hig.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Bergström, Gunnar, ProfessorORCID iD iconorcid.org/0000-0002-0161-160x
Publications (10 of 12) Show all publications
Mather, L., Narusyte, J., Ropponen, A., Bergström, G., Blom, V., Helgadóttir, B. & Svedberg, P. (2020). Sick leave due to mental disorders, morbidity and mortality: a prospective study of discordant twin pairs. Social Psychiatry and Psychiatric Epidemiology, 55, 25-32
Open this publication in new window or tab >>Sick leave due to mental disorders, morbidity and mortality: a prospective study of discordant twin pairs
Show others...
2020 (English)In: Social Psychiatry and Psychiatric Epidemiology, ISSN 0933-7954, E-ISSN 1433-9285, Vol. 55, p. 25-32Article in journal (Refereed) Published
Abstract [en]

Purpose: To investigate if sick leave due to mental disorders increases the risk of morbidity measured by inpatient and specialized outpatient care, and mortality among women and men, independent of familial factors. Methods: An open cohort study of 4979 twin pairs discordant for sick leave due to mental disorders was conducted in 2005–2013. Twins were followed up in the cause of death and national patient registries until the end of study, emigration, death, and inpatient and specialized outpatient care. Conditional Cox proportional hazard regression, adjusting for the familial factors shared by the twins, was used to calculate hazard ratios (HR) with 95% confidence intervals (CI). In case of non-proportional hazards, time-varying covariates were used. Results: Sick leave due to mental disorders increased the risk for inpatient care among men (HR: 1.90, CI 1.66–2.17) and women (HR: 1.39, CI 1.27–1.51). For men, the risk of outpatient care was higher the first 2 years (HR: 2.08, CI 1.87–2.31), after which it was attenuated (HR: 1.32, CI 1.02–1.70). For women, the HR was 1.57 (CI 1.47–1.68) for the whole study time. There was an increased risk of death among men (HR: 2.91, CI 1.70–4.99), but not among women (HR: 0.84, CI 0.53–1.35). Conclusions: Sick leave due to mental disorders was a risk factor for mortality for men only, and increased the risk of inpatient and specialized outpatient care among both women and men, but the risks were higher for men when stratifying for sex. 

Place, publisher, year, edition, pages
Springer Berlin/Heidelberg, 2020
Keywords
Ambulatory care, Hospitalization, Mental disorders, Mortality, Sick leave, Twin study
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:hig:diva-30517 (URN)10.1007/s00127-019-01715-9 (DOI)31076801 (PubMedID)2-s2.0-85065718250 (Scopus ID)
Available from: 2019-08-19 Created: 2019-08-19 Last updated: 2020-01-23Bibliographically approved
Januario, L., Karstad, K., Rugulies, R., Bergström, G., Holtermann, A. & Hallman, D. (2019). Association between psychosocial working conditions and perceived physical exertion among eldercare workers: a cross-sectional multilevel analysis of nursing homes, wards and workers. International Journal of Environmental Research and Public Health, 16(19), Article ID 3610.
Open this publication in new window or tab >>Association between psychosocial working conditions and perceived physical exertion among eldercare workers: a cross-sectional multilevel analysis of nursing homes, wards and workers
Show others...
2019 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, no 19, article id 3610Article in journal (Refereed) Published
Abstract [en]

This cross-sectional multilevel study aims at investigating the associations between psychosocial working conditions of different workplace levels and perceived physical exertion among eldercare workers. Data were obtained from the ‘Danish Observational Study of Eldercare work and musculoskeletal disorderS’ (DOSES) study, including 536 eldercare workers, nested in 126 wards and 20 nursing homes. Psychosocial working conditions were measured by the Copenhagen Psychosocial Questionnaire (COPSOQ). The physical workload was measured with a self-administered scale (0–10) rating perceived physical exertion. Multilevel linear mixed models were used to determine associations of psychosocial conditions between nursing homes, wards, and workers with physical exertion. Most of the variance in the perceived physical exertion was explained by differences between workers (83%), but some variance was explained by wards (11%) and nursing homes (6%). Workers employed in nursing homes with low influence (p = 0.01) and poor leadership (p = 0.02), and in wards with high quantitative demands (p = 0.03), high work pace (p < 0.001), and low justice (p = 0.01) were at increased risk of reporting higher physical exertion. The strongest associations were found for low influence, low quality of leadership, and high work pace at nursing homes and ward levels. In conclusion, improving specific psychosocial working conditions at nursing home and ward levels may be of particular importance to reduce excessive physical workload in eldercare workers

Place, publisher, year, edition, pages
MDPI, 2019
Keywords
healthcare; multilevel analysis; nursing home; physical exertion; psychosocial factors; workload
National Category
Occupational Health and Environmental Health
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-30694 (URN)10.3390/ijerph16193610 (DOI)000494748600106 ()31561538 (PubMedID)2-s2.0-85072716023 (Scopus ID)
Projects
AFA - DOSHIG
Funder
AFA Insurance, 180076
Available from: 2019-09-26 Created: 2019-09-26 Last updated: 2020-01-24Bibliographically approved
Aboagye, E., Björklund, C., Gustafsson, K., Hagberg, J., Aronsson, G., Marklund, S., . . . Bergström, G. (2019). Exhaustion and impaired work performance in the workplace: Associations with presenteeism and absenteeism. Journal of Occupational and Environmental Medicine, 61(11), e438-e444
Open this publication in new window or tab >>Exhaustion and impaired work performance in the workplace: Associations with presenteeism and absenteeism
Show others...
2019 (English)In: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 61, no 11, p. e438-e444Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: The aim of this study was to investigate the association between presenteeism and absenteeism during the previous year and the current levels of exhaustion and impaired work performance in a Swedish university setting.

METHODS: In a study of 3525 employees, an ordinal logistic regression and general linear model was used to examine the association between presenteeism and absenteeism during the previous year and the current exhaustion and impaired work performance, respectively.

RESULTS: Presenteeism, but not absenteeism, during the previous year independently increased the risk of having moderate or severe exhaustion. Presenteeism, absenteeism, and exhaustion remained positively associated with impaired work performance when health status and other confounders had been adjusted for.

CONCLUSIONS: Presenteeism, but not absenteeism, was associated with exhaustion. Both presenteeism and absenteeism were the salient correlates of impaired work performance.

Place, publisher, year, edition, pages
Wolters Kluwer, 2019
Keywords
Presenteeism, absenteeism, exhaustion, psychological well-being, work performance, productivity loss
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:hig:diva-30722 (URN)10.1097/JOM.0000000000001701 (DOI)31478995 (PubMedID)2-s2.0-85072089537 (Scopus ID)
Funder
AFA Insurance
Available from: 2019-10-03 Created: 2019-10-03 Last updated: 2019-11-28Bibliographically approved
Boström, M., Björklund, C., Bergström, G., Nybergh, L., Schäfer Elinder, L., Stigmar, K., . . . Kwak, L. (2019). Health and work environment among female and male Swedish elementary school teachers - A cross-sectional study. International Journal of Environmental Research and Public Health, 17(1), Article ID E227.
Open this publication in new window or tab >>Health and work environment among female and male Swedish elementary school teachers - A cross-sectional study
Show others...
2019 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 1, article id E227Article in journal (Refereed) Published
Abstract [en]

BACKGROUND AND OBJECTIVES: Changes in teachers' work situation in Sweden since the 1990s may have contributed to an increase in common mental disorders (CMDs) and burnout. However, there is a lack of research in this field. The aim was to describe how Swedish elementary school teachers experience their health, organizational and social work environment, and the psychosocial safety climate at the workplace, and especially differences and similarities between female and male teachers.

MATERIALS AND METHODS: Data were collected with the COPSOQ, OLBI, UWES and PSC-12 from 478 elementary teachers, 81.0% of them women, from twenty schools. The response rate was 96.4%.

RESULTS: Teachers reported relatively good general health but experienced high stress, high work pace and emotional demands, low influence at work and a poor psychosocial safety climate. These factors were especially prominent among female teachers. Both women and men experienced good development possibilities and high work engagement.

CONCLUSIONS: The results of this study can help us to develop a more sustainable work environment for female and male teachers. A more sustainable work environment might attract more people to the profession and incentivize existing teachers to remain in the profession.

Place, publisher, year, edition, pages
MDPI, 2019
Keywords
Copenhagen Psychosocial Questionnaire, Psychosocial Safety Climate scale, common mental disorders, organizational and social work environment, school, stress, teachers
National Category
Work Sciences
Identifiers
urn:nbn:se:hig:diva-31395 (URN)10.3390/ijerph17010227 (DOI)31905608 (PubMedID)2-s2.0-85077638598 (Scopus ID)
Available from: 2020-01-10 Created: 2020-01-10 Last updated: 2020-01-20Bibliographically approved
Kwak, L., Lornudd, C., Björklund, C., Bergström, G., Nybergh, L., Schäfer Elinder, L., . . . Jensen, I. (2019). Implementation of the Swedish Guideline for Prevention of Mental ill-health at the workplace: study protocol of a cluster randomized controlled trial, using multifaceted implementation strategies in schools. BMC Public Health, 19, Article ID 1668.
Open this publication in new window or tab >>Implementation of the Swedish Guideline for Prevention of Mental ill-health at the workplace: study protocol of a cluster randomized controlled trial, using multifaceted implementation strategies in schools
Show others...
2019 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 19, article id 1668Article in journal (Other academic) Published
Abstract [en]

Given today’s high prevalence of common mental disorders and related sick leave among teachers, an urgent need exists for a more systematic approach to the management of social and organizational risk factors within schools. In 2015, we launched the first Swedish occupational health guideline to support a structured prevention of these risks at the workplace. The existence of guidelines does however not guarantee their usage, as studies show that guidelines are often underused. Knowledge is therefore needed on effective implementation strategies that can facilitate the translation of guidelines into practice. The primary aim of the randomized waiting list-controlled trial described in this study protocol is to compare the effectiveness of a multifaceted implementation strategy versus a single implementation strategy for implementing the Guideline for the prevention of mental ill-health at the workplace within schools. The effectiveness will be compared regarding the extent to which the recommendations are implemented (implementation effectiveness) and with regard to social and organisational risk factors for mental ill-health, absenteeism and presenteeism (intervention effectiveness).

National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-31321 (URN)10.1186/s12889-019-7976-6 (DOI)000511638300007 ()31829186 (PubMedID)2-s2.0-85076374451 (Scopus ID)
Funder
AFA Insurance
Available from: 2019-12-18 Created: 2019-12-18 Last updated: 2020-02-20Bibliographically approved
Gustafsson, K., Bergström, G., Marklund, S., Aboagye, E. & Leineweber, C. (2019). Presenteeism as a predictor of disability pension: A prospective study among nursing professionals and care assistants in Sweden. Journal of Occupational Health, 61(6), 453-463
Open this publication in new window or tab >>Presenteeism as a predictor of disability pension: A prospective study among nursing professionals and care assistants in Sweden
Show others...
2019 (English)In: Journal of Occupational Health, ISSN 1341-9145, E-ISSN 1348-9585, Vol. 61, no 6, p. 453-463Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: The aim of the present study was to examine how presenteeism affects the risk of future disability pension among nursing professionals and care assistants (assistant nurses, hospital ward assistants, home-based personal care workers, and child care assistants). A specific objective was to compare health and social care employees with all other occupations.

METHODS: The study was based on a representative sample of working women and men (n = 43 682) aged 16-64 years, who had been interviewed between 2001 and 2013 for the Swedish Work Environment Survey conducted every second year since 1989. Information on disability pension was obtained from the Social Insurance Agency's database (2002-2014). The studied predictors were related to disability pension using Cox's proportional hazard regression with hazard ratios (HR) and 95% confidence interval (CI) and selected confounders were controlled for. The follow-up period was 6.7 years (SD 4.2).

RESULTS: Health and social care employees with frequent presenteeism showed a particularly elevated risk of future disability pension after adjusting for sex, sociodemographic variables, physical and psychosocial working conditions, and self-rated health symptoms. In the amalgamated occupational group of nursing professionals and care assistants, the impact on disability pension of having engaged in presenteeism four times or more during the prior year remained significant (HR = 3.72, 95% CI = 2.43-5.68).

CONCLUSIONS: The study suggests that frequent presenteeism contributes to an increased risk of disability pension among nursing professionals and care assistants as well as among all other occupations.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
disability pension, health care workers, nurses, presenteeism, working conditions
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:hig:diva-30736 (URN)10.1002/1348-9585.12070 (DOI)000496170900004 ()31294519 (PubMedID)2-s2.0-85074737708 (Scopus ID)
Funder
Swedish Research Council, 2009‐06192
Note

Funding information: The Swedish Research Council (VR) (grant/award number: ‘grant numbers 2009‐06192, 2013‐01645, and 2013‐016’), the Swedish Council for Working Life and Social Research, Sweden (FORTE) and (grant/award number: ‘Dnr: 2015‐00549’) AFA Insurance owned by the major labor market organizations in Sweden, (grant/award number: ‘Dnr: 170100’).

Available from: 2019-10-07 Created: 2019-10-07 Last updated: 2019-11-28Bibliographically approved
Keus van de Poll, M., Nybergh, L., Lornudd, C., Kwak, L., Lohela Karlsson, M., Hagberg, J., . . . Bergström, G. (2019). Preventing sickness absenteeism among employees with common mental disorders or stress-related symptoms at work: A cluster RCT conducted at the occupational health services. In: : . Paper presented at Forte Talks.
Open this publication in new window or tab >>Preventing sickness absenteeism among employees with common mental disorders or stress-related symptoms at work: A cluster RCT conducted at the occupational health services
Show others...
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:hig:diva-31219 (URN)
Conference
Forte Talks
Available from: 2019-12-09 Created: 2019-12-09 Last updated: 2019-12-09Bibliographically approved
Keus van de Poll, M., Nybergh, L., Lornudd, C., Kwak, L., Lohela Karlsson, M., Hagberg, J., . . . Bergström, G. (2019). Preventing sickness absenteeism among employees with common mental disorders or stress-related symptoms at work: A cluster RCT conducted at the occupational health services. In: : . Paper presented at ECP XVI European Congress of Psychology, Moskva, Ryssland, 2-5 juli 2019.
Open this publication in new window or tab >>Preventing sickness absenteeism among employees with common mental disorders or stress-related symptoms at work: A cluster RCT conducted at the occupational health services
Show others...
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:hig:diva-31217 (URN)
Conference
ECP XVI European Congress of Psychology, Moskva, Ryssland, 2-5 juli 2019
Available from: 2019-12-09 Created: 2019-12-09 Last updated: 2019-12-09Bibliographically approved
Helgadóttir, B., Svedberg, P., Mather, L., Lindfors, P., Bergström, G. & Blom, V. (2019). The association between part-time and temporary employment and sickness absence: a prospective Swedish twin study. European Journal of Public Health, 29(1), 147-153
Open this publication in new window or tab >>The association between part-time and temporary employment and sickness absence: a prospective Swedish twin study
Show others...
2019 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 29, no 1, p. 147-153Article in journal (Refereed) Published
Abstract [en]

Background: Sickness absence (SA) is becoming a major economic problem in many countries. Our aim was to investigate whether type of employment, including temporary employment or part-time employment, is associated with SA while controlling for familial factors (genetic and shared environment). Differences between men and women and across employment sectors were explored.

Methods: This is a prospective twin study based on 21 105 twins born in Sweden 1959-85. The participants completed a survey in 2005 with follow-up of SA (≥15 days), using register data, until end of 2013. The data were analyzed with logistic regression, with results presented as odds ratios (OR) with 95% confidence intervals (CI).

Results: Temporary employment involved higher odds of SA (OR=1.21 95% CI=1.04-1.40) compared to full-time employment. Both part-time workers (OR=0.84 95% CI=0.74-0.95) and the self-employed (OR=0.77 95%CI=0.62-0.94) had lower odds of SA. Stratifying by sex showed lower odds for part-timers (OR=0.82 95% CI=0.73-0.94) and self-employed women (OR=0.65 95% CI=0.47-0.90), but higher odds for men in temporary employment (OR=1.33 95% CI=1.03-1.72). Temporary employees in county councils (OR=1.73 95% CI=1.01-2.99) and municipalities (OR=1.41 95% CI=1.02-1.96) had higher odds while part-timers employed in the private sector had lower odds (OR=0.77 95% CI=0.64-0.93). Familial factors did not confound the association between employment type and SA.

Conclusions: Employment type is associated with SA, with temporary employment involving a higher risk compared to permanent full-time employment while both part-time employment and self-employment involved a lower risk. The associations vary between women and men and across sectors.

Place, publisher, year, edition, pages
Oxford University Press, 2019
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:hig:diva-27846 (URN)10.1093/eurpub/cky145 (DOI)000462576700027 ()30084947 (PubMedID)2-s2.0-85060632378 (Scopus ID)
Funder
AFA Insurance, 140246Swedish Research Council, 2017-00641
Available from: 2018-09-05 Created: 2018-09-05 Last updated: 2019-08-15Bibliographically approved
Helgadottir, B., Narusyte, J., Ropponen, A., Bergström, G., Mather, L., Blom, V. & Svedberg, P. (2019). The role of occupational class on the association between sickness absence and disability pension: A Swedish register-based twin study. Scandinavian Journal of Work, Environment and Health, 45(6), 622-630
Open this publication in new window or tab >>The role of occupational class on the association between sickness absence and disability pension: A Swedish register-based twin study
Show others...
2019 (English)In: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 45, no 6, p. 622-630Article in journal (Refereed) Published
Abstract [en]

Objectives The aim of this study was to examine the association between long-term sickness absence (LTSA) due to mental disorders and musculoskeletal disorders and all-cause disability pension (DP) among blue- and white-collar workers. A secondary objective was to examine the influence of familial factors on the associations. Methods This was a prospective twin cohort study of 42 984 individuals (21-64 years at baseline), 3017 of whom had a new LTSA spell (>14 days) due to mental or musculoskeletal disorders in 2005-2006. Average follow-up time was 5.4 years. Survey data on occupational class and register data on LTSA and DP were used. Cox proportional hazards regression was applied to calculate hazards ratios (HR) with 95% confidence intervals (CI). Results During follow-up, 989 participants went on disability. LTSA due to mental disorders and musculoskeletal disorders led to similar HR for DP among both white- and blue-collar workers when compared to white-collar workers not on LTSA (reference group). LTSA >= 6 months due to musculoskeletal disorders was associated with a higher risk of DP for white-collar (HR 31.50, 95% CI 20.45-48.52) than blue-collar (HR 17.64, 95% CI 13.08-23.78) workers when compared to the reference group. HR were lower in the discordant twin pair models for LTSA due to mental disorders than in the whole cohort. Conclusions White-collar workers on LTSA due to musculoskeletal disorders are especially vulnerable to all-cause DP. This pattern was not present for LTSA due to mental disorders. Familial factors seem to influence the association between LTSA due to mental disorders and all-cause DP.

Keywords
employment, genetics, mental disorder, musculoskeletal disorder, prospective study, register study, sick leave, twins
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:hig:diva-31080 (URN)10.5271/sjweh.3816 (DOI)000492848100009 ()30891611 (PubMedID)2-s2.0-85074742637 (Scopus ID)
Available from: 2019-11-26 Created: 2019-11-26 Last updated: 2020-01-07Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-0161-160x

Search in DiVA

Show all publications