sickness absence due to specific mental diagnoses and all-cause and cause-specific mortality a cohort study of 4.9 million inhabitants of sweden病假因特定的心理诊断和全因死亡率和特殊瑞典490万居民的队列研究.pdfVIP

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sickness absence due to specific mental diagnoses and all-cause and cause-specific mortality a cohort study of 4.9 million inhabitants of sweden病假因特定的心理诊断和全因死亡率和特殊瑞典490万居民的队列研究.pdf

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sickness absence due to specific mental diagnoses and all-cause and cause-specific mortality a cohort study of 4.9 million inhabitants of sweden病假因特定的心理诊断和全因死亡率和特殊瑞典490万居民的队列研究

Sickness Absence Due to Specific Mental Diagnoses and All-Cause and Cause-Specific Mortality: A Cohort Study of 4.9 Million Inhabitants of Sweden 1 ˚ 1 2 3 4 Ellenor Mittendorfer-Rutz *, Linnea Kjeldgard , Bo Runeson , Aleksander Perski , Maria Melchior , Jenny Head5, Kristina Alexanderson1 1 Department of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, Stockholm, Sweden, 2 Department of Clinical Neuroscience, Centre for Psychiatric Research, Karolinska Institutet, Stockholm, Sweden, 3 Stress Research Institute, Stockholm University, Stockholm, Sweden, 4 INSERM, Villejuif, France, 5 Department of Epidemiology and Public Health, University College London, London, United Kingdom Abstract Background: Despite the magnitude and increase of sickness absence due to mental diagnoses, little is known regarding long-term health outcomes. The aim of this nationwide population-based, prospective cohort study was to investigate the association between sickness absence due to specific mental diagnoses and the risk of all-cause and cause-specific mortality. Methods: A cohort of all 4 857 943 individuals living in Sweden on 31.12.2004 (aged 16–64 years, not sickness absent, or on retirement or disability pension), was followed from 01.01.2005 through 31.12.2008 for all-cause and cause-specific mortality (suicide, cancer, circulatory disease) through linkage of individual register data. Individuals with at least one new sick-leave spell with a mental diagnosis in 2005 were compared to individuals with no sickness absence. Hazard ratios (HR) and 95% confidence intervals (CI) were estimated by Cox regression, adjusting for age,