It is known that increased morbidity with temporary incapacity for work (MTIW) is related to stress level and psychosocial factors at work. Practices for stress management, conflict avoidance and optimization of working conditions are known to reduce MTIW level. The aim of the present study was to analyze MTIW and propose measures to optimize and reduce strain at work. The study covered MTIW in labour inspectors, a total of 334 people, men and women aged from 24 to 69. The evaluation was based on 11 of the generally accepted indices. MTIW structure was analyzed. MTIW was rated as high according to case frequency and as very high according to day frequency. The average duration of a TI case was 12.63, and the relative share of people who were frequently taken ill for a long period was 12.81. In the ITI structure, diseases of the respiratory system (42.0%) ranked first, followed by diseases of the nervous system (18.8%), the digestive system (9.9%), CVS (8.3%) and MSS (7.2%). These 5 groups of diseases covered 86.2% of all diagnoses. The remaining 7 groups of diseases covered less than 14% of the diagnoses. The group of people most frequently taken ill for long periods included 28 inspectors who had used 42.5% of the total number of days. Two inspectors with 140 days of absence from work were cases of TI resulting from severe stress and adaptation disorder. Measures were proposed regarding the reduction of strain at work and the risk of stress.
1. Borritz M, Rugulies R, Bjorner JB, Villadsen E, Villadsen E, Mikkelsen OA, Kristensen TS. Burnout among employees in human service work: Design and baseline findings of the PUMA study. Scand J Public Health. 2006;34(1):49-58.
2. Otsuka Y, Takahashi M, Nakata A, Haratani T, Kaida K, Fukasawa K, et al. Sickness absence in relation to psychosocial work factors among daytime workers in an electric equipment manufacturing company. Industrial Health. 2007;45(2):224-31.
3. Roelen CA, Weites SH, Koopmans PC, van der Klink JJ, Groothoff JW. Sickness absence and psychosocial work conditions: a multilevel study. Occup Med (Lond). 2008;58(6):425-30.
4. Zoni S, Albini E, Benedetti L, Parrinello G, Lucchini R. [Application of an integrated method for risk assessment of related work-stress in health care]. G Ital Med Lav Ergon. 2009;31(2):217-20. Italian.
5. Hallsten L, Voss M, Stark S, Josephson M. Job burnout and job wornout as risk factors for long-term sickness absence. Work. 2011;38(2):181-92.
6. Head J, Kivimaki M, Martikainen P, Vahtera J, Ferrie JE, Marmot MG. Influence of change in psychosocial work characteristics on sickness absence: The Whitehall II Study. J Epidemiol Community Health. 2006;60(1):55-61.
7. Lund T, Labriola M, Christensen KB, Bultmann U, Villadsen E, Burr H. Psychosocial work environment exposures as risk factors for long-term sickness absence among Danish employees: results from DWECS/DREAM. J Occup Environ Med. 2005 Nov;47(11):1141-7.
8. Tsacheva N. [Uniform methodology for analysis of health status of insured workers]. Sofia: ET “BM-OFSET”; 2001. P. 56. Bulgarian.
9. Hensing G, Alexanderson K. The association between sex segregation, working conditions, and sickness absence among employed women. Occup Environ Med. 2004;61(2):e7.
10. Latocca R, Fornari C, Madotto F, Cesana GC. [Results of Regional Project ‘Work related Stress’ 2004-2006]. G Ital Med Lav Ergon. 2009;31(2):212-6. Italian.