Diagnosis-specific Cumulative Incidence of Return-to-work, Resignation, and Death Among Long-term Sick-listed Employees: Findings From the Japan Epidemiology Collaboration on Occupational Health Study
Background: While it is essential to understand how long is sufficient for return-to-work when designing paid sick-leave systems, little attempt has been done to collect cause-specific information on when and how many of sickness absentees returned to work, became unemployed, or passed away. Methods...
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| Format: | Article |
| Language: | English |
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Japan Epidemiological Association
2022-09-01
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| Series: | Journal of Epidemiology |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/jea/32/9/32_JE20200541/_pdf |
| _version_ | 1811297181018095616 |
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| author | Chihiro Nishiura Yosuke Inoue Ikuko Kashino Akiko Nanri Motoki Endo Masafumi Eguchi Takeshi Kochi Noritada Kato Makiko Shimizu Teppei Imai Akiko Nishihara Makoto Yamamoto Hiroko Okazaki Kentaro Tomita Toshiaki Miyamoto Shuichiro Yamamoto Tohru Nakagawa Toru Honda Takayuki Ogasawara Naoko Sasaki Ai Hori Isamu Kabe Tetsuya Mizoue Seitaro Dohi |
| author_facet | Chihiro Nishiura Yosuke Inoue Ikuko Kashino Akiko Nanri Motoki Endo Masafumi Eguchi Takeshi Kochi Noritada Kato Makiko Shimizu Teppei Imai Akiko Nishihara Makoto Yamamoto Hiroko Okazaki Kentaro Tomita Toshiaki Miyamoto Shuichiro Yamamoto Tohru Nakagawa Toru Honda Takayuki Ogasawara Naoko Sasaki Ai Hori Isamu Kabe Tetsuya Mizoue Seitaro Dohi |
| author_sort | Chihiro Nishiura |
| collection | DOAJ |
| description | Background: While it is essential to understand how long is sufficient for return-to-work when designing paid sick-leave systems, little attempt has been done to collect cause-specific information on when and how many of sickness absentees returned to work, became unemployed, or passed away. Methods: We studied the first sick-leave episode of ≥30 consecutive days in those ≤55 years of age during 2012–2013 among employees of 11 Japanese private companies (n = 1,209), which were followed until 2017. Overall and disease-specific cumulative incidences of return-to-work, resignations, and deaths were estimated using competing risk analysis. Results: During the 3.5-year period (follow-up rate: 99.9%), 1,014 returned to work, 167 became unemployed, and 27 died. Overall, return-to-work occurred within 1 year in 74.9% of all absentees and in 89.3% of those who successfully returned to work. Resignation occurred within 1 year in 8.7% of all absentees and in 62.9% of all subjects who resigned. According to ICD-10 chapters, the cumulative incidence of return-to-work ranged from 82.1% for mental disorders (F00–F99) to 95.3% for circulatory diseases (I00–I99). The cumulative incidence of return-to-work due to mental disorders ranged from 66.7% in schizophrenia (F20) to 95.8% in bipolar affective disorders (F31). Death was rarely observed except for cases of neoplasms (C00–D48), of which the cumulative incidence of death reached 14.2% by 1.5 years. Conclusion: Return-to-work and resignations occurred commonly within 1 year of sick leave among long-term sickness absentees in the Japanese private companies. Our findings may assist occupational physicians and employers in developing effective social protection schemes. |
| first_indexed | 2024-04-13T06:00:22Z |
| format | Article |
| id | doaj.art-4c82e76385c4413e8a85dc11a28fac4a |
| institution | Directory Open Access Journal |
| issn | 0917-5040 1349-9092 |
| language | English |
| last_indexed | 2024-04-13T06:00:22Z |
| publishDate | 2022-09-01 |
| publisher | Japan Epidemiological Association |
| record_format | Article |
| series | Journal of Epidemiology |
| spelling | doaj.art-4c82e76385c4413e8a85dc11a28fac4a2022-12-22T02:59:28ZengJapan Epidemiological AssociationJournal of Epidemiology0917-50401349-90922022-09-0132943143710.2188/jea.JE20200541Diagnosis-specific Cumulative Incidence of Return-to-work, Resignation, and Death Among Long-term Sick-listed Employees: Findings From the Japan Epidemiology Collaboration on Occupational Health StudyChihiro Nishiura0Yosuke Inoue1Ikuko Kashino2Akiko Nanri3Motoki Endo4Masafumi Eguchi5Takeshi Kochi6Noritada Kato7Makiko Shimizu8Teppei Imai9Akiko Nishihara10Makoto Yamamoto11Hiroko Okazaki12Kentaro Tomita13Toshiaki Miyamoto14Shuichiro Yamamoto15Tohru Nakagawa16Toru Honda17Takayuki Ogasawara18Naoko Sasaki19Ai Hori20Isamu Kabe21Tetsuya Mizoue22Seitaro Dohi23Department of Safety and Health, Tokyo Gas Co., Ltd., Tokyo, JapanDepartment of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, JapanDepartment of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, JapanDepartment of Food and Health Sciences, International College of Arts and Sciences, Fukuoka Women’s University, Fukuoka, JapanDepartment of Public Health, Juntendo University Graduate School of Medicine, Tokyo, JapanFurukawa Electric Co., Ltd., Tokyo, JapanFurukawa Electric Co., Ltd., Tokyo, JapanFuji Electric Co., Ltd., Tokyo, JapanEast Japan Works (Keihin), JFE Steel Corporation, Kanagawa, JapanOH Support, Kanagawa, JapanAzbil Corporation, Tokyo, JapanYamaha Corporation, Shizuoka, JapanMitsui Chemicals, Inc., Tokyo, JapanHealthplant Co., Ltd., Tokyo, JapanEast Nippon Works Kimitsu Area, Nippon Steel Corporation, Chiba, JapanHitachi, Ltd., Ibaraki, JapanHitachi, Ltd., Ibaraki, JapanHitachi, Ltd., Ibaraki, JapanMitsubishi Fuso Truck and Bus Corporation, Kanagawa, JapanMitsubishi Fuso Truck and Bus Corporation, Kanagawa, JapanDepartment of Global Public Health, Faculty of Medicine, University of Tsukuba, Ibaraki, JapanKubota Corporation, Tokyo, JapanDepartment of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, JapanMitsui Chemicals, Inc., Tokyo, JapanBackground: While it is essential to understand how long is sufficient for return-to-work when designing paid sick-leave systems, little attempt has been done to collect cause-specific information on when and how many of sickness absentees returned to work, became unemployed, or passed away. Methods: We studied the first sick-leave episode of ≥30 consecutive days in those ≤55 years of age during 2012–2013 among employees of 11 Japanese private companies (n = 1,209), which were followed until 2017. Overall and disease-specific cumulative incidences of return-to-work, resignations, and deaths were estimated using competing risk analysis. Results: During the 3.5-year period (follow-up rate: 99.9%), 1,014 returned to work, 167 became unemployed, and 27 died. Overall, return-to-work occurred within 1 year in 74.9% of all absentees and in 89.3% of those who successfully returned to work. Resignation occurred within 1 year in 8.7% of all absentees and in 62.9% of all subjects who resigned. According to ICD-10 chapters, the cumulative incidence of return-to-work ranged from 82.1% for mental disorders (F00–F99) to 95.3% for circulatory diseases (I00–I99). The cumulative incidence of return-to-work due to mental disorders ranged from 66.7% in schizophrenia (F20) to 95.8% in bipolar affective disorders (F31). Death was rarely observed except for cases of neoplasms (C00–D48), of which the cumulative incidence of death reached 14.2% by 1.5 years. Conclusion: Return-to-work and resignations occurred commonly within 1 year of sick leave among long-term sickness absentees in the Japanese private companies. Our findings may assist occupational physicians and employers in developing effective social protection schemes.https://www.jstage.jst.go.jp/article/jea/32/9/32_JE20200541/_pdfmental disordersneoplasmsretirementreturn to worksickness absence |
| spellingShingle | Chihiro Nishiura Yosuke Inoue Ikuko Kashino Akiko Nanri Motoki Endo Masafumi Eguchi Takeshi Kochi Noritada Kato Makiko Shimizu Teppei Imai Akiko Nishihara Makoto Yamamoto Hiroko Okazaki Kentaro Tomita Toshiaki Miyamoto Shuichiro Yamamoto Tohru Nakagawa Toru Honda Takayuki Ogasawara Naoko Sasaki Ai Hori Isamu Kabe Tetsuya Mizoue Seitaro Dohi Diagnosis-specific Cumulative Incidence of Return-to-work, Resignation, and Death Among Long-term Sick-listed Employees: Findings From the Japan Epidemiology Collaboration on Occupational Health Study Journal of Epidemiology mental disorders neoplasms retirement return to work sickness absence |
| title | Diagnosis-specific Cumulative Incidence of Return-to-work, Resignation, and Death Among Long-term Sick-listed Employees: Findings From the Japan Epidemiology Collaboration on Occupational Health Study |
| title_full | Diagnosis-specific Cumulative Incidence of Return-to-work, Resignation, and Death Among Long-term Sick-listed Employees: Findings From the Japan Epidemiology Collaboration on Occupational Health Study |
| title_fullStr | Diagnosis-specific Cumulative Incidence of Return-to-work, Resignation, and Death Among Long-term Sick-listed Employees: Findings From the Japan Epidemiology Collaboration on Occupational Health Study |
| title_full_unstemmed | Diagnosis-specific Cumulative Incidence of Return-to-work, Resignation, and Death Among Long-term Sick-listed Employees: Findings From the Japan Epidemiology Collaboration on Occupational Health Study |
| title_short | Diagnosis-specific Cumulative Incidence of Return-to-work, Resignation, and Death Among Long-term Sick-listed Employees: Findings From the Japan Epidemiology Collaboration on Occupational Health Study |
| title_sort | diagnosis specific cumulative incidence of return to work resignation and death among long term sick listed employees findings from the japan epidemiology collaboration on occupational health study |
| topic | mental disorders neoplasms retirement return to work sickness absence |
| url | https://www.jstage.jst.go.jp/article/jea/32/9/32_JE20200541/_pdf |
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