title: Employee well-being and sick leave, occupational accident, and disability pension: a cohort study of civil servants.
abstract: OBJECTIVE
  To study the association between employee well-being and sick leave, occupational accident, and disability pension.
  
  
  METHODS
  A random population of 967 civil servants participated in a survey on psychosocial factors and health at work in 2000 in Finland. The median follow-up time was 7.3 years.
  
  
  RESULTS
  The risks of sick leave and disability pension were decreased by job satisfaction (RR = 0.78, 95% CI = 0.58 to 1.05; RR = 0.47, CI = 0.20 to 1.06; respectively), good work ability (RR = 0.35, CI = 0.22 to 0.56; RR = 0.11, CI = 0.04 to 0.33), good health (RR = 0.42, CI = 0.27 to 0.64; RR = 0.32, CI = 0.11 to 0.98), and strong sense of coherence (RR = 0.53, CI = 0.36 to 0.79; RR = 0.17, CI = 0.07 to 0.37). Employee well-being was also associated with occupational accident but somewhat less consistently.
  
  
  CONCLUSIONS
  Employee well-being is associated with sick leave, occupational accident, and disability pension. It is important to find means to support employee well-being both in general and at work.
authors.affiliation: Siinto, Sievi, and State Treasury, Division of Insurance and Social Insurance Institution of Finland, Helsinki, Finland.
authors.forename: Jaana
authors.initials: J
authors.lastname: Kuoppala
authors.forename: Anne
authors.initials: A
authors.lastname: Lamminpää
authors.forename: Irma
authors.initials: I
authors.lastname: Väänänen-Tomppo
authors.forename: Katariina
authors.initials: K
authors.lastname: Hinkka
mesh_terms: D000062:Accidents, Occupational / Q000706:statistics & numerical data; D000328:Adult; D000368:Aged; D015331:Cohort Studies; D006233:Persons with Disabilities / Q000706:statistics & numerical data; D005260:Female; D005387:Finland; D006076:Government; D006304:Health Status; D006801:Humans; D018868:Insurance, Disability / Q000706:statistics & numerical data; D007588:Job Satisfaction; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D012042:Registries; D012044:Regression Analysis; D018582:Sick Leave / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D017132:Workplace / Q000523:psychology; D055815:Young Adult