Sickness absence and disability pension before and after first childbirth and in nulliparous women by numerical gender segregation of occupations: A Swedish population-based longitudinal cohort study
Autoři:
Krisztina D. László aff001; Charlotte Björkenstam aff001; Pia Svedberg aff001; Petra Lindfors aff003; Kristina Alexanderson aff001
Působiště autorů:
Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
aff001; Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
aff002; Department of Psychology, Stockholm University, Stockholm, Sweden
aff003
Vyšlo v časopise:
PLoS ONE 14(12)
Kategorie:
Research Article
doi:
https://doi.org/10.1371/journal.pone.0226198
Souhrn
Background
Pregnancy is associated with a temporarily increased sickness absence (SA) risk. This association may vary by the level of occupational gender segregation; however, knowledge in this area is limited. We studied whether trends in SA and disability pension (DP) in the years before and after first childbirth among women with one or more childbirths and with no childbirth during the study period varied by occupational gender segregation.
Methods
We conducted a population-based register study involving nulliparous women aged 18–39 years, living in Sweden in 2002–2004 (n = 364,411). We classified participants in three childbirth groups as: (1) no childbirth in 2005 or in the next 3.75 years, (2) first childbirth in 2005 and no births in the subsequent 3.75 years, and (3) first childbirth in 2005 and at least one additional birth in the subsequent 3.75 years, and into five categories based on the rate of women in their occupations. We compared crude and standardized mean annual net SA and DP days during the three years before and the three years after 2005 across the childbirth and occupational gender segregation categories.
Results
Women in extremely male-dominated occupations had or tended to have somewhat higher mean combined SA and DP days than women in gender-integrated occupations; women in female-dominated occupations had comparable or tended to have slightly higher mean SA and DP days than women in gender-integrated occupations. Except for the year before the first childbirth, women who gave birth, especially those who gave several births, had generally a lower mean combined standardized SA and DP days than nulliparous women. We found no substantial differences in trends in SA and DP around the time of first childbirth according to occupational gender segregation.
Conclusions
Trends in SA and DP around the time of first childbirth did not vary by occupational gender segregation.
Klíčová slova:
Birth – Employment – Child health – Labor and delivery – Pregnancy – Professions – Sexual and gender issues – Sweden
Zdroje
1. The National Social Insurance Board. Social Insurance in Sweden 2004. https://www.forsakringskassan.se/wps/wcm/connect/af2fbe24-98ba-41d4-b054-b0ca24022957/socialforsakringsboken_2004_eng.pdf?MOD=AJPERES2004.
2. Alexanderson K, Sydsjo A, Hensing G, Sydsjo G, Carstensen J. Impact of pregnancy on gender differences in sickness absence. Scand J Soc Med. 1996;24(3):169–76. Epub 1996/09/01. doi: 10.1177/140349489602400308 8878370.
3. Vistnes JP. Gender differences in days lost from work due to illness. Ind Labor Relat Rev. 1997;50(2):304–23. ISI:A1997WB31100007.
4. Angelov N, Johansson P. & Lindahl E. Gender differences in sickness absence and the gender division of family responsibilities. Institute for Evaluation of Labour market and Education Policy. Uppsala; 2013.
5. Björkenstam E, Alexanderson K, Narusyte J, Kjeldgard L, Ropponen A, Svedberg P. Childbirth, hospitalisation and sickness absence: a study of female twins. BMJ Open. 2015;5(1):e006033. doi: 10.1136/bmjopen-2014-006033 25573523; PubMed Central PMCID: PMC4289737.
6. Narusyte J, Björkenstam E, Alexanderson K, Ropponen A, Kjeldgard L, Svedberg P. Occurrence of sickness absence and disability pension in relation to childbirth: A 16-year follow-up study of 6323 Swedish twins. Scand J Public Health. 2016;44(1):98–105. doi: 10.1177/1403494815610051 26459495.
7. Marshall RE, Telle K. Sick leave before, during and after pregnancy: Statistics Norway; 2012.
8. Dorheim SK, Bjorvatn B, Eberhard-Gran M. Sick leave during pregnancy: a longitudinal study of rates and risk factors in a Norwegian population. BJOG: an international journal of obstetrics and gynaecology. 2013;120(5):521–30. Epub 2012/11/08. doi: 10.1111/1471-0528.12035 23130975.
9. Kristensen P, Nordhagen R, Wergeland E, Bjerkedal T. Job adjustment and absence from work in mid-pregnancy in the Norwegian Mother and Child Cohort Study (MoBa). Occupational and environmental medicine. 2008;65(8):560–6. Epub 2007/12/19. doi: 10.1136/oem.2007.035626 18086697.
10. Truong BT, Lupattelli A, Kristensen P, Nordeng H. Sick leave and medication use in pregnancy: a European web-based study. BMJ open. 2017;7(8):e014934. Epub 2017/08/05. doi: 10.1136/bmjopen-2016-014934 28775180; PubMed Central PMCID: PMC5724093.
11. Bjorkenstam C, Orellana C, Laszlo KD, Svedberg P, Voss M, Lidwall U, et al. Sickness absence and disability pension before and after first childbirth and in nulliparous women: longitudinal analyses of three cohorts in Sweden. BMJ Open. 2019;9(9):e031593. Epub 2019/09/11. doi: 10.1136/bmjopen-2019-031593 31501131; PubMed Central PMCID: PMC6738681.
12. Larsson C, Sydsjo A, Alexanderson K, Sydsjo G. Obstetricians' attitudes and opinions on sickness absence and benefits during pregnancy. Acta obstetricia et gynecologica Scandinavica. 2006;85(2):165–70. Epub 2006/03/15. doi: 10.1080/00016340500430345 16532909.
13. Sydsjo G, Sydsjo A. No association found between sickness absence and duration of pregnancy benefit. Scand J Prim Health Care. 2005;23(3):178–83. Epub 2005/09/16. doi: 10.1080/02813430500197670 16162471.
14. Melsom AM. Long-term sickness absence during pregnancy and the gender balance of workplaces. Scand J Public Health. 2014;42(7):627–34. Epub 2014/07/12. doi: 10.1177/1403494814541596 25013213.
15. Mastekaasa A. Sickness absence in female- and male-dominated occupations and workplaces. Soc Sci Med. 2005;60(10):2261–72. Epub 2005/03/08. doi: 10.1016/j.socscimed.2004.10.003 15748674.
16. Hensing G, Alexanderson K. The association between sex segregation, working conditions, and sickness absence among employed women. Occupational and environmental medicine. 2004;61(2):e7. Epub 2004/01/24. doi: 10.1136/oem.2002.005504 14739391; PubMed Central PMCID: PMC1740719.
17. Leijon M, Hensing G, Alexanderson K. Sickness absence due to musculoskeletal diagnoses: association with occupational gender segregation. Scand J Public Health. 2004;32(2):94–101. Epub 2004/07/17. doi: 10.1080/14034940310006195 15255498.
18. Bryngelson A, Bacchus Hertzman J, Fritzell J. The relationship between gender segregation in the workplace and long-term sickness absence in Sweden. Scand J Public Health. 2011;39(6):618–26. Epub 2011/07/08. doi: 10.1177/1403494811414242 21733963.
19. Alexanderson K, Hensing G, Carstensen J, Bjurulf P. Pregnancy-related sickness absence among employed women in a Swedish county. Scandinavian journal of work, environment & health. 1995;21(3):191–8. Epub 1995/06/01. doi: 10.5271/sjweh.27 7481606.
20. Alexanderson K, Leijon M, Akerlind I, Rydh H, Bjurulf P. Epidemiology of sickness absence in a Swedish county in 1985, 1986 and 1987. A three year longitudinal study with focus on gender, age and occupation. Scand J Soc Med. 1994;22(1):27–34. Epub 1994/03/01. doi: 10.1177/140349489402200105 8029663.
21. Gonas L, Wikman A, Vaez M, Alexanderson K, Gustafsson K. Gender segregation of occupations and sustainable employment: A prospective population-based cohort study. Scand J Public Health. 2019;47(3):348–56. Epub 2018/07/06. doi: 10.1177/1403494818785255 29974817.
22. Gonas L, Wikman A, Alexanderson K, Gustafsson K. Age, period, and cohort effects for future employment, sickness absence, and disability pension by occupational gender segregation: a population-based study of all employed people in a country (> 3 million). Canadian journal of public health = Revue canadienne de sante publique. 2019. Epub 2019/05/16. doi: 10.17269/s41997-019-00216-1 31089982.
23. Kanter RM. Men and women of the corporation. New York: Basic Books; 1977.
24. Nicholson N, Johns G. The absence culture and the psychological contract–who’s in control of absence? Academy of Management Review 1985;10:397–407.
25. Duley L. Pre-eclampsia and the hypertensive disorders of pregnancy. British medical bulletin. 2003;67:161–76. Epub 2004/01/09. doi: 10.1093/bmb/ldg005 14711762.
26. Kaaja R, Ronnemaa T. Gestational diabetes: pathogenesis and consequences to mother and offspring. The review of diabetic studies: RDS. 2008;5(4):194–202. Epub 2009/03/19. doi: 10.1900/RDS.2008.5.194 19290380; PubMed Central PMCID: PMC2664679.
27. Kjerulff LE, Sanchez-Ramos L, Duffy D. Pregnancy outcomes in women with polycystic ovary syndrome: a metaanalysis. American journal of obstetrics and gynecology. 2011;204(6):558.e1-6. Epub 2011/07/15. doi: 10.1016/j.ajog.2011.03.021 21752757.
28. Grote NK, Bridge JA, Gavin AR, Melville JL, Iyengar S, Katon WJ. A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine growth restriction. Archives of general psychiatry. 2010;67(10):1012–24. Epub 2010/10/06. doi: 10.1001/archgenpsychiatry.2010.111 20921117; PubMed Central PMCID: PMC3025772.
29. Petersen CB, Mortensen LH, Morgen CS, Madsen M, Schnor O, Arntzen A, et al. Socio-economic inequality in preterm birth: a comparative study of the Nordic countries from 1981 to 2000. Paediatric and perinatal epidemiology. 2009;23(1):66–75. Epub 2009/02/21. doi: 10.1111/j.1365-3016.2008.00977.x 19228316.
30. Ludvigsson JF, Almqvist C, Bonamy AK, Ljung R, Michaelsson K, Neovius M, et al. Registers of the Swedish total population and their use in medical research. Eur J Epidemiol. 2016;31(2):125–36. Epub 2016/01/16. doi: 10.1007/s10654-016-0117-y 26769609.
31. The National Board of Health and Welfare. The Swedish Medical Birth Register- A summary of content and quality. The National Board of Health and Welfare: The Centre for Epidemiology; 2003.
32. Ludvigsson JF, Andersson E, Ekbom A, Feychting M, Kim JL, Reuterwall C, et al. External review and validation of the Swedish national inpatient register. BMC Public Health. 2011;11:450. Epub 2011/06/11. doi: 10.1186/1471-2458-11-450 21658213; PubMed Central PMCID: PMC3142234.
33. MiDAS Sjukpenning och rehabiliteringspenning [The MiDAS register. Sickness absence benefits] [in Swedish]. The Swedish Social Insurance Agency; 2011.
34. Social Insurance in Figures 2016: The Swedish Social Insurance Agency; 2016.
35. Introduction SSYK 2012. Statistics Sweden; 2012. www.scb.se.
36. Rikets indelningar: Arsbok over regionala indelningar med koder, postadresser, telefonnummer m m. 2003 [Country classifications: Yearbook of regional classifications with codes, postal addresses, phone numbers, etc. 2003] Stockholm; 2003.
37. Bratberg E, Dahl S-A, RA E. "The double burden”: do combinations of career and family obligations increase sickness absence among women? Eur Sociol Rev. 2002;18:233–49.
38. Mastekaasa A. Parenthood, gender and sickness absence. Soc Sci Med. 2000;50(12):1827–42. Epub 2000/05/08. doi: 10.1016/s0277-9536(99)00420-7 10798335.
39. Björkenstam E, Narusyte J, Alexanderson K, Ropponen A, Kjeldgard L, Svedberg P. Associations between childbirth, hospitalization and disability pension: a cohort study of female twins. PLoS One. 2014;9(7):e101566. doi: 10.1371/journal.pone.0101566 24999632; PubMed Central PMCID: PMC4084814.
40. Strand K, Wergeland E, Bjerkedal T. Job adjustment as a means to reduce sickness absence during pregnancy. Scandinavian journal of work, environment & health. 1997;23(5):378–84. Epub 1997/12/24. doi: 10.5271/sjweh.235 9403469.
41. Andersen LL, Clausen T, Persson R, Holtermann A. Dose-response relation between perceived physical exertion during healthcare work and risk of long-term sickness absence. Scandinavian journal of work, environment & health. 2012;38(6):582–9. Epub 2012/06/21. doi: 10.5271/sjweh.3310 22714069.
42. Hensing G, Alexanderson K, Allebeck P, Bjurulf P. How to measure sickness absence? Literature review and suggestion of five basic measures. Scand J Soc Med. 1998;26(2):133–44. Epub 1998/07/11. doi: 10.1177/14034948980260020201 9658514.
43. Nermo M. Models of cross-national variation in occupational sex segregation Am J Sociol 1995;100:931–71.
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