title: Economy and job contract as contexts of sickness absence practices: revisiting locality and habitus.
abstract: This study revisits two Finnish local governments-Raisio and Nokia-that in an earlier study showed different sickness absence rates in the early 1990s. The locality difference was interpreted sociologically, within a framework inspired by Bourdieu's theory of social field, habitus and practice. The same framework is applied in the present study, starting out from the hypothesis that a constant historical and cultural locality context tends to reproduce prevailing sickness absence practices. The hypothesis was tested by extending the context beyond the locality to the macroeconomic fluctuations that occurred during the 1990s and to the type of employment contract. In both localities a 30% rise was observed in levels of sickness absence from 1991-1993 to 1997-2000. At the beginning of the 1990s the absence rate among permanent employees was 1.86 times higher in Nokia than in Raisio; at the end of the decade the corresponding rate ratio was 1.88. The absence rates were significantly lower among fixed-term employees than permanent employees, but the locality difference was seen in their case, too. Both results support the hypothesis. In spite of major changes taking place in the national economy, the differences between the two towns' sickness absence rates persisted, which in this particular case probably reflects the persisting working-class character of Nokia and middle-class character of Raisio. The theory also applies to the difference between permanent and fixed-term employees: the peripheral power position of the latter on work related social fields leads to the observed practices, i.e. to the relatively low absence rate. The results of our revisit give reason to recapitulate and elaborate upon our theoretical interpretation with a view to deepening our understanding of the social origins of sickness absence practices in the post-industrial workplace, which is characterised by increasing atypical employment and growing job insecurity.
authors.affiliation: Department of General Practice, Medical School, University of Tampere, P.O. Box 607, Tampere 33101, Finland. pekka.j.virtanen@uta.fi
authors.forename: P
authors.initials: P
authors.lastname: Virtanen
authors.forename: J
authors.initials: J
authors.lastname: Vahtera
authors.forename: R
authors.initials: R
authors.lastname: Nakari
authors.forename: J
authors.initials: J
authors.lastname: Pentti
authors.forename: M
authors.initials: M
authors.lastname: Kivimäki
mesh_terms: D000041:Absenteeism; D000293:Adolescent; D000328:Adult; D004467:Economics / Q000639:trends*; D004651:Employment / Q000639:trends*; D005260:Female; D005387:Finland; D006801:Humans; D009111:Local Government; D008297:Male; D008875:Middle Aged; D018582:Sick Leave / Q000639:trends*