TY  - JOUR
PY  - 2017//
TI  - 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
JO  - Journal of epidemiology
A1  - Nishiura, Chihiro
A1  - Nanri, Akiko
A1  - Kashino, Ikuko
A1  - Hori, Ai
A1  - Kinugawa, Chihiro
A1  - Endo, Motoki
A1  - Kato, Noritada
A1  - Tomizawa, Aki
A1  - Uehara, Akihiko
A1  - Yamamoto, Makoto
A1  - Nakagawa, Tohru
A1  - Yamamoto, Shuichiro
A1  - Honda, Toru
A1  - Imai, Teppei
A1  - Okino, Akiko
A1  - Miyamoto, Toshiaki
A1  - Sasaki, Naoko
A1  - Tomita, Kentaro
A1  - Nagahama, Satsue
A1  - Kochi, Takeshi
A1  - Eguchi, Masafumi
A1  - Okazaki, Hiroko
A1  - Murakami, Taizo
A1  - Shimizu, Chii
A1  - Shimizu, Makiko
A1  - Kabe, Isamu
A1  - Mizoue, Tetsuya
A1  - Sone, Tomofumi
A1  - Dohi, Seitaro
SP  - 590
EP  - 595
VL  - 27
IS  - 12
N2  - 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>
LA  - en
SN  - 0917-5040
UR  - http://dx.doi.org/10.1016/j.je.2017.01.003
ID  - ref1
ER  -