Sickness absence as an indicator of health?

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Presentation transcript:

Sickness absence as an indicator of health? John Selander Mid-Sweden University

Background: Sweden has high rates of sickness absence. Why is it so? Do Swedes have poor health?

Sickness absence in Sweden 1970-2005

Sickness absence among men and women, 1970-2005

Sweden compared to other European countries

Do Swedes have poor health?

Infant mortality Sweden Finland Norway France Germany Denmark Netherlands GB OECD Health Data 2005 Life expectancy Sweden France Norway Germany the Netherlands United Kingdom Finland Denmark UN,Human Development Report. 2004 Oxford

Healthy life expectancy Sweden France Norway Germany the Netherlands Finland United Kingdom Denmark WHO (2003), The world health report Self-reported health Denmark the Netherlands Sweden United Kingdom France Germany Finland Health in theEuropean Union. Special Eurobarometer 272e (Norway missing)

Index of health and social problems Social exclusion Sweden Norway the Netherlands Finland Denmark Germany United Kingdom Wilkinson R and Pickett K. (2009) The Spirit Level. Social exclusion Norway Sweden the Netherlands Denmark Germany Finland United Kingdom France Second European Quality of Life Survey (2007)

Physical activity Work place safety Finland Sweden Sweden Denmark United Kingdom France the Netherlands Germany European Commision, 2004. The citizens of the European Union and Sport. Special. (Norway missing). Work place safety Sweden United Kingdom Denmark Finland the Netherlands Norway Germany France Work and health in the EU: A statistical portrait (2004).

Mental well-being Suicide Norway Germany the Netherlands Denmark Sweden Finland France United Kingdom Second European Quality of Life Survey(2007) Suicide United Kingdom The Netherlands Germany Denmark Norway Sweden France Finland European Detailed Mortality Database, WHO 2009

Use of drugs Use of alcohol Sweden Sweden Finland the Netherlands France Germany Norway the Netherlands Denmark United Kingdom US Census Bureau, Population Division, Interim State Population Projections, 2005 Use of alcohol Sweden the Netherlands Finland France United Kingdom Germany Denmark WHO Regional Office for Europe, 2008 (Norway missing)

WHO Regional Office for Europe, 2008. (Norway missing) Calorie intake Sweden Finland the Netherlands United Kingdom Norway Germany Denmark France OECD Health Database. Organisation for Economic Co-operation and Development. OECD health data 2007 Use of tobacco Sweden Finland United Kingdom Denmark France the Netherlands Germany WHO Regional Office for Europe, 2008. (Norway missing)

Obesity Sweden the Netherlands Norway France Denmark Germany Finland United Kingdom International Obesity Taskforce, Overweight and obese. 2002, International Lung cancer incidence Sweden Finland Denmark United Kingdom Germany France the Netherlands Tyczynski JE et al (2002). Lung cancer in Europe. ENCR Cancer. (Norway missing)

Swedes (and Norwegians) seem to have good health! Is perhaps sickness absence not a good indicator of health? Should then, as often is the case, sickness absence be used as an outcome variable for different public health, DM and VR activities?

Thank you!

Sickness absence and unemployment in Sweden, 1970-2005