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dc.contributor.authorWang, Min-Jung
dc.contributor.authorMykletun, Arnstein
dc.contributor.authorMøyner, Ellen Ihlen
dc.contributor.authorØverland, Simon Nygaard
dc.contributor.authorHenderson, Max
dc.contributor.authorStansfeld, Stephen
dc.contributor.authorHotopf, Matthew
dc.contributor.authorHarvey, Samuel B
dc.date.accessioned2015-03-31T08:25:35Z
dc.date.available2015-03-31T08:25:35Z
dc.date.issued2014-04-22eng
dc.identifier.issn1932-6203
dc.identifier.urihttps://hdl.handle.net/1956/9707
dc.description.abstractObjectives: While it is generally accepted that high job strain is associated with adverse occupational outcomes, the nature of this relationship and the causal pathways involved are not well elucidated. We aimed to assess the association between job strain and long-term sickness absence (LTSA), and investigate whether any associations could be explained by validated health measures. Methods: Data from participants (n = 7346) of the Hordaland Health Study (HUSK), aged 40–47 at baseline, were analyzed using multivariate Cox regression to evaluate the association between job strain and LTSA over one year. Further analyses examined whether mental and physical health mediated any association between job strain and sickness absence. Results: A positive association was found between job strain and risk of a LTSA episode, even controlling for confounding factors (HR = 1.64 (1.36–1.98); high job strain exposure accounted for a small proportion of LTSA episodes (population attributable risk 0.068). Further adjustments for physical health and mental health individually attenuated, but could not fully explain the association. In the fully adjusted model, the association between high job strain and LTSA remained significant (HR = 1.30 (1.07–1.59)). Conclusion: High job strain increases the risk of LTSA. While our results suggest that one in 15 cases of LTSA could be avoided if high job strain were eliminated, we also provide evidence against simplistic causal models. The impact of job strain on future LTSA could not be fully explained by impaired health at baseline, which suggests that factors besides ill health are important in explaining the link between job strain and sickness absence.en_US
dc.language.isoengeng
dc.publisherPLOSeng
dc.relation.urihttp://www.plosone.org/article/fetchObject.action?uri=info%3Adoi%2F10.1371%2Fjournal.pone.0096025&representation=PDFeng
dc.rightsAttribution CC BYeng
dc.rights.urihttp://creativecommons.org/licenses/by/4.0eng
dc.titleJob strain, health and sickness absence: results from the Hordaland Health Studyeng
dc.typePeer reviewed
dc.typeJournal article
dc.date.updated2015-03-03T15:57:48Zen_US
dc.description.versionpublishedVersion
dc.rights.holderCopyright 2014 Wang et al
dc.source.articlenumbere96025
dc.identifier.doihttps://doi.org/10.1371/journal.pone.0096025
dc.identifier.cristin1162388
dc.source.journalPLoS ONE
dc.source.409
dc.source.144
dc.subject.nsiVDP::Medical sciences: 700::Health sciences: 800::Epidemiology, medical and dental statistics: 803eng
dc.subject.nsiVDP::Medisinske fag: 700::Helsefag: 800::Epidemiologi medisinsk og odontologisk statistikk: 803nob


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