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The joint associations of smoking and obesity with subsequent short and long sickness absence: a five year follow-up study with register-linkage
- Source :
- BMC Public Health, Vol 17, Iss 1, Pp 1-7 (2017), BMC Public Health
- Publication Year :
- 2017
- Publisher :
- BMC, 2017.
-
Abstract
- Background: Both smoking and obesity are separately associated with sickness absence. Unhealthy lifestyle habits and health conditions may occur concurrently yet studies focusing on their joint association are few. This study examined the joint associations of smoking and obesity with sickness absence (SA). Methods: A mail survey among employees of the City of Helsinki, Finland, during 2000-2002 included data on obesity, smoking and covariates (N = 8960, response rate 67%, 80% women). These data were prospectively linked with register data on self-(1-3 days) and medically certified (4 days or longer) SA among those consenting to the linkage (n = 6986). Pregnant, underweight and those with missing data on key variables were excluded (n = 138). The total number of participants included in the analyses was 6847. The follow-up time was 5 years. Poisson regression was used to calculate rate ratios (RR). Results: Among women and men smoking and obesity were associated with self-certified SA. Among women there was a joint association with self-certified SA (obese smokers RR 1.81, 95% CI 1.59-2.07). Among women and men smoking and obesity were jointly associated with medically certified SA (for obese smoking women RR 2.23, 95% CI 1.93-2.57, for obese smoking men RR 2.69, 95% CI 2.03-3.55). Associations remained after adjustments for socioeconomic position, working conditions, health behaviours and self-rated health. Conclusion: Both smoking and obesity are jointly associated with all lengths of sickness absence. Support measures for smoking cessation and prevention of obesity could likely to reduce SA.
- Subjects :
- Male
Epidemiology
medicine.medical_treatment
Overweight
0302 clinical medicine
SELF-RATED HEALTH
Absenteeism
030212 general & internal medicine
Registries
PREDICTORS
Prospective cohort study
Middle aged
Finland
Self-rated health
RISK
Mid-life
lcsh:Public aspects of medicine
Smoking
Cohort
030210 environmental & occupational health
3142 Public health care science, environmental and occupational health
3. Good health
Life-style
Work disability
EMPLOYEES
Female
Underweight
medicine.symptom
Sick Leave
Research Article
Adult
medicine.medical_specialty
BEHAVIORS
03 medical and health sciences
medicine
Humans
Obesity
OVERWEIGHT
business.industry
Public Health, Environmental and Occupational Health
lcsh:RA1-1270
medicine.disease
Health Surveys
WORKING-CONDITIONS
PROSPECTIVE COHORT
3121 General medicine, internal medicine and other clinical medicine
Smoking cessation
WEIGHT
business
OCCUPATIONAL CLASS
Demography
Follow-Up Studies
Subjects
Details
- Language :
- English
- ISSN :
- 14712458
- Volume :
- 17
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMC Public Health
- Accession number :
- edsair.doi.dedup.....d7bd0feef311e6c65a267bdfe4082884