. Respondents were categorized as having social wellness if they reported at least most of the time to have someone to give them advice about a crisis; someone to show them love and affection; and someone to confide in or talk to about themselves or their problems.. Respondents were categorized as having self-rated wellness if they reported that they perceived as “good” or “excellent” their own aging; physical health; and mental health.
In order to ensure multicollinearity was not a problem, the variance inflation factor and the Hosmer–Lemeshow test were used.The characteristics of the final sample of the respondents who rated their own aging as good to excellent were classified as successful agers using the expanded definition of successful aging presented in this study.
4.1.1. Research Question 1a: Do Those Who Participate in Social Activities at Baseline Have a Higher Prevalence of Successful Aging at Time 2? The results of the bivariate analyses indicate that the prevalence of successful aging at Time 2 was significantly higher in respondents who, at baseline, participated in educational or cultural activities =37.7,< 0.001), those who participated in the neighbourhood, community, or professional association activities (72.2% vs. 67.5%;
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Separate and joint associations of chronic pain, multisite pain and mental health with sickness absence among younger employees: a register based longitudinal study - Archives of Public HealthBackground Pain conditions and poorer mental health are associated with work disability. However, few studies have examined the association of concurrent pain and poorer mental health with sickness absence among younger employees. We examined separate and joint associations of chronic pain, multisite pain, and mental health with total and long-term all-cause sickness absence days among younger Finnish municipal employees. Methods The Young Helsinki Health-study data were collected in 2017 from 19–39-year-old employees of the City of Helsinki, Finland. Chronic (≥ 3 months) and multisite (≥ 2 body sites) pain and mental health (RAND-36 emotional wellbeing subscale dichotomized by median score) were self-reported (n = 3911). Chronic pain, multisite pain and mental health were analyzed separately and combined. Register data on total (≥ 1 workdays) and long-term (≥ 11 workdays) sickness absence days during the following year were obtained. Negative binomial regression analyses were performed with sociodemographic, socioeconomic, and health-related factors as confounders. Gender interaction and synergistic indices were examined. Results Chronic multisite pain was associated with long-term sickness absence days (rate ratio [RR] 2.51, 95% CI 1.17–5.42). Chronic pain (RR 5.04, 95% CI 2.14–11.87) and multisite pain (RR 4.88, 95% CI 2.30–10.33) were associated with long-term sickness absence days among employees with poorer mental health. There was a synergistic interaction between gender and multisite pain for total sickness absence days (synergy index 1.80, 95% CI 1.27–2.54), with stronger associations among women. Conclusions Chronic and multisite pain are associated with long-term sickness absence among younger employees, particularly among women and employees with concurrent poorer mental health. Consideration of this knowledge at workplaces and in healthcare could help to identify and support employees at increased risk of later sickness absence.
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