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Table 3 Association between labour market participation patterns and sickness absence trajectories (> 15 accumulated days on sickness absence per quarter) in salaried workers from early, middle, and late working life cohorts (WLCs; N = 11,968). Catalonia (Spain), 2012–2014 (odds ratios [ORs] and 95% confidence intervals [CIs])

From: Sickness absence trajectories following labour market participation patterns: a cohort study in Catalonia (Spain), 2012–2014

WOMEN   Sickness absence trajectoriesa  
Early WLC (N = 2670) Middle WLC (N = 2739) Late WLC (N = 1995)
High stable vs low stable Increasing vs low stable Decreasing vs low stable Increasing vs low stable Decreasing vs low stable Increasing vs low stable
OR (95% CI) OR (95% CI) OR (95% CI) OR (95% CI) OR (95% CI) OR (95% CI)
Labour market participation patterns
Crude model
  Stable employment 1 1 1 1 1 1
  Increasing employment 0.90 (0.58–1.40) 1.07 (0.68–1.66) 1.09 (0.75–1.59) 0.72 (0.42–1.26) 1.19 (0.63–2.24) 1.41 (0.91–2.18)
  Without long-term coverage (early and late) /Fluctuant employment (middle) 0.70 (0.37–1.31) 0.90 (0.49–1.66) 0.97 (0.66–1.43) 0.80 (0.47–1.34) 1.16 (0.54–2.47) 1.10 (0.63–1.94)
  N/A (early and middle)/Decreasing employment (late) N/A N/A N/A N/A 1.34 (0.73–2.49) 0.94 (0.56–1.58)
Adjusted model b
  Stable employment 1 1 1 1 1 1
  Increasing employment 0.80 (0.46–1.38) 1.35 (0.77–2.37) 1.07 (0.57–2.01) 1.10 (0.47–2.60) 1.21 (0.37–3.96) 0.92 (0.42–2.02)
  Without long-term coverage (early and late) /Fluctuant employment (middle) 0.56 (0.24–1.32) 1.13 (0.46–2.78) 0.89 (0.51–1.55) 1.13 (0.55–2.32) 1.40 (0.21–9.13) 0.56 (0.15–2.06)
  N/A (early and middle)/Decreasing employment (late) N/A N/A N/A N/A 0.90 (0.31–2.59) 0.70 (0.34–1.45)
MEN Early WLC (N = 1315) Middle WLC (N = 1747) Late WLC (N = 1502)
High stable vs low stable Increasing vs low stable Decreasing vs low stable Increasing vs low stable High stable vs low stable Increasing vs low stable
Crude model
  Stable employment 1 1 1 1 1 1
  Increasing employment 1.13 (0.71–1.81) 0.38 (0.13–1.09) 0.55 (0.26–1.15) 0.93 (0.61–1.44) 1.19 (0.68–2.10)
  Fluctuant employment (early)/Decreasing employment (middle and late) 1.24 (0.72–2.11) 1.18 (0.53–2.62) 0.81 (0.32–2.05) 0.79 (0.40–1.55) 0.73 (0.34–1.57)
  N/A (early)/Steeply decreasing employment (middle and late) N/A N/A 1.37 (0.69–2.73) 0.87 (0.48–1.59) 1.15 (0.72–1.84) 0.86 (0.11–6.73)
Adjusted model b
  Stable employment 1 1 1 1 1 1
  Increasing employment 1.27 (0.58–2.77) 0.21 (0.05–0.96) 0.79 (0.26–2.44) 0.97 (0.46–2.04) 1.73 (0.59–5.03)
  Fluctuant employment (early) /Decreasing employment (middle and late) 1.20 (0.56–2.59) 0.74 (0.23–2.34) 1.11 (0.30–4.10) 0.78 (0.30–2.01) 1.42 (0.42–4.80)
  N/A (early)/ Steeply decreasing employment (middle and late) N/A N/A 1.81 (0.73–4.47) 0.94 (0.45–1.96) 1.38 (0.74–2.59) 0.76 (0.06–0.34)
  1. The low stable class is the reference group for the multinomial logistic regression analysis; bmodel adjusted for type of contract, working time, occupational category, income in quartiles, diagnosis group during 2012–2014, and time of employment during 2002–2011.