Claus D. Hansen

Sick at work—a risk factor for long-term sickness absence at a later date?

Background: Little is known about the long-term consequences of sickness presence (ie, going to work despite ill-health), although one study suggests an association with coronary heart disease. This study examined the effect of sickness presence on future long-term sickness absence. Methods: Information from a random sample of 11 838 members of the Danish core workforce was collected from questionnaires, containing questions about work, family and attitudes towards sickness absence. Information on prospective sickness absence spells of at least 2 weeks was derived from an official register during a follow-up period of 1.5 years. Results: Sickness presence is associated with long-term sickness absence of at least 2 weeks’ duration as well as with spells lasting at least 2 months. Participants who had gone to work ill more than six times in the year prior to baseline had a 74% higher risk of becoming sick-listed for more than 2 months, even when controlling for a wide range of potential confounders as well as baseline health status and previous long-term sickness absence. The association was consistent for most subgroups of employees reporting various symptoms, but either disappeared or became insignificant when analysing subgroups of employees with specific chronic diseases. Conclusions: Going to work ill repeatedly is associated with long-term sickness absence at a later date. For this reason, researchers and policy-makers should consider this phenomenon more carefully when planning future studies of sickness absence or when laying out new policies.

Physical and psychosocial work environment factors and their association with health outcomes in Danish ambulance personnel – a cross-sectional study

BackgroundReviews of the literature on the health and work environment of ambulance personnel have indicated an increased risk of work-related health problems in this occupation. The aim of this study was to compare health status and exposure to different work environmental factors among ambulance personnel and the core work force in Denmark. In addition, to examine the association between physical and psychosocial work environment factors and different measures of health among ambulance personnel.MethodsData were taken from a nationwide sample of ambulance personnel and fire fighters (n = 1,691) and was compared to reference samples of the Danish work force. The questionnaire contained measures of physical and psychosocial work environment as well as measures of musculoskeletal pain, mental health, self-rated health and sleep quality.ResultsAmbulance personnel have half the prevalence of poor self-rated health compared to the core work force (5% vs. 10%). Levels of mental health were the same across the two samples whereas a substantially higher proportion of the ambulance personnel reported musculoskeletal pain (42% vs. 29%). The ambulance personnel had higher levels of emotional demands and meaningfulness of and commitment to work, and substantially lower levels of quantitative demands and influence at work. Only one out of ten aspects of physical work environment was consistently associated with higher levels of musculoskeletal pain. Emotional demands was the only psychosocial work factor that was associated with both poorer mental health and worse sleep quality.ConclusionsAmbulance personnel have similar levels of mental health but substantially higher levels of musculoskeletal pain than the work force in general. They are more exposed to emotional demands and these demands are associated with higher levels of poor mental health and poor sleep quality. To improve work environment, attention should be paid to musculoskeletal problems and the presence of positive organizational support mechanisms that can prevent negative effects from the high levels of emotional demands.

Individual social capital and survival: a population study with 5-year follow-up.

BackgroundThe concept of social capital has received increasing attention as a determinant of population survival, but its significance is uncertain. We examined the importance of social capital on survival in a population study while focusing on gender differences.MethodsWe used data from a Danish regional health survey with a five-year follow-up period, 2007–2012 (n = 9288, 53.5% men, 46.5% women). We investigated the association between social capital and all-cause mortality, performing separate analyses on a composite measure as well as four specific dimensions of social capital while controlling for covariates. Analyses were performed with Cox proportional hazard models by which hazard ratios and 95% confidence intervals were calculated.ResultsFor women, higher levels of social capital were associated with lower all-cause mortality regardless of age, socioeconomic status, health, and health behaviour (HR = 0.586, 95% CI = 0.421-0.816) while no such association was found for men (HR = 0.949, 95% CI = 0.816-1.104). Analysing the specific dimensions of social capital, higher levels of trust and social network were significantly associated with lower all-cause mortality in women (HR = 0.827, 95% CI = 0.750-0.913 and HR = 0.832, 95% CI = 0.729-0.949, respectively). For men, strong social networks were associated with a higher risk of all-cause mortality (HR = 1.132, 95% CI = 1.017-1.260). Civic engagement had a similar effect for both men (HR = 0.848, 95% CI = 0.722-0.997) and women (HR = 0.848, 95% CI = 0.630-1.140).ConclusionsWe found differential effects of social capital in men compared to women. The predictive effects on all-cause mortality of four specific dimensions of social capital varied. Gender stratified analysis and the use of multiple indicators to measure social capital are thus warranted in future research.

Bullied at school, bullied at work: a prospective study

BackgroundThe consequences of childhood bullying victimisation are serious. Much previous research on risk factors for being bullied has used a cross-sectional design, impeding the possibility to draw conclusions on causality, and has not considered simultaneous effects of multiple risk factors. Paying closer attention to multiple risk factors for being bullying can provide a basis for designing intervention programmes to prevent or reduce bullying among children and adolescents.MethodsRisk factors for bullying were examined by using questionnaire data collected in 2004 and 2007. In 2004, the participants were aged 14–15 years and 17–18 years in 2007. The baseline questionnaire was answered by 3054 individuals in 2004, and 2181 individuals participated in both rounds. We analysed risk factors for being bullied at the individual and societal level. Information on the social background of the participants was derived from a national register at Statistics Denmark.ResultsSeveral risk factors were identified. Being obese, low self-assessed position in school class, overprotective parents, low self-esteem, low sense of coherence and low socioeconomic status were risk factors for being bullied at school. Being overweight, smoking, low self-assessed position in class, low sense of coherence and low socioeconomic status were risk factors for being bullied at work. However, most associations between risk factors in 2004 and being bullied in 2007 disappeared after adjustment for being bullied in 2004.ConclusionsThe strongest risk factor for being bullied was being previously bullied. Our results stress the importance of early prevention of bullying at schools. In addition, attention should be drawn to the role of overprotective parents.

Masculinity Ideals in a Contemporary Danish Context

What are the prevailing masculinity ideals among contemporary Danish men? As one of the Nordic welfare states, Denmark has for decades focused on gender equality and changes in the gendered division of labour. Research has suggested a shift in masculinity ideals, but processes of change comprise not only changes but also continuities, as well as ambivalences and contradictions. This article investigates how normative masculinity ideals—the most accepted ways of being a man in a certain context—are expressed and negotiated by contemporary Danish men, and how these ideals are related to overall discourses of gender. The article is based on a mixed methods design, consisting of: (1) a quantitative survey among lower-educated men in two male-dominated occupations, and (2) a qualitative, explorative analysis of data from five focus group interviews with both lower- and higher-educated men. The two occupations in the survey constitute a critical case, based on the argument that if traditional masculinity ideals are rejected here—among lower-educated men, who are likely to be more supportive of traditional gender ideals than the more highly educated—then Danish men in general are likely to reject traditional masculinity ideals. Both the quantitative and qualitative analyses indicate that traditional patriarchal masculinity ideals are not the most legitimate among the men. They seem to subscribe to more gender equality friendly masculinities, although this picture is not clear-cut as we also see negotiations and variations between the men. Thus, the article concludes that in a Danish context we can identify authoritative masculinity ideals that do not reproduce patriarchy or support traditional masculinity ideals in an unambiguous way.

Socio-economic differences in use of prescribed and over-the-counter medicine for pain and psychological problems among Danish adolescents—a longitudinal study

The objective for this study was to investigate socio-economic status (SES) differentials in the use of over-the-counter and prescribed medicine for pain and psychological problems among adolescents. Data consisted of questionnaire data on medicine use and health status, collected from 17- to 18-year-old adolescents (n = 2,400) during second round of the West Jutland cohort study 2007, and register data on prescribed medicine use, parental educational level and household income. We used multiple logistic regression analysis to calculate odd ratios for self-reported and register-based use of medicine for pain and psychological problems according to parental educational level and household income. Young girls used twice as much medicine for pain and psychological problems compared to young boys. SES differences based on parental educational level were directly associated with the use of prescribed medicine for psychological problems, and SES differences based on household income were directly associated with overall medicine use and use of over-the-counter medicine. Some of the SES differentials disappeared or decreased after adjusting for health status. There were no SES differentials in the use of prescribed medicine for pain. Conclusion: The risk of use of prescribed medicine for psychological problems increased in adolescents with decreasing parental education, while the risk of overall medicine use and use of over-the-counter medicine was increased in adolescents from low household income. Furthermore, the results indicate that some of the SES differentials in medicine use could be explained by a difference in health status across SES.

Is it masculine to turn up ill at work?: A study on the association between traditional male role norms and sickness presenteeism amongst Danish ambulance workers

Community-academic partnership through a community-based participatory research process as knowledge production and action for a healthy and sustainable neighborhood

Do traditional male role norms modify the association between high emotional demands in work, and sickness absence?

Objectives Ambulance workers are exposed to high levels of emotional demands, which could affect sickness absence. Being a male dominated occupation, it is hypothesised that ambulance workers adhere to more traditional male role norms than men in other occupations. The aim is to investigate if adherence to traditional male role norms modifies the effect of emotional demands on sickness absence/presenteeism. Methods Data derive from MARS (Men, accidents, risk and safety), a two-wave panel study of ambulance workers and fire fighters in Denmark (n = 2585). Information was collected from questionnaires measuring emotional demands using COPSOQ and the Male Role Norms Inventory (MRNI). The primary outcomes, self-reported absenteeism and presenteeism and mental health (SF-12) are analysed using Linear and Poisson regressions. Results Emotional demands were associated with higher levels of sickness absenteeism and presenteeism, and poor mental health (p<0.01 in all cases). Subgroup analyses showed no differences in the effect of emotional demands on sickness absence, whereas the subgroup with low MRNI-score showed relatively stronger associations between emotional demands and presenteeism. Additional analysis showed that participants with high MRNI-score were more affected by emotional demands in terms of their mental health than participants with lower MRNI-score. Conclusions The study confirms the association between emotional demands and absenteeism, and furthermore showed that the effect of emotional demands on mental health varies according to adherence to traditional male role norms. The presentation will furthermore include results from prospective analyses on not-yet collected follow-up data on absenteeism taken from a national register.

Is it masculine to turn up ill at work

Community-academic partnership through a community-based participatory research process as knowledge production and action for a healthy and sustainable neighborhood

Book Review: After Adorno: Rethinking Music Sociology

ubiquitous algorithmic pulse. According to Wolfram, minute iterations (‘cellular automata’) pervade biological, neuronal, social, terrestrial and extraterrestrial changes and explain highly theoretical constructions of the human mind, including mathematical concepts and heuristics. ‘Fractal heuristics’ should be viewed sceptically as part of this fashionable trend. The reader is well served if he places Abbott’s work in metatheoretical perspective. Over the years, the analogy with fractals has steadily increased its influence on Abbott’s views of social sciences until he reached the determination to recommend it to others. In my opinion the analogy is misguided, but that doesn’t affect the usefulness of Abbott’s heuristic suggestions. Epistemologically, Abbott is close to the hermeneutic tradition born of Paul Feyerabend’s ‘anything goes’. His stance makes me end this review by saying that he is courageous in writing Methods of Discovery. Indeed, his contagious enthusiasm for the combinatorial possibilities of research guarantees that the efflorescence of theories in social sciences will continue. Abbott is unconcerned by the possibility of compounded misdirection of the more imaginative variants of theories – and, consequently, unconcerned that the proliferation of theorizing will accelerate until each theory will become insignificant among all the others.