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Treatment interruption is a risk factor for sickness presenteeism: A large-scale cross-sectional study during the COVID-19 pandemic.
Okawara, Makoto; Ishimaru, Tomohiro; Tateishi, Seiichiro; Hino, Ayako; Tsuji, Mayumi; Ogami, Akira; Nagata, Tomohisa; Matsuda, Shinya; Fujino, Yoshihisa.
  • Okawara M; Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Kitakyushu, Japan.
  • Ishimaru T; Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Kitakyushu, Japan.
  • Tateishi S; Disaster Occupational Health Center, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Kitakyushu, Japan.
  • Hino A; Department of Mental Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Kitakyushu, Japan.
  • Tsuji M; Department of Environmental Health, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
  • Ogami A; Department of Work Systems and Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Kitakyushu, Japan.
  • Nagata T; Department of Occupational Health Practice and Management, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Kitakyushu, Japan.
  • Matsuda S; Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
  • Fujino Y; Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Kitakyushu, Japan.
J Occup Health ; 64(1): e12313, 2022 Jan.
Article in English | MEDLINE | ID: covidwho-1626927
Preprint
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ABSTRACT

OBJECTIVES:

This study examined the relationship between interruption to routine medical care during the coronavirus disease 2019 pandemic and sickness presenteeism among workers in Japan.

METHODS:

A cross-sectional study using data obtained from an internet monitor questionnaire was conducted. Interruption to medical care was defined based on the response "I have not been able to go to the hospital or receive treatment as scheduled." The fraction of sickness presenteeism days in the past 30 days was employed as the primary outcome. A fractional logit model was used for analysis to treat bounded data.

RESULTS:

Of the 27 036 participants, 17 526 (65%) were workers who did not require routine medical care, 8451 (31%) were using medical care as scheduled, and 1059 (4%) experienced interrupted medical care. The adjusted odds ratio (aOR) of sickness presenteeism was significantly higher among workers who experienced interrupted medical care (3.44; 95% confidence interval [CI] 3.04-3.89) than those who did not require routine medical care. In terms of symptoms, the highest aOR was observed among workers with mental health symptoms (aOR 5.59, 95% CI 5.04-6.20).

CONCLUSIONS:

This study suggests the importance of continuing necessary treatment during a pandemic to prevent presenteeism.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: J Occup Health Journal subject: Occupational Medicine Year: 2022 Document Type: Article Affiliation country: 1348-9585.12313

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: J Occup Health Journal subject: Occupational Medicine Year: 2022 Document Type: Article Affiliation country: 1348-9585.12313