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Sampaio FE, Oliveira MJS, Areosa J, Facas E. Prevalence of Comorbidity and Its Effects on Sickness-Absenteeism among Brazilian Legislative Civil Servants. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5036. [PMID: 36981944 PMCID: PMC10049449 DOI: 10.3390/ijerph20065036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Revised: 02/27/2023] [Accepted: 03/07/2023] [Indexed: 06/18/2023]
Abstract
Studies have shown there is an association of chronic diseases with working days lost, considering the impact of these pathologies on the levels of vulnerability of the individual's health, with an increased risk of work disability. This article is part of a more comprehensive investigation on the sickness absenteeism of civil servants of the legislative branch in Brazil, with the purpose of determining the comorbidity index (CI) of the individuals and its correlation with days of absence from work. Sickness absenteeism was counted from the data of 37,690 medical leaves, from 2016 to 2109, involving 4149 civil servants. The self-administered comorbidity questionnaire (SCQ) was used to estimate the CI, based on the diseases or chronic health problems declared by the participants. The average number of working days lost per servant per year was 8.73 days, totaling 144,902 days of absence. The majority of the servants (65.5%) declared at least one chronic health condition. A significant association between the CI scores and working days lost was observed (r = 0.254, p-value < 0.01), thus showing that the CI may be an important predictor of sickness absenteeism. Chronic diseases or health problems are a characteristic of the general population, often affecting working capacity.
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Affiliation(s)
| | | | - João Areosa
- Higher School of Business Sciences, Polytechnic Institute of Setubal, 2914-503 Setubal, Portugal
| | - Emílio Facas
- Department of Social and Work Psychology, University of Brasilia (UNB), Brasília 70910-900, Brazil
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Dias A, Nunes HRDC, Ruiz-Frutos C, Gómez-Salgado J, Spröesser Alonso M, Bernardes JM, García-Iglesias JJ, Lacalle-Remigio JR. The impact of disease changes and mental health illness on readapted return to work after repeated sick leaves among Brazilian public university employees. Front Public Health 2023; 10:1026053. [PMID: 36699897 PMCID: PMC9868700 DOI: 10.3389/fpubh.2022.1026053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Accepted: 12/12/2022] [Indexed: 01/11/2023] Open
Abstract
Introduction Health affects work absenteeism and productivity of workers, making it a relevant marker of an individual's professional development. Objectives The aims of this article were to investigate whether changes in the main cause of the sick leaves and the presence of mental health illnesses are associated with return to work with readaptation. Materials and methods A historical cohort study was carried out with non-work-related illnesses suffered by statutory workers of university campuses in a medium-sized city in the state of São Paulo, Brazil. Two exposures were measured: (a) changes, throughout medical examinations, in the International Classification of Diseases (ICD-10) chapter regarding the main condition for the sick leave; and (b) having at least one episode of sick leave due to mental illness, with or without change in the ICD-10 chapter over the follow-up period. The outcome was defined as return to work with adapted conditions. The causal model was established a priori and tested using a multiple logistic regression (MLR) model considering the effects of several confounding factors, and then compared with the same estimators obtained using Targeted Machine Learning. Results Among workers in adapted conditions, 64% were health professionals, 34% had had changes in the ICD-10 chapter throughout the series of sick leaves, and 62% had diagnoses of mental health issues. In addition, they worked for less time at the university and were absent for longer periods. Having had a change in the illness condition reduced the chance of returning to work in another function by more than 30%, whereas having had at least one absence because of a cause related to mental and behavioral disorders more than doubled the chance of not returning to work in the same activity as before. Conclusion These results were independent of the analysis technique used, which allows concluding that there were no advantages in the use of targeted maximum likelihood estimation (TMLE), given its difficulties in access, use, and assumptions.
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Affiliation(s)
- Adriano Dias
- Department of Public Health, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, Brazil,Public/Collective Health Graduate Program, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, Brazil
| | - Hélio Rubens de Carvalho Nunes
- Department of Public Health, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, Brazil,Public/Collective Health Graduate Program, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, Brazil,Graduate Program in Nursing Academic Master's and Doctoral Programs, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, Brazil
| | - Carlos Ruiz-Frutos
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, Huelva, Spain,Safety and Health Postgraduate Programme, Universidad Espíritu Santo, Guayaquil, Ecuador
| | - Juan Gómez-Salgado
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, Huelva, Spain,Safety and Health Postgraduate Programme, Universidad Espíritu Santo, Guayaquil, Ecuador,*Correspondence: Juan Gómez-Salgado ✉
| | - Melissa Spröesser Alonso
- Public/Collective Health Graduate Program, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, Brazil
| | - João Marcos Bernardes
- Department of Public Health, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, Brazil,Public/Collective Health Graduate Program, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, Brazil
| | - Juan Jesús García-Iglesias
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, Huelva, Spain
| | - Juan Ramón Lacalle-Remigio
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Sevilla, Sevilla, Spain
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Girardi FA, Nogueira MC, Bustamante-Teixeira MT, Guerra MR. Temporal trends in social security benefits for female breast cancer in Brazil. CIENCIA & SAUDE COLETIVA 2022. [DOI: 10.1590/1413-812320222710.08602022en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Abstract The aim of this study was to assess temporal trends in disability benefits for breast cancer awarded to women by Brazil’s National Social Security Institute. We conducted a time-series analysis of disability benefit incidence rates between 2007 and 2018 using joinpoint regression and data from the Unified Benefits Information System (SUIBE) and open access social security system database. The age-adjusted incidence rate increased by 6.7% per year between 2015 and 2018 after a period of stability between 2007 and 2014. The number of benefits granted to women aged 20-49 increased, on average, by 3.4% per year, showing a marked rise from 2015 to 2018 (10.4% per year). The findings highlight that breast cancer is an important cause of sick leave among female workers and that the incidence of the disease is growing in younger economically active women, reinforcing the importance of early referral to the Social Security Professional Rehabilitation Program to help workers return to work and readapt to working life.
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Girardi FA, Nogueira MC, Bustamante-Teixeira MT, Guerra MR. Temporal trends in social security benefits for female breast cancer in Brazil. CIENCIA & SAUDE COLETIVA 2022; 27:4039-4050. [PMID: 36134809 DOI: 10.1590/1413-812320222710.08602022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Accepted: 06/13/2022] [Indexed: 12/24/2022] Open
Abstract
The aim of this study was to assess temporal trends in disability benefits for breast cancer awarded to women by Brazil's National Social Security Institute. We conducted a time-series analysis of disability benefit incidence rates between 2007 and 2018 using joinpoint regression and data from the Unified Benefits Information System (SUIBE) and open access social security system database. The age-adjusted incidence rate increased by 6.7% per year between 2015 and 2018 after a period of stability between 2007 and 2014. The number of benefits granted to women aged 20-49 increased, on average, by 3.4% per year, showing a marked rise from 2015 to 2018 (10.4% per year). The findings highlight that breast cancer is an important cause of sick leave among female workers and that the incidence of the disease is growing in younger economically active women, reinforcing the importance of early referral to the Social Security Professional Rehabilitation Program to help workers return to work and readapt to working life.
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Affiliation(s)
- Flávia Araújo Girardi
- Universidade Federal de Juiz de Fora. R. José Lourenço Kelmer s/n, São Pedro. 36036-900 Juiz de Fora MG Brasil.
| | - Mário Círio Nogueira
- Universidade Federal de Juiz de Fora. R. José Lourenço Kelmer s/n, São Pedro. 36036-900 Juiz de Fora MG Brasil.
| | | | - Maximiliano Ribeiro Guerra
- Universidade Federal de Juiz de Fora. R. José Lourenço Kelmer s/n, São Pedro. 36036-900 Juiz de Fora MG Brasil.
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Cabeceira HDS, de Souza DMST, Juliano Y, Veiga DF. Work ability and productivity in patients with diabetic foot. Clinics (Sao Paulo) 2019; 74:e421. [PMID: 30916210 PMCID: PMC6424068 DOI: 10.6061/clinics/2019/e421] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/25/2018] [Accepted: 12/19/2018] [Indexed: 01/22/2023] Open
Abstract
OBJECTIVE To assess work ability and productivity in patients with diabetic foot. METHODS This investigation was a cross-sectional controlled study. A total of 117 individuals were selected from March to June 2014 and allocated to group A (patients without diabetes, n=43), group B (diabetes patients without foot ulcers, n=43), or group C (patients with diabetic foot, n=31). Two validated instruments, the Work Limitations Questionnaire (WLQ) and the Work Productivity and Activity Impairment Questionnaire General Health v2.0 (WPAI-GH), were used to assess work ability and productivity. RESULTS The groups were homogeneous regarding age and sex; however, patients in group C had a lower education level than the other participants (p=0.006). The median WLQ scores for groups A, B, and C were 0.0121, 0.0146, and 0.0852, respectively (p<0.0001). The WPAI-GH scores revealed a mean productivity loss of 20% for groups A and B and 100% for group C (p<0.0001). CONCLUSIONS Patients with diabetic foot showed decreased work ability and productivity.
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Affiliation(s)
- Helga dos Santos Cabeceira
- Mestrado Profissional em Ciencias Aplicadas a Saude, Universidade do Vale do Sapucai (UNIVAS), Pouso Alegre, MG, BR
| | - Diba Maria Sebba Tosta de Souza
- Departamento de Enfermagem, Mestrado Profissional em Ciencias Aplicadas a Saude, Universidade do Vale do Sapucai (UNIVAS), Pouso Alegre, MG, BR
- *Corresponding author. E-mail:
| | - Yara Juliano
- Departamento de Bioestatistica, Universidade do Vale do Sapucai (UNIVAS), Pouso Alegre, MG, BR
| | - Daniela Francescato Veiga
- Divisao de Cirurgia Plastica, Mestrado Profissional em Ciencias Aplicadas a Saude, Universidade do Vale do Sapucai (UNIVAS), Pouso Alegre, MG, BR
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Dias A, Bernardes JM, Fantazia MM, Ruiz-Frutos C, Gómez-Salgado J. Six Years of Sick Leave Spells in a Group of University Civil Workers. Can Modern Work Bring Them a New Health Problem? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 16:ijerph16010017. [PMID: 30577640 PMCID: PMC6339167 DOI: 10.3390/ijerph16010017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/01/2018] [Revised: 12/16/2018] [Accepted: 12/19/2018] [Indexed: 11/23/2022]
Abstract
The objective of this study is to analyse sick leave episodes of a university’s collective of statutory workers in the State of São Paulo, between January 2010 and December 2015. For this, a descriptive study analysed 5776 registered spells of sick leave of four university units: agricultural sciences; human health, health and animal reproduction, and biological sciences; an administrative unit; and a university hospital. The medical expert assessment was carried out by general practitioners and psychiatrists who managed sick leave and return to work cases. Around 52% had up to three sick leave episodes, and 10% of the workers had 20 or more episodes. Each spell of sickness absence lasted a median of 30 days (IQR 8–60 days). Among all of sick leaves, 35% had as a primary cause mental or behavioural diseases, of which 30% were depressive disorders, followed by around 18% related to the musculoskeletal system and the connective tissues. In the medical reports, 80% of the workers reported pain and 30% reported psychological symptoms. The collective, seen as privileged by many for their job stability, has a high percentage of sick leave due to mental illness, with extended periods which affect the levels of disability and reduce possibilities of return.
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Affiliation(s)
- Adriano Dias
- Public Health Grade Program, Botucatu Medical School, Paulista State University, Botucatu, Sao Paulo 18618687, Brazil.
| | - João Marcos Bernardes
- Public Health Grade Program, Botucatu Medical School, Paulista State University, Botucatu, Sao Paulo 18618687, Brazil.
| | - Miriam Malacize Fantazia
- Public Health Grade Program, Botucatu Medical School, Paulista State University, Botucatu, Sao Paulo 18618687, Brazil.
| | - Carlos Ruiz-Frutos
- Department of Sociology, Social Work and Public Health, Universidad de Huelva, 21071 Huelva, Spain.
- Safety and Health Posgrade Program, Universidad Espíritu Santo, Samborondón, Guayaquil 091650, Ecuador.
| | - Juan Gómez-Salgado
- Department of Nursing, Universidad de Huelva, 21071 Huelva, Spain.
- Safety and Health Posgrade Program, Universidad Espíritu Santo, Samborondón, Guayaquil 091650, Ecuador.
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