Emotional support predicts more sickness absence and poorer self assessed work ability a two-year prospective cohort study.docVIP

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Emotional support predicts more sickness absence and poorer self assessed work ability a two-year prospective cohort study.doc

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Emotional support predicts more sickness absence and poorer self assessed work ability a two-year prospective cohort study

Karlssonetal.BMCPublicHealth2010,10:648 /1471-2458/10/648 RESEARCH ARTICLE OpenAccess Emotionalsupportpredictsmoresickness absenceandpoorerselfassessedworkability:a two-yearprospectivecohortstudy NadineKarlsson1*,ElisabethSkargren2,MargaretaKristenson1 Abstract Background:Whilebackpainandstressfulworkenvironmentareshowntobeimportantcausesofsickness absencetheeffectofpsychosocialresourcesonsicknessabsence,andonselfassessedworkability,isless commonlyinvestigated.Theaimofthisstudywastoassesstheseassociationsinatwo-yearfollow-upstudy. Methods:341workingpeopleaged45to64,randomlydrawnfromthepopulation,respondedtoaquestionnaire atbaselineandatatwo-yearfollow-up.Poissonregressionwasusedtoanalysetheassociationofpsychosocial factors(psychosocialinstrumentsonworkenvironment,emotionalsupportandpsychologicalresources)and previousbackpain(lowbackand/orneck)atbaselinewithsicknessabsence(spellsanddays)atfollow-up, controllingforeffectsofage,sex,BMI,smoking,alcohol,occupation,diseaseandprevioussicknessabsence. Logisticregressionwasusedtostudytheassociationsofpsychosocialfactorsandpreviousbackpainatbaseline withselfassessedprognosisofpoorworkabilitysixmonthsfromfollow-up.Finally,amultivariateanalysistested theindependenteffectsofpreviousbackpainand3psychosocialfactorsderivedinafactoranalysis:1.work environment;2.emotionalsupport;3.psychologicalresources,onworkabilityandabsencedaysandspells. Results:80%ofthesicknessabsencespellswithinthelast12monthsbeforefollow-upwereshort-term(≤14 days).Inthefinalmodel,highemotionalsupportpredictedmoresicknessabsencespells(RR1.36;1.11-1.67)and days(RR1.68,1.22-2.31).Previousbackpain(OR2.56;1.13-5.81),highemotionalsupport(OR1.58;1.02-2.46),and lowpsychologicalresources(OR0.62;0.44-0.89)wererelatedtopoorerselfassessedprognosisofworkabilityat followup. Conclusions:Inageneralmiddleagedworkingpopulationhighemotionalsupportwasrelatedtomoresickness absenceandalsopoorerselfassessedprognosisofworkability.Ourfindingssuggestthatbothsicknessabsence andselfass