Predicting return to work in workers with all-cause sickness absence greater than 4 weeks: A prospective cohort study

Abstract

Introduction: Long-term sickness absence is a major public health and economic problem. Evidence is lacking for factors that are associated with return to work (RTW) in sick-listed workers. The aim of this study is to examine factors associated with the duration until full RTW in workers sick-listed due to any cause for at least 4 weeks. Methods: In this cohort study, health-related, personal and job-related factors were measured at entry into the study. Workers were followed until 1 year after the start of sickness absence to determine the duration until full RTW. Cox proportional hazards regression analyses were used to calculate hazard ratios (HR). Results: Data were collected from N = 730 workers. During the first year after the start of sickness absence, 71% of the workers had full RTW, 9.1% was censored because they resigned, and 19.9% did not have full RTW. High physical job demands (HR.562, CI.348-.908), contact with medical specialists (HR.691, CI.560-.854), high physical symptoms (HR.744, CI.583-.950), moderate to severe depressive symptoms (HR.748, CI.569-.984) and older age (HR.776, CI.628-.958) were associated with a longer duration until RTW in sick-listed workers. Conclusions: Sick-listed workers with older age, moderate to severe depressive symptoms, high physical symptoms, high physical job demands and contact with medical specialists are at increased risk for a longer duration of sickness absence. OPs need to be aware of these factors to identify workers who will most likely benefit from an early intervention. © The Author(s) 2011.