Presentation W P2

W P2 (Poster Presentation):
Predicting return to work of two vulnerable groups of workers

Presented by: Lieke Lammerts

Authors

Lammerts L1,2, Vermeulen SJ1,2, Schaafsma FG1,2, Van Mechelen W1, Anema JR1,2, Eikelenboom M3,4, Penninx BWJH3,5,6

  1. Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam, The Netherlands
  2. Dutch Research Center for Insurance Medicine AMC-UMCG-UWV-VUmc, VU University Medical Centre, Amsterdam, The Netherlands
  3. Department of Psychiatry, EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam, The Netherlands
  4. GGZ inGeest, Amsterdam, The Netherlands
  5. Department of Psychiatry, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
  6. Department of Psychiatry, Leiden University Medical Center, Leiden, The Netherlands

Abstract

Background

Mental disorders are a major cause of sickness absence and affect both the individual and society. According to the biopsychosocial model for work disability, knowledge about a broad scope of prognostic factors for return to work (RTW) could help occupational health care professionals to address all aspects of work disability in their sickness absence counseling.The aim of this study was to increase knowledge about prognostic factors for RTW of two vulnerable groups of workers, i.e. sick workers without an employment contract and long term sick-listed workers with a common mental disorder (CMD).

Methods

Data of The Netherlands Study of Depression and Anxiety was used to identify prognostic factors for RTW of sick workers without an employment contract who receive a sickness benefit and long term sick-listed workers (> 6 months) with a CMD. The dependent variable was sustainable RTW after two years, i.e. being employed and not having been absent from work for more than 14 days in the previous six months. Associations between demographic, personality, disorder and work-related characteristics and the dependent variable were assessed using logistic regression analysis.

Results

Preliminary univariate analysis indicated that age (OR=0.96; 95% CI=0.92-0.99), high education (OR=6.19; 95% CI =1.19-32.23) and long term sickness absence (OR=0.26; 95% CI =0.12-0.58) were associated with sustainable RTW after two years for workers on sickness benefit. Decision authority at work (OR=0.17; 95% CI=0.03-0.85) and long term sickness absence (OR=0.27; 95% CI=0.09-0.81) were found to associate with the dependent variable after multiple regression analysis. In long term sick-listed workers univariate analysis revealed that dual-earning (OR=2.21; 95% CI=1.09-4.49), skill discretion (OR=4.40; 95% CI=1.19-16.27), job security (OR=3.52; 95% CI=1.32-9.37) and not being employed (OR=0.24; 95% CI=0.12-0.49) were associated with the dependent variable. Not being employed (OR=0.31; 95% CI=0.13-076) was a prognostic factor in the multiple regression model.

Conclusions

Prognostic factors for sustainable RTW of sick workers without an employment contract and long term sick-listed workers are mostly work-related. Long term sickness absence and the absence of a job to return to seem to complicate sustainable RTW.

Schedule Details

Wednesday October 1
13:00 - 14:00 Poster Viewing
Session: Vulnerable workers & ethical issues