Positive and negative consequences of sick leave for the individual, with special focus on part-time sick leave.
OBJECTIVE
To describe the consequences of long-term sick leave (>28 days) on working situation, health and lifestyle among employees from the public sector in Sweden.


METHODS
Employees in four county councils and two municipalities on long term sick leave on 1 November 2005 (n = 1,128) answered a questionnaire in February 2006. The response rate was 71.7%. Eighty seven per cent were still on sick leave when the questionnaire was answered: 54% part time and 33% full time.


RESULTS
Reporting positive consequences was rare but reporting negative consequences, such as effects on the development of salary, the possibilities of pursuing a career or to change to another job were common. Sick leave seemed to lead to a considerable loss of zest for work, even if the respondents were back in work full time. Regardless of the negative consequences at work, 92% of those on part-time sick leave believed that the part-time sick leave was good for them even if many thought it had negative consequences for employer and colleagues.


CONCLUSIONS
Long-term sick leave has negative consequences for the individual in work situations, even for those back at work full time. The development of salary and career seem to be most affected. The attitude towards part-time sick leave was positive and this result indicates that there is a potential for an increased degree of partial return to work in the group of people on long-term sick leave.
Sieurin
Leif
L
Department of Medical Sciences, University of Uppsala, Occupational and Environmental Medicine, SE-751 85 Uppsala, Sweden. leif.sieurin@medsci.uu.se
Josephson
Malin
M
Vingård
Eva
E
D000328:Adult; D002322:Career Mobility; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000534:rehabilitation; D009140:Musculoskeletal Diseases / Q000175:diagnosis / Q000534:rehabilitation; D017150:Public Sector; D012050:Rehabilitation, Vocational; D012456:Salaries and Fringe Benefits; D018582:Sick Leave; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000175:diagnosis / Q000534:rehabilitation; D011795:Surveys and Questionnaires; D013548:Sweden; D013997:Time Factors