title: [Is the association between mental disorders and sickness absence independent of sociodemographic factors?].
abstract: OBJECTIVE
  Mental diseases are highly prevalent and of increasing meaning for absenteeism. The association of absenteeism with vertical and horizontal dimensions of socioeconomic status is well-known. Against this background we investigated the independent association between mental diseases and absenteeism or long-time absenteeism of socioeconomic aspects.
  
  
  METHODS
  Basis of this nationwide exploratory survey were the 6 339 employees born in 1959 or 1965 and subject to statutory health insurance of the first wave of the lidA-cohort study 2011. The stepwise logistic regression analysis was used for the investigation of the effects of mental diseases on absenteeism or long-term absenteeism after adjustment for education, occupational position, income, gender, age, working-time and -stress.
  
  
  RESULTS
  After adjustment for socioeconomic factors highly significant associations between mental diseases and absenteeism or even more long-term absenteeism were observed. These associations stayed significant after additional adjustment for work-related factors.
  
  
  CONCLUSIONS
  Mental diseases were independent of sociodemographic factors and work-related factors (working-time and -stress) associated with absenteeism or with long-term absenteeism. Unspecific programmes for the prevention and rehabilitation of mental diseases may contribute to the reduction of absenteeism. Apart from that causes of absenteeism in highly affected socioeconomic groups should be investigated.
authors.affiliation: Institut für Geschichte, Theorie und Ethik der Medizin, Universität Ulm, Ulm.
authors.forename: R
authors.initials: R
authors.lastname: Peter
authors.affiliation: Institut für Sozialmedizin und Gesundheitsökonomie, Medizinische Fakultät, Otto-von-Guericke-Universität Magdeburg.
authors.forename: S
authors.initials: S
authors.lastname: March
authors.affiliation: Social Research, infas Institut für angewandte Sozialwissenschaft GmbH, Bonn.
authors.forename: H
authors.initials: H
authors.lastname: Schröder
authors.affiliation: Institut für Geschichte, Theorie und Ethik der Medizin, Universität Ulm, Ulm.
authors.forename: J-B
authors.initials: JB
authors.lastname: du Prel
mesh_terms: D000041:Absenteeism; D000328:Adult; D017677:Age Distribution; D004651:Employment / Q000706:statistics & numerical data; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007182:Income / Q000706:statistics & numerical data; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000523:psychology*; D008875:Middle Aged; D015995:Prevalence; D015203:Reproducibility of Results; D012307:Risk Factors; D012680:Sensitivity and Specificity; D017678:Sex Distribution; D018582:Sick Leave / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D013223:Statistics as Topic; D013315:Stress, Psychological / Q000453:epidemiology* / Q000523:psychology*; D016526:Workload / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult