Change search
ReferencesLink to record
Permanent link

Direct link
Diagnosis-specific sickness absence and all-cause mortality in the GAZEL study.
Stockholm University, Faculty of Social Sciences, Stress Research Institute.
Show others and affiliations
2009 (English)In: Journal of epidemiology and community health, ISSN 1470-2738, Vol. 63, no 1, 50-5 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: This study aims to examine diagnosis-specific sickness absence as a risk marker for all-cause mortality. METHODS: Prospective occupational cohort (the GAZEL study). Medically certified sickness absence spells >7 days for 15 diagnostic categories, 1990-1992, were examined in relation to all-cause mortality, January 1993-February 2007. The reference group for each diagnostic category was participants with no spell >7 days for that diagnosis. The participants were French public utility workers (5271 women and 13 964 men) aged 37-51 years in 1990, forming the GAZEL study. Over the follow-up period, there were 144 deaths in women and 758 in men. RESULTS: 7875 employees (41.0%) had at least one spell of sickness absence >7 days over the 3-year period. The commonest diagnoses were mental disorders, musculoskeletal diseases, respiratory diseases and external causes in both sexes; genitourinary diseases in women, and digestive and circulatory diseases in men. Of these common diagnoses, mental disorders in women, hazard ratio (95% confidence intervals) 1.24 (1.1 to 1.4), and mental disorders 1.35 (1.3 to 1.5), digestive diseases 1.29 (1.1 to 1.6) and circulatory diseases 1.35 (1.2 to 1.6) in men were associated with mortality after adjustment for age, employment grade and sickness absence in all other diagnostic categories. CONCLUSIONS: Employees with medically certified absence spells of 1 week or more over a 3-year period had a 60% excess risk of early death. In women and men this excess risk was associated with some of the commonest diagnoses of sickness absence, in particular mental disorders. Sickness absence for mental disorders may be a useful early indicator of groups at increased risk of fatal disease.

Place, publisher, year, edition, pages
2009. Vol. 63, no 1, 50-5 p.
Keyword [en]
Gazel study, sickness abscence, all-cause mortality
National Category
Medical and Health Sciences
URN: urn:nbn:se:su:diva-27378DOI: 10.1136/jech.2008.074369ISI: 000261761100010PubMedID: 19039005Local ID: P2710OAI: diva2:213919
Available from: 2009-04-29 Created: 2009-04-29 Last updated: 2009-04-29Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed
By organisation
Stress Research Institute
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 30 hits
ReferencesLink to record
Permanent link

Direct link