The association of patient's family, leisure time, and work situation with sickness certification in primary care in Sweden
2010 (English)In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 28, no 2, 76-81 p.Article in journal (Refereed) Published
Objective: To investigate associations between patients’ family, leisure time and work related factors and physicians' measure whether or not to sickness certify the patient in connection with the consultation. Design: Questionnaire survey to physicians in general practice and their patients. Setting: General practitioners (GPs) and their patients in Örebro county, Sweden. Subjects: 474 patient-physician consultations from 65 physicians with up to ten patients each. Main outcome measure: Whether or not a sickness certificate was issued. Results: Among work related factors, high ‘authority over decisions’ and high "social support" correlated with 30% or more reduced sickness certification probability. Worrying about becoming ill or being injured from work correlates to almost doubled sickness certification risk. Among family and leisure time variables, only living with a common law partner and having no children correlated to increased sickness certification risk. In addition to analyses of the whole group (all diagnoses), the two largest diagnostic subgroups, infectious diseases and musculoskeletal diseases, were examined. For the infectious diseases subgroup, high demands in work correlated to increased sickness certification risk, while in the musculoskeletal diseases subgroup, worry about work related injury or illness was the main factor correlating to increased risk for sickness certification. Conclusions: Work related factors were the most important factors related to sickness certification in this study. Determinants for sickness certification risk differed between diagnostic subgroups.
Place, publisher, year, edition, pages
2010. Vol. 28, no 2, 76-81 p.
Family medicine, sick leave, work capacity, work strain, work demands, authority over decisions, social support
Research subject Family Medicine
IdentifiersURN: urn:nbn:se:uu:diva-120555DOI: 10.3109/02813431003765265ISI: 000279026600003PubMedID: 20429740OAI: oai:DiVA.org:uu-120555DiVA: diva2:303567