João Silvestre Silva-Junior1, Frida Marina Fischer2. 1. Instituto Nacional do Seguro Social, Ministério da Previdência Social, São Paulo, SP, Brazil. 2. Departamento de Saúde Ambiental, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil.
Abstract
INTRODUCTION: Mental disorders are the third leading cause of social security benefit due to sickness in Brazil. Occupational exposure to psychosocial stressors can affect the workers' mental health. The social security medical experts are responsible for characterizing if those sicknesses are work-related. OBJECTIVE: To evaluate the factors associated with sick leave due to mental disorders, in particular, the perception of workers on psychosocial factors at work. METHODS: This is an analytical study carried out in São Paulo, Brazil, with 131 applicants for sickness benefit due to mental disorders. Questionnaires were applied to assess the sociodemographic data, habits/lifestyle information, and perceived psychosocial factors at work. RESULTS: The most common diagnosis was depressive disorders (40.4%). The medical experts considered 23.7% of all applications as work-related. Most of the participants were female (68.7%), up to 40 years of age (73.3%), married/common-law marriage (51.1%), with educational level greater than or equal to 11 years (80.2%), nonsmokers (80.9%), not alcohol consumers (84%), and practice of physical activities (77.9%). Regarding psychosocial factors, most of the participants informed a high job strain (56.5%), low social support (52.7%), effort-reward imbalance (55.7%), and high overcommitment (87.0%). There was no statistical association between the work-related mental disorders sickness benefits and independent variables. CONCLUSION: The concession of social security sickness benefits is not associated with sociodemographic data, habits/lifestyle, or psychosocial factors at work. Occupational exposure to unfavorable psychosocial factors was reported by most workers on sick leave due to mental disorders. However, several cases were not recognized by the social security medical experts as work-related, which may have influenced the results of the associations.
INTRODUCTION:Mental disorders are the third leading cause of social security benefit due to sickness in Brazil. Occupational exposure to psychosocial stressors can affect the workers' mental health. The social security medical experts are responsible for characterizing if those sicknesses are work-related. OBJECTIVE: To evaluate the factors associated with sick leave due to mental disorders, in particular, the perception of workers on psychosocial factors at work. METHODS: This is an analytical study carried out in São Paulo, Brazil, with 131 applicants for sickness benefit due to mental disorders. Questionnaires were applied to assess the sociodemographic data, habits/lifestyle information, and perceived psychosocial factors at work. RESULTS: The most common diagnosis was depressive disorders (40.4%). The medical experts considered 23.7% of all applications as work-related. Most of the participants were female (68.7%), up to 40 years of age (73.3%), married/common-law marriage (51.1%), with educational level greater than or equal to 11 years (80.2%), nonsmokers (80.9%), not alcohol consumers (84%), and practice of physical activities (77.9%). Regarding psychosocial factors, most of the participants informed a high job strain (56.5%), low social support (52.7%), effort-reward imbalance (55.7%), and high overcommitment (87.0%). There was no statistical association between the work-related mental disorders sickness benefits and independent variables. CONCLUSION: The concession of social security sickness benefits is not associated with sociodemographic data, habits/lifestyle, or psychosocial factors at work. Occupational exposure to unfavorable psychosocial factors was reported by most workers on sick leave due to mental disorders. However, several cases were not recognized by the social security medical experts as work-related, which may have influenced the results of the associations.
Authors: Marden Samir Santa-Marinha; Liliane Reis Teixeira; Elvira Maria Godinho de Seixas Maciel; Maria de Fatima Ramos Moreira Journal: Rev Bras Med Trab Date: 2020-04-24
Authors: Giannine Roberta Marcelino de Souza França; Sebastião Junior Henrique Duarte; Mariluci Camargo Ferreira da Silva Candido; Adailson da Silva Moreira; Elenir Rose Jardim Cury Pontes Journal: Rev Bras Med Trab Date: 2019-12-01
Authors: Márcia Astrês Fernandes; João Victor de Sousa Sales; Carla Danielle Araújo Feitosa; Rosana Dos Santos Costa; Chrystiany Plácido de Brito Vieira; Joyce Soares E Silva Journal: Rev Bras Med Trab Date: 2020-01-09
Authors: M Rivière; Y Toullic; P Lerouge; T Blanchon; A Leroyer; L Plancke; T Prazuck; M Melchior; N Younès Journal: BMC Fam Pract Date: 2020-07-02 Impact factor: 2.497
Authors: Tânia Maria de Araújo; Johannes Siegrist; Arlinda B Moreno; Maria de Jesus Mendes da Fonseca; Sandhi M Barreto; Dóra Chor; Rosane Härter Griep Journal: Int J Environ Res Public Health Date: 2019-08-21 Impact factor: 3.390
Authors: Alaor Ernst Schein; Amanda Gemelli; Bruna de Fátima Oliveira Wey; Sarah Galatto Cancillier; Kristian Madeira Journal: Rev Bras Med Trab Date: 2022-06-30
Authors: Noora Heinonen; Tea Lallukka; Jouni Lahti; Olli Pietiläinen; Hilla Nordquist; Minna Mänty; Anu Katainen; Anne Kouvonen Journal: J Occup Environ Med Date: 2022-02-01 Impact factor: 2.162