title: Is mobility in the labor market a solution to sustainable return to work for some sick listed persons?
abstract: OBJECTIVE
  The study aims to identify characteristics associated with long-term expectations of professional stability or mobility among recently sick-listed workers, and to study whether expectations of professional mobility and turnover intentions were associated with duration of sick leave.
  
  
  METHODS
  A cross-sectional study was performed on baseline measures in a prospective cohort study of patients who were granted sick leave due to musculoskeletal (MSD) or mental (MD) disorders. A total of 1,375 individuals fulfilled the inclusion criteria. A baseline questionnaire was sent by mail within 3 weeks of their first day of certified medical sickness; 962 individuals responded (70%). The main diagnosis was MSD in 595 (62%) individuals and MD in 367 (38%).
  
  
  RESULTS
  Expectations of ability to remain in the present profession in 2 years was associated with better health and health-related resources, younger age, higher education, and better effort-reward balance. Effort-reward imbalance, MD, high burnout scores, and better educational and occupational position were associated with turnover intentions. Low expectations of ability to remain in the present profession defined two vulnerable groups with regard to RTW, those with no turnover intentions were older, had lower personal resources, more often had MSD, and slower RTW rate. Those with turnover intentions had a clear effort-reward imbalance and high burnout scores.
  
  
  CONCLUSIONS
  The results of this explorative study underline the importance of differentiating RTW-interventions based on knowledge about the sick-listed person's resources in relation to the labor market and the work place, and their expectations of future employment and employability.
authors.affiliation: Department of Medicine and Health, National Centre for Work and Rehabilitation, Linköping University, 581 83 Linköping, Sweden. kerstin.ekberg@liu.se
authors.forename: Kerstin
authors.initials: K
authors.lastname: Ekberg
authors.forename: Charlotte
authors.initials: C
authors.lastname: Wåhlin
authors.forename: Jan
authors.initials: J
authors.lastname: Persson
authors.forename: Lars
authors.initials: L
authors.lastname: Bernfort
authors.forename: Birgitta
authors.initials: B
authors.lastname: Öberg
mesh_terms: D000328:Adult; D000368:Aged; D002322:Career Mobility; D003430:Cross-Sectional Studies; D004651:Employment / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000523:psychology; D011446:Prospective Studies; D018582:Sick Leave; D011795:Surveys and Questionnaires