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01.12.2015 | Research article | Ausgabe 1/2015 Open Access

BMC Public Health 1/2015

The gender gap in sickness absence from work and the influence of parental absence on offspring absence 15 years later: register-based cohort of Norwegians born in 1974–1976

BMC Public Health > Ausgabe 1/2015
Petter Kristensen, Karina Corbett, Ingrid Sivesind Mehlum
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​s12889-015-2037-2) contains supplementary material, which is available to authorized users.

Competing interests

All authors declare that we have no financial or other relationships that might lead to competing interests.

Authors’ contributions

KC, PK, and ISM had the initial idea of the study objective and the study design. PK established the data file and was responsible for analyses as well as drafting the article. KC, PK, and ISM oversaw the study design, contributed to the interpretations of the findings, and participated in writing the article. All authors read and approved the final version of the paper.



Women have shown consistently higher levels of sickness absence from work in comparison to men, but explanations for this gender gap have not been completely understood. Life-course studies suggest that health and health-related social benefits in adult age are influenced by early life experiences. We aimed to estimate intergenerational associations with a 15-year time gap between parents’ and offspring sickness absences, pursuing the hypothesis that this parental influence would have a stronger impact for women than for men.


All persons born alive between 1974 and 1976 in Norway were followed up in several national registries. Employed persons considered to be at risk of sickness absence and also with parents at risk of sickness absence (n = 78 878) were followed in the calendar year of their 33rd birthday with respect to spells lasting >16 days. The probability of one or more spells during this year constituted the one-year risk under study. Additive risk differences in association with an exposure (parental sickness absence 15 years earlier) were estimated in a binomial regression analysis. The estimates were adjusted for parental socioeconomic factors.


The 1-year sickness absence risk was higher for women (30.4 %) than for men (12.3 %). The crude risk differences between those exposed and those unexposed to parental sickness absence were similar in percentage points (PP) for women (3.8; 95 % confidence interval (CI) 2.6 to 4.9) and men (3.8; 95 % CI 2.9 to 4.6). The risk differences were moderately attenuated after adjustment for parental education and father’s income to 3.4 PP (2.2 to 4.5) for women and 2.8 PP (2.0 to 3.7) for men. Male absence was more strongly associated with the father’s than with the mother’s sickness absence, while associations for women were stronger for the same diagnostic groups as their parents.


Parental sickness absence was moderately associated with sickness absence in the next generation. Bias from unmeasured confounders cannot be entirely dismissed. Contrary to our hypothesis, associations were not stronger for women than for men. If parental sickness absence has a long-term causal effect, preventive measures could have an impact over generations.
Additional file 1: Table S1. Sex- and diagnosis-specific associations between the sickness absence of parents (exposure) and index persons (outcome). Table S2. Sex-specific associations between musculoskeletal and psychiatric-related sickness absence of parents (exposure) and index persons (outcome). Appendix. Sensitivity analysis illustrating the potential impact of unmeasured confounding.
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