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Clinically diagnosed insomnia and risk of all-cause and diagnosis-specific sickness absence: a nationwide Swedish prospective cohort study.
Stockholms universitet, Samhällsvetenskapliga fakulteten, Stressforskningsinstitutet. (Biologisk psykologi och behandlingsforskning)
Stockholms universitet, Samhällsvetenskapliga fakulteten, Stressforskningsinstitutet. (Biologisk psykologi och behandlingsforskning)
2013 (Engelska)Ingår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 41, nr 7, s. 712-721Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aims: Insomnia is a large health problem. In some prior studies, positive associations between insomnia symptoms and sickness absence have been observed. There is, however, no previous nationwide cohort study of clinically diagnosed insomnia and risk of incident sickness absence. Methods: Prospective nationwide cohort study based on Swedish population-based registers including all 4,956,358 individuals registered as living in Sweden on 31 December 2004/2005, aged 17-64 years, not on disability pension, old-age pension or on-going sickness absence. Those having insomnia inpatient or outpatient care, defined as having at least one admission/specialist visit with a main or secondary diagnosis of disorders of initiating and maintaining sleep [insomnias] (ICD-10: G47.0) during 2000/2001-2005, were compared to those with no such care. All-cause and diagnosis-specific incident sickness absence were followed during 2006-2010. Incidence rate ratios (IRRs) and 95% confidence intervals (CIs) were estimated by Cox proportional hazards regression. Results: In models adjusted for prior sickness absence, socio-demographic factors and inpatient and specialized outpatient care, associations between insomnia and increased risks of all-cause sickness absence (IRR 1.18, 95% CI 1.04-1.35) and sickness absence due to mental diagnoses (IRR 1.75, 95% CI 1.36-2.25) were observed. After further adjustment for insomnia medications these associations disappeared. No associations between insomnia and risk of sickness absence due to cancer, circulatory or musculoskeletal diagnoses, or injuries, were observed. Conclusions: In this nationwide cohort study, we observed increased risks of all-cause sickness absence and sickness absence due to mental diagnoses after adjustment for several potential confounders that disappeared after further adjustment for insomnia medications.

Ort, förlag, år, upplaga, sidor
Umeå: Epidemiology, Department of Public Health and Clinical Medicine, Umeå University , 2013. Vol. 41, nr 7, s. 712-721
Nyckelord [en]
Cohort study, epidemiology, sick leave, sleep disorder
Nationell ämneskategori
Medicin och hälsovetenskap Arbetsmedicin och miljömedicin
Identifikatorer
URN: urn:nbn:se:su:diva-95402DOI: 10.1177/1403494813498003ISI: 000325534500008PubMedID: 23868492Lokalt ID: P3031OAI: oai:DiVA.org:su-95402DiVA, id: diva2:659893
Anmärkning

Funding agencies:

Swedish Council for Working Life and Social Research 2009-1758, 2007-1762; Stockholm Stress Center 2007-1762

Tillgänglig från: 2013-10-28 Skapad: 2013-10-28 Senast uppdaterad: 2018-01-11Bibliografiskt granskad

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Förlagets fulltextPubMedhttp://sjp.sagepub.com/content/41/7/712.full.pdf+html

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Kecklund, GöranÅkerstedt, Torbjörn
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Scandinavian Journal of Public Health
Medicin och hälsovetenskapArbetsmedicin och miljömedicin

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