%0 Journal Article
%T Age-, sex-, and diagnosis-specific incidence rate of medically certified long-term sick leave among private sector employees: the Japan Epidemiology Collaboration on Occupational Health (J-ECOH) study
%J Journal of epidemiology
%D 2017
%A Nishiura, Chihiro
%A Nanri, Akiko
%A Kashino, Ikuko
%A Hori, Ai
%A Kinugawa, Chihiro
%A Endo, Motoki
%A Kato, Noritada
%A Tomizawa, Aki
%A Uehara, Akihiko
%A Yamamoto, Makoto
%A Nakagawa, Tohru
%A Yamamoto, Shuichiro
%A Honda, Toru
%A Imai, Teppei
%A Okino, Akiko
%A Miyamoto, Toshiaki
%A Sasaki, Naoko
%A Tomita, Kentaro
%A Nagahama, Satsue
%A Kochi, Takeshi
%A Eguchi, Masafumi
%A Okazaki, Hiroko
%A Murakami, Taizo
%A Shimizu, Chii
%A Shimizu, Makiko
%A Kabe, Isamu
%A Mizoue, Tetsuya
%A Sone, Tomofumi
%A Dohi, Seitaro
%V 27
%N 12
%P 590-595
%X BACKGROUND: Long-term sick-leave is a major public health problem, but data on its incidence in Japan are scarce. We aimed to present reference data for long-term sick-leave among private sector employees in Japan. <br><br>METHODS: The study population comprised employees of 12 companies that participated in the Japan Epidemiology Collaboration on Occupational Health Study. Details on medically certified sick-leave lasting ≥30 days were collected from each company. Age- and sex-specific incidence rate of sick-leave was calculated for the period of April 2012 to March 2014. <br><br>RESULTS: A total of 1422 spells in men and 289 in women occurred during 162,989 and 30,645 person-years of observation, respectively. The three leading causes of sick-leave (percentage of total spells) were mental disorders (52%), neoplasms (12%), and injury (8%) for men; and mental disorders (35%), neoplasms (20%), and pregnancy-related disease (14%) for women. Incidence rate of sick-leave due to mental disorders was relatively high among men in their 20s-40s but tended to decrease with age among women. Incidence rate of sick-leave due to neoplasms started to increase after age 50 in men and after age 40 in women, making neoplasms the leading cause of sick-leave after age 50 for women and after age 60 for men and the second leading cause after age 40 for women and after age 50 for men. Pregnancy-related disease was the second leading cause of sick-leave among women aged 20-39 years. <br><br>CONCLUSIONS: These results suggest that mental disorder, neoplasms, and pregnancy-related disease are the major causes of long-term sick-leave among private sector employees in Japan.<br><br>Copyright © 2017 The Authors. Production and hosting by Elsevier B.V. All rights reserved.<p /> <p>Language: en</p>
%G en
%I Japan Epidemiological Association
%@ 0917-5040
%U http://dx.doi.org/10.1016/j.je.2017.01.003