Overtime Work and the Incidence of Long-term Sickness Absence Due to Mental Disorders: A Prospective Cohort Study

Background: Although previous research has focused on the association between long working hours and several mental health outcomes, little is known about the association in relation to mental health-related sickness absence, which is a measure of productive loss. We aimed to investigate the associa...

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Main Authors: Yosuke Inoue, Shuichiro Yamamoto, Andrew Stickley, Keisuke Kuwahara, Toshiaki Miyamoto, Tohru Nakagawa, Toru Honda, Teppei Imai, Akiko Nishihara, Isamu Kabe, Tetsuya Mizoue, Seitaro Dohi
Format: Article
Language:English
Published: Japan Epidemiological Association 2022-06-01
Series:Journal of Epidemiology
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Online Access:https://www.jstage.jst.go.jp/article/jea/32/6/32_JE20200382/_pdf
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author Yosuke Inoue
Shuichiro Yamamoto
Andrew Stickley
Keisuke Kuwahara
Toshiaki Miyamoto
Tohru Nakagawa
Toru Honda
Teppei Imai
Akiko Nishihara
Isamu Kabe
Tetsuya Mizoue
Seitaro Dohi
author_facet Yosuke Inoue
Shuichiro Yamamoto
Andrew Stickley
Keisuke Kuwahara
Toshiaki Miyamoto
Tohru Nakagawa
Toru Honda
Teppei Imai
Akiko Nishihara
Isamu Kabe
Tetsuya Mizoue
Seitaro Dohi
author_sort Yosuke Inoue
collection DOAJ
description Background: Although previous research has focused on the association between long working hours and several mental health outcomes, little is known about the association in relation to mental health-related sickness absence, which is a measure of productive loss. We aimed to investigate the association between overtime work and the incidence of long-term sickness absence (LTSA) due to mental disorders. Methods: Data came from the Japan Epidemiology Collaboration on Occupational Health Study (J-ECOH). A total of 47,422 subjects were followed-up in the period between April 2012 and March 2017. Information on LTSA was obtained via a study-specific registry. Baseline information was obtained at an annual health checkup in 2011; overtime working hours were categorized into <45; 45–79; 80–99; and ≥100 hours/month. Results: During a total follow-up period of 211,443 person-years, 536 people took LTSA due to mental disorders. A Cox proportional hazards model showed that compared to those with less than 45 hours/month of overtime work, those with 45–79 hours/month were at a lower risk of LTSA due to mental health problems (hazard ratio [HR] 0.63; 95% confidence interval [CI], 0.56–0.71) while those with overtime work of ≥100 hours/month had a 2.11 (95% CI, 1.12–3.98) times higher risk of LTSA due to mental health problems. Conclusion: Engaging in excessive overtime work was linked with a higher risk of LTSA due to mental health problems while the lower risk observed among individuals working 45–79 hours/month of overtime work might have been due to a healthy worker effect.
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spelling doaj.art-8995121b6739437486f3ba63f8582a542022-12-22T00:32:58ZengJapan Epidemiological AssociationJournal of Epidemiology0917-50401349-90922022-06-0132628328910.2188/jea.JE20200382Overtime Work and the Incidence of Long-term Sickness Absence Due to Mental Disorders: A Prospective Cohort StudyYosuke Inoue0Shuichiro Yamamoto1Andrew Stickley2Keisuke Kuwahara3Toshiaki Miyamoto4Tohru Nakagawa5Toru Honda6Teppei Imai7Akiko Nishihara8Isamu Kabe9Tetsuya Mizoue10Seitaro Dohi11National Center for Global Health and Medicine, Tokyo, JapanHitachi, Ltd., Ibaraki, JapanDepartment of Preventive Intervention for Psychiatric Disorders, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, JapanNational Center for Global Health and Medicine, Tokyo, JapanNIPPON STEEL CORPORATION, East Nippon Works, Chiba, JapanHitachi, Ltd., Ibaraki, JapanHitachi, Ltd., Ibaraki, JapanOH Support, Kanagawa, JapanAzbil Corporation, Tokyo, JapanKUBOTA Corporation, Tokyo, JapanNational Center for Global Health and Medicine, Tokyo, JapanMitsui Chemicals, Inc., Tokyo, JapanBackground: Although previous research has focused on the association between long working hours and several mental health outcomes, little is known about the association in relation to mental health-related sickness absence, which is a measure of productive loss. We aimed to investigate the association between overtime work and the incidence of long-term sickness absence (LTSA) due to mental disorders. Methods: Data came from the Japan Epidemiology Collaboration on Occupational Health Study (J-ECOH). A total of 47,422 subjects were followed-up in the period between April 2012 and March 2017. Information on LTSA was obtained via a study-specific registry. Baseline information was obtained at an annual health checkup in 2011; overtime working hours were categorized into <45; 45–79; 80–99; and ≥100 hours/month. Results: During a total follow-up period of 211,443 person-years, 536 people took LTSA due to mental disorders. A Cox proportional hazards model showed that compared to those with less than 45 hours/month of overtime work, those with 45–79 hours/month were at a lower risk of LTSA due to mental health problems (hazard ratio [HR] 0.63; 95% confidence interval [CI], 0.56–0.71) while those with overtime work of ≥100 hours/month had a 2.11 (95% CI, 1.12–3.98) times higher risk of LTSA due to mental health problems. Conclusion: Engaging in excessive overtime work was linked with a higher risk of LTSA due to mental health problems while the lower risk observed among individuals working 45–79 hours/month of overtime work might have been due to a healthy worker effect.https://www.jstage.jst.go.jp/article/jea/32/6/32_JE20200382/_pdfworkplaceoccupational healthhealthy workers effectprospective studiesasia
spellingShingle Yosuke Inoue
Shuichiro Yamamoto
Andrew Stickley
Keisuke Kuwahara
Toshiaki Miyamoto
Tohru Nakagawa
Toru Honda
Teppei Imai
Akiko Nishihara
Isamu Kabe
Tetsuya Mizoue
Seitaro Dohi
Overtime Work and the Incidence of Long-term Sickness Absence Due to Mental Disorders: A Prospective Cohort Study
Journal of Epidemiology
workplace
occupational health
healthy workers effect
prospective studies
asia
title Overtime Work and the Incidence of Long-term Sickness Absence Due to Mental Disorders: A Prospective Cohort Study
title_full Overtime Work and the Incidence of Long-term Sickness Absence Due to Mental Disorders: A Prospective Cohort Study
title_fullStr Overtime Work and the Incidence of Long-term Sickness Absence Due to Mental Disorders: A Prospective Cohort Study
title_full_unstemmed Overtime Work and the Incidence of Long-term Sickness Absence Due to Mental Disorders: A Prospective Cohort Study
title_short Overtime Work and the Incidence of Long-term Sickness Absence Due to Mental Disorders: A Prospective Cohort Study
title_sort overtime work and the incidence of long term sickness absence due to mental disorders a prospective cohort study
topic workplace
occupational health
healthy workers effect
prospective studies
asia
url https://www.jstage.jst.go.jp/article/jea/32/6/32_JE20200382/_pdf
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