title: A prospective study on self-assessed mental well-being and work capacity as determinants of all-cause sickness absence.
abstract: OBJECTIVE
  The aim of the present study was to estimate whether self-assessed mental well-being and work capacity determines future sickness absence (SA).
  
  
  METHODS
  A questionnaire was sent to employed individuals (n = 6,140), aged 19-64 years, who were registered as sick-listed with a new sick-leave spell in 2008. The response rate was 54 %. In this study we included individuals with a single sick-leave spell in 2008 (n = 2,502). The WHO (Ten) Well-Being Index and four dimensions of self-assessed work capacity (knowledge, mental, collaborative, physical) were used as determinants. Future sickness absence was identified through national register in 2009. Outcome was defined as no sickness benefit compensated days (no SBCD) and at least one sickness benefit compensated day (SBCD). Logistic regression analyses were used to estimate odds ratios (OR) with 95 % confidence intervals (CI) for the likelihood of SBCD.
  
  
  RESULTS
  In 2009, 28 % of the women and 22 % of the men had SBCD; the median was 59 and 66 benefit days, respectively. Individuals with low mental well-being had higher odds for SBCD with OR 1.29 (95 % CI 1.01-1.65) in the fully adjusted model. Participants reporting low work capacity in relation to knowledge (OR 1.55, 95 % CI 1.13-2.13), collaborative (OR 1.36, 95 % CI 1.03-1.79) and physical (OR 1.50, 95 % CI 1.22-1.86) demands at work had higher odds for SBCD after adjustments for all covariates; no relation was demonstrated with mental work capacity (OR 0.99, 95 % CI 0.76-1.27).
  
  
  CONCLUSIONS
  Mental well-being and work capacity emerged as determinants of future SA. Screening in health care could facilitate early identification of persons in need of interventions to prevent future SA.
authors.affiliation: Department of Social Medicine, Institute of Medicine, The Sahlgrenska Academy at the University of Gothenburg, PO Box 453, 405 30, Göteborg, Sweden, monica.bertilsson@socmed.gu.se.
authors.forename: M
authors.initials: M
authors.lastname: Bertilsson
authors.forename: M
authors.initials: M
authors.lastname: Vaez
authors.forename: M
authors.initials: M
authors.lastname: Waern
authors.forename: G
authors.initials: G
authors.lastname: Ahlborg
authors.forename: G
authors.initials: G
authors.lastname: Hensing
mesh_terms: D000328:Adult; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D011446:Prospective Studies; D012647:Self-Assessment; D018582:Sick Leave / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014938:Work Capacity Evaluation; D055815:Young Adult