Diabetes, prediabetes, and long-term sickness absence due to mental disorders: Japan Epidemiology Collaboration on Occupational Health Study.

Autor: Fukunaga A; Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan. Electronic address: afukunaga@hosp.ncgm.go.jp., Inoue Y; Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan., Nakagawa T; Hitachi Health Care Center, Hitachi, Ltd., Ibaraki, Japan., Honda T; Hitachi Health Care Center, Hitachi, Ltd., Ibaraki, Japan., Yamamoto S; Hitachi Health Care Center, Hitachi, Ltd., Ibaraki, Japan., Okazaki H; Mitsui Chemicals, Inc., Tokyo, Japan., Yamamoto M; Yamaha Corporation, Shizuoka, Japan., Miyamoto T; East Nippon Works, Nippon Steel Corporation, Chiba, Japan., Gonmori N; East Japan Works (Keihin), JFE Steel Corporation, Kanagawa, Japan., Kochi T; Furukawa Electric Co., Ltd., Tokyo, Japan., Eguchi M; Furukawa Electric Co., Ltd., Tokyo, Japan., Shirasaka T; Furukawa Electric Co., Ltd., Tokyo, Japan., Yamamoto K; Division of Chemical Information, National Institute of Occupational Safety and Health, Kanagawa, Japan., Hori A; Department of Global Public Health, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan., Tomita K; Healthplant Co., Ltd., Tokyo, Japan., Konishi M; Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan., Katayama N; Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan., Kabe I; KUBOTA Corporation, Tokyo, Japan., Dohi S; Mitsui Chemicals, Inc., Tokyo, Japan., Mizoue T; Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan.
Jazyk: angličtina
Zdroj: Journal of psychosomatic research [J Psychosom Res] 2022 Jul; Vol. 158, pp. 110925. Date of Electronic Publication: 2022 Apr 28.
DOI: 10.1016/j.jpsychores.2022.110925
Abstrakt: Objectives: To investigate the association of diabetes and prediabetes with long-term sickness absence (LTSA) due to mental disorders or specific mental disorders.
Methods: A prospective cohort study was conducted using data from the Japan Epidemiology Collaboration on Occupational Health Study. A total of 62,065 workers who received health check-ups in 2011 (nine companies) or 2014 (two companies) and were followed up to March 31, 2020 were included in this study. Diabetes status was defined based on the American Diabetes Association criteria, and diabetes was differentiated into diabetes with/without anti-diabetic treatment for additional analysis. A Cox proportional hazards regression model was used to investigate these associations.
Results: During maximum 8-year follow-up period, 1024 participants underwent LTSA due to mental disorders. The adjusted hazard ratio (aHR) and corresponding 95% confidence interval (CI) of LTSA due to all mental disorders were 1.10 (0.88-1.38) and 1.45 (1.07-1.98) for prediabetes and diabetes, respectively. Diabetic individuals with/without treatment were both at a high risk of LTSA due to mental disorders. For specific mental disorders, diabetes was associated with a higher risk of LTSA due to reaction to severe stress and adjustment disorders (aHR = 3.02, 95% CI = 2.01-4.52) while it was marginally associated with LTSA due to depressive episode (aHR = 1.25, 95% CI = 0.98-1.60). Prediabetes was also associated with LTSA due to reaction to severe stress and adjustment disorders (aHR = 1.41, 95% CI = 1.08-1.84).
Conclusions: The present study suggests the importance of screening diabetes status and providing psychological support for decreasing the risk of LTSA due to mental disorders within working populations.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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