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Int. J. Environ. Res. Public Health 2013, 10(9), 3930-3953;

Relative Deprivation and Sickness Absence in Sweden

Department of Economic History and Centre for Economic Demography, Lund University, P.O. Box 7083, Lund 22007, Sweden
Department of Economics and Centre for Economic Demography, Lund University, P.O. Box 7082, Lund 22007, Sweden
Demography Unit, Department of Sociology, Stockholm University, Stockholm 10691, Sweden
Author to whom correspondence should be addressed.
Received: 9 July 2013 / Revised: 14 August 2013 / Accepted: 16 August 2013 / Published: 29 August 2013
(This article belongs to the Special Issue Inequalities in Health)
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Background: A high prevalence of sickness absence in many countries, at a substantial societal cost, underlines the importance to understand its determining mechanisms. This study focuses on the link between relative deprivation and the probability of sickness absence. Methods: 184,000 men and women in Sweden were followed between 1982 and 2001. The sample consists of working individuals between the ages of 19 and 65. The outcome is defined as experiencing more than 14 days of sickness absence during a year. Based on the complete Swedish population, an individual’s degree of relative deprivation is measured through income compared to individuals of the same age, sex, educational level and type. In accounting for the possibility that sickness absence and socioeconomic status are determined by common factors, discrete-time duration models were estimated, accounting for unobserved heterogeneity through random effects. Results: The results confirm that the failure to account for the dynamics of the individual’s career biases the influence from socioeconomic characteristics. Results consistently suggest a major influence from relative deprivation, with a consistently lower risk of sickness absence among the highly educated. Conclusions: Altering individual’s health behavior through education appears more efficient in reducing the reliance on sickness absence, rather than redistributive policies. View Full-Text
Keywords: sickness absence; Sweden; relative deprivation; duration analysis sickness absence; Sweden; relative deprivation; duration analysis

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Helgertz, J.; Hess, W.; Scott, K. Relative Deprivation and Sickness Absence in Sweden. Int. J. Environ. Res. Public Health 2013, 10, 3930-3953.

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