Résumé :
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[BDSP. Notice produite par INIST qR0xT3Is. Diffusion soumise à autorisation]. Objective-To investigate the effect of the workplace on the socioeconomic gradient of sickness absence. Design-Comparison of the relation between socioeconomic status and employee sickness absence in three different towns. Settings-The towns of Raisio, Valkeakoski, and Nokia in Finland. They are equal in size and regional social deprivation indices, located in the neighbourhood of a larger city, and produce the same services to the inhabitants. Subjects-All permanent local government employees from Raisio (n=887), Valkeakoski (n=972), and Nokia (n=934) on the employer's registers during 1991 to 1993. Main outcome measures-Rates of short (1-3 days) and long (>3 days) spells of sickness absence, irrespective of cause, and separately for infection, musculoskeletal disorder, and trauma. Results-In blue collar male and female workers, compared with the same sex higher grade white collar workers, the age adjusted numbers of long sick leaves were 4.9 (95% CI 4.2,5.8) and 2.8 (2.6,3.1) times higher, respectively. The risk varied significantly between the towns, in men in relation to long sick leaves irrespective of cause and resulting from musculoskeletal disorders, and in women in relation to long leaves resulting from infection. The numbers of long sick leaves were 3.9 (95% CI 2.8,5.4) times higher in blue collar male workers than in higher grade white collar male workers in Raisio, 4.9 (95% CI 3.8,6.3) times higher in Valkeakoski, and 5.8 (95% CI 4.5,7. (...)
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