Veille documentaire MTPH

Médecine du travail du personnel hospitalier

A multifactorial approach to sickness absenteeism among nursing staff

Auteur     Roberta Carolina Ferreira
Auteur     Rosane Härter Griep
Auteur     Maria de Jesus Mendes da Fonseca
Auteur     Lúcia Rotenberg
Résumé     OBJECTIVE To analyze factors associated with self-reported sickness absenteeism among nursing workers. METHODS Cross-sectional study with 1,509 workers from three public hospitals in the city of Rio de Janeiro (Southeastern Brazil) in 2006. Absenteeism was classified in three levels: no day, a few days (1-9 days) and many days (> 10 days), based on the answer to a question of the work ability index questionnaire. The logistic regression analysis considered a conceptual model based on distal (socioeconomic status), intermediate I (occupational characteristics), intermediate II (lifestyle characteristics), and proximal (diseases and health conditions) determinants. RESULTS The frequencies of sickness absenteeism were 20.3% and 16.6% for a few days and many days, respectively. Those who reported more than one job, musculoskeletal diseases and rated their health as poor or regular had higher odds of absenteeism. Compared to nurses, nursing assistants were less likely to mention a few days, and technicians were more likely to have many days of absence. Higher odds of mentioning many days of absence were observed among public servants, compared to contract workers (OR = 3.12; 95%CI 1.86;5.22), and among married (OR = 1.73; 95%CI 1.14;2.63) and separated, divorced and widowed individuals (OR = 2.06, 95%CI 1.27;3.35), compared to singles. CONCLUSIONS Different variables were associated with the two forms of absenteeism, which suggests its multiple and complex determination related to factors from different levels that cannot be exclusively explained by health problems.
Publication     Revista de saúde pública
Volume     46
Numéro     2
Pages     259-268
Date     Apr 2012

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doi:10.1590/S0034-89102012005000018

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