Table 4. Crude and adjusted Hazard Ratios (HR) with 95% confidence intervals (CI) for cancer mortality, smoking and non-smoking related, in relation to mental and non-mental sick-leave diagnoses.
| Sickness absence in 2005 | Death | Model 0 | Model 1 | Model 2 | Model 3 |
| N, % | HR (95% CI) | HR (95% CI) | HR (95% CI) | HR (95% CI) | |
| All cancer deaths | |||||
| No sickness absence | 7070 (0.16) | 1 | 1 | 1 | 1 |
| Non-mental diagnoses1 | 3475 (1.02) | 7.83 (7.52–8.16) | 6.05 (5.8–6.3) | 3.16 (3.03–3.31) | 1.86 (1.75–1.98) |
| Mental diagnoses | 173 (0.22) | 1.74 (1.5–2.02) | 1.72 (1.48–2.00) | 1.48 (1.27–1.72) | 1.21 (1.01–1.45) |
| Substance - rel. disorders2 | 10 (0.5) | 3.90 (2.1–7.25) | 2.76 (1.48–5.13) | 1.98 (1.06–3.71) | 1.58 (0.75–3.36) |
| Affective disorders (F30–F39) | 51 (0.19) | 1.48 (1.12–1.95) | 1.47 (1.11–1.93) | 1.17 (0.89–1.55) | 0.94 (0.68–1.31) |
| Neurotic/somatoform disorders* | 12 (0.14) | 1.12 (0.64–1.97) | 1.48 (0.84–2.61) | 1.25 (0.71–2.21) | 1.05 (0.55–2.03) |
| Stress - related disorders (F43) | 90 (0.25) | 1.91 (1.55–2.36) | 1.81 (1.47–2.23) | 1.67 (1.35–2.05) | 1.34 (1.05–1.71) |
| Other psychiatric disorders | 10 (0.28) | 2.19 (1.18–4.07) | 2.26 (1.22–4.20) | 2.00 (1.07–3.72) | 1.97 (1.02–3.79) |
| Smoking - rel. cancer | |||||
| No sickness absence | 2872 (0.06) | 1 | 1 | 1 | 1 |
| Non - mental diagnoses1 | 1227 (0.36) | 6.79 (6.34–7.27) | 5.10 (4.76–5.46) | 3.05 (2.83–3.28) | 1.59 (1.43–1.77) |
| Mental diagnoses | 63 (0.08) | 1.56 (1.21–2.00) | 1.63 (1.27–2.09) | 1.37 (1.06–1.76) | 1.17 (0.87–1.56) |
| Substance - rel. disorders2 | 7 (0.35) | 6.7 (3.19–14.07) | 4.2 (2.00–8.82) | 2.58 (1.21–5.5) | 2.15 (0.87–5.3) |
| Affective disord. (F30–F39) | 15 (0.06) | 1.07 (0.64–1.77) | 1.11 (0.67–1.84) | 0.87 (0.52–1.44) | 0.67 (0.36–1.25) |
| Neurotic/somatoform disorders* | 7 (0.08) | 1.60 (0.76–3.37) | 2.26 (1.08–4.76) | 1.83 (0.87–3.84) | 1.79 (0.8–4.00) |
| Stress - rel. disorders (F43) | 33 (0.09) | 1.72 (1.22–2.43) | 1.77 (1.25–2.49) | 1.63 (1.16–2.30) | 1.45 (0.99–2.12) |
| Other psychiatric disorders | 1 (0.03) | 0.54 (0.08–3.81) | 0.58 (0.08–4.12) | 0.5 (0.07–3.56) | – |
| Not Smoking-rel. cancer | |||||
| No sickness absence | 4198 (0.09) | 1 | 1 | 1 | 1 |
| Non - mental diagnoses1 | 2248 (0.66) | 8.55 (8.11–9.01) | 6.71 (6.37–7.08) | 3.23 (3.06–3.42) | 2.01 (1.86–2.17) |
| Mental diagnoses | 110 (0.14) | 1.87 (1.54–2.26) | 1.79 (1.48–2.16) | 1.55 (1.28–1.88) | 1.24 (0.99–1.56) |
| Substance - rel. disorders2 | 3 (0.15) | 1.97 (0.64–6.12) | 1.51 (0.49–4.68) | 1.22 (0.39–3.81) | 0.91 (0.22–3.68) |
| Affective disorders (F30–F39) | 36 (0.13) | 1.76 (1.27–2.44) | 1.71 (1.23–2.37) | 1.38 (0.99–1.92) | 1.13 (0.76–1.66) |
| Neurotic/somatoform disorders* | 5 (0.06) | 0.79 (0.33–1.89) | 1.00 (0.42–2.41) | 0.87 (0.36–2.11) | 0.58 (0.19–1.80) |
| Stress - related disorders (F43) | 57 (0.16) | 2.04 (1.57–2.66) | 1.85 (1.42–2.41) | 1.69 (1.30–2.20) | 1.28 (0.94–1.75) |
| Other psychiatric disorders | 9 (0.25) | 3.32 (1.73–6.39) | 3.34 (1.74–6.43) | 3.00 (1.56–5.79) | 3.26 (1.69–6.29) |
Model 0: Crude; Model 1: Adjusted for age, sex, educational level, family situation, region, country of birth; Model 2: As model 1 and adjusted for inpatient and outpatient care due to mental and cancer diagnoses as well as non-mental/non - cancer diagnoses. Model 3: like model 2 but with a 2 years -wash-out period;
*
F40–F42, F44–F49,
1
Including sick-leave spells for which diagnoses are missing;
2
including F10–F19.