtWC (HR 1.78, 95% CI 1.32–2.40) were associated with SA-MD among HSC employees. The associations were rather similar for employees in education and other sectors. Adjusting for work-related factors and health history somewhat attenuated the associations. CONCLUSIONS: Better possibilities to combine work and family life might aid in preventing SA-MD in all employment sectors. https://www.sjweh.fi/article/4191 sick leavemental healthsickness absencemunicipal employeework–family conflictmental disorderregister-linked studyhealthcare workersocial carework–family interface |
| spellingShingle | Jaakko Harkko Aino Salonsalmi Noora A Heinonen Tea Lallukka Anne Kouvonen Work-family conflicts and sickness absence due to mental disorders among female municipal employees – a register-linked study comparing health and social care employees to employees in other sectors Scandinavian Journal of Work, Environment & Health sick leave mental health sickness absence municipal employee work–family conflict mental disorder register-linked study healthcare worker social care work–family interface |
| title | Work-family conflicts and sickness absence due to mental disorders among female municipal employees – a register-linked study comparing health and social care employees to employees in other sectors |
| title_full | Work-family conflicts and sickness absence due to mental disorders among female municipal employees – a register-linked study comparing health and social care employees to employees in other sectors |
| title_fullStr | Work-family conflicts and sickness absence due to mental disorders among female municipal employees – a register-linked study comparing health and social care employees to employees in other sectors |
| title_full_unstemmed | Work-family conflicts and sickness absence due to mental disorders among female municipal employees – a register-linked study comparing health and social care employees to employees in other sectors |
| title_short | Work-family conflicts and sickness absence due to mental disorders among female municipal employees – a register-linked study comparing health and social care employees to employees in other sectors |
| title_sort | work family conflicts and sickness absence due to mental disorders among female municipal employees a register linked study comparing health and social care employees to employees in other sectors |
| topic | sick leave mental health sickness absence municipal employee work–family conflict mental disorder register-linked study healthcare worker social care work–family interface |
| url |
https://www.sjweh.fi/article/4191
|
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