1887
Volume 2025, Issue 3
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Sickness absenteeism is a significant global health concern, and understanding its causes is crucial for developing effective prevention strategies. This study aimed to identify the medical causes of sickness absenteeism among adults in Qatar, using a standardized classification scheme.

A cross-sectional analysis was conducted using data from Electronic Health Records of individuals aged 18 years or older during 2019. The study included all clinical encounters resulting in sick leave. Data were restructured to analyze individuals with sick leaves as the primary unit. A standardized classification scheme for sick leave causes was used. The study reported the relative frequency of reasons for seeking sickness leave and calculated the age and gender specific sick leave incidence rates and the reason-specific rates

During the study period, 387,496 clinical encounters resulting in sick leave were identified, involving 87,738 unique individuals having at least one sick leave. A higher prevalence of sick leave was among younger adults (<25 years) and females, with females being 5.4× more likely to have at least one sick leave per year compared to males. The leading causes of sick leave included cold, cough, flu—influenza (159.9/10,000), and gastrointestinal problems (93.8/10,000). Gender differences were noted, with males experiencing more injuries and infectious diseases, while females reported more genitourinary disorders, headaches, cardiac-related problems, and blood disorders.

This study provides valuable insights into sickness absenteeism in Qatar, highlighting theprimary medical causes. The findings can inform the development of targeted interventions and support systems for a healthier workforce.

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2025-04-21
2026-02-21

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References

  1. Shrivastava SR, Shrivastava PS, Ramasamy J. A comprehensive ap-proach to reduce sickness absenteeism. J Inj Violence Res. 2015 Jan;7:(1):43-4. https://doi.org/10.5249/jivr.v7i1.631.Epub 2014 Aug 24. PMID: 25618440; PMCID: PMC4288297.
    [Google Scholar]
  2. Prasad KN, Puttaswamy M. Community based, cross sectional study on sickness absenteeism among agriculture workers in Ramanagara District, Karnataka. Sch J Appl Med Sci. 2017; 5:(3C):912–9. https://doi.org/10.36347/sjams.2017.v05i03.041
    [Google Scholar]
  3. Marmot M, Feeney A, Shipley M, North F, Syme SL. Sickness absence as a measure of health status and functioning: from the UK Whitehall II study. J Epidemiol Community Health. 1995;49:(2):124–30. https://doi.org/10.1136/jech.49.2.124
    [Google Scholar]
  4. Ferrie JE, Vahtera J, Kivimäki M, Westerlund H, Melchior M, Alexanderson K, et al. Diagnosis-specific sickness absence and all-cause mortality in the GAZEL study. J Epidemiol Community Health. 2009 Jan;63:(1):50–5. https://doi.org/10.1136/jech.2008.074369
    [Google Scholar]
  5. Marques D de O, Pereira MS, Souza ACS e, Vila V da SC, Almeida CCO de F, Oliveira EC de. O absenteísmo - doença da equipe de enfermagem de um hospital universitário. Rev Bras Enferm. 2015 Oct;68:(5):876–82. https://doi.org/10.1590/0034-7167.2015680516i
    [Google Scholar]
  6. Heymann J, Raub A, Waisath W, McCormack M, Weistroffer R, Moreno G, et al. Protecting health during COVID-19 and beyond: a global examination of paid sick leave design in 193 countries. Glob Public Health. 2020 Jul 2;15:(7):925–34. https://doi.org/10.1080/17441692.2020.1764076
    [Google Scholar]
  7. van den Berg S, Burdorf A, Robroek SJW. Associations between common diseases and work ability and sick leave among health care workers. Int Arch Occup Environ Health. 2017 Oct 1;90:(7):685–93. https://doi.org/10.1007/s00420-017-1231-1
    [Google Scholar]
  8. Koopmans PC, Roelen CAM, Groothoff JW. Risk of future sickness absence in frequent and long-term absentees. Occup Med (Lond). 2008 Jun 1;58:(4):268–74. https://doi.org/10.1093/occmed/kqn040
    [Google Scholar]
  9. Allebeck P, Mastekaasa A. Swedish Council on Technology Assessment in Health Care (SBU). Chapter 5. Risk factors for sick leave - general studies. Scand J Public Health Suppl. 2004 Oct;63::49–108. https://doi.org/10.1080/14034950410021853
    [Google Scholar]
  10. Labriola M, Lund T, Burr H. Prospective study of physical and psychosocial risk factors for sickness absence. Occup Med (Lond). 2006 Oct;56:(7):469–74. https://doi.org/10.1093/occmed/kql058
    [Google Scholar]
  11. Dekkers-Sánchez PM, Hoving JL, Sluiter JK, Frings-Dresen MHW. Factors associated with long-term sick leave in sick-listed employees: a systematic review. Occup Environ Med. 2008 Mar;65:(3):153–7. https://doi.org/10.1136/oem.2007.034983
    [Google Scholar]
  12. Harrison D. Time for absenteeism: a 20-year review of origins, offshoots, and outcomes. J Manage. 1998 Jan 1;24:(3):305–50. https://doi.org/10.1016/S0149-2063(99)80064-6
    [Google Scholar]
  13. Bültmann U, Huibers MJH, Van Amelsvoort LPGM, Kant I, Kasl SV, Swaen GMH. Psychological distress, fatigue and long-term sickness absence: prospective results from the Maastricht Cohort Study. J Occup Environ Med. 2005;47:(9):941–7. https://doi.org/10.1097/01.jom.0000172865.07397.9a
    [Google Scholar]
  14. Moll Van Charante AW, Mulder PGH. Frequency and duration of absence from work as functions of work force characteristics. J Occup Environ Med. 1997 Mar;39:(3):248–55. https://doi.org/10.1097/00043764-199703000-00015
    [Google Scholar]
  15. Smulders PGW, Nijhuis FJN. The Job Demands-Job Control Model and absence behaviour: results of a 3-year longitudinal study. Work Stress. 1999 Apr;13:(2):115–31. https://doi.org/10.1080/026783799296093
    [Google Scholar]
  16. Sickness absence in hospital staff. Lancet.1979 Dec 15;314:(8155):1278–9. https://doi.org/10.1016/S0140-6736(79)92287-6
  17. Johns G, Nicholson N. The meanings of absence- new strategies for theory and research. Res Org Behav. 1982;4::127–72. https://scholar.google.com/scholar?cluster=16264004373210748116&hl=en&as_sdt=2005&sciodt=0,5 [Accessed 8th July 2025].
    [Google Scholar]
  18. Löfgren A, Hagberg J, Arrelöv B, Ponzer S, Alexanderson K. Frequency and nature of problems associated with sickness certification tasks: a cross-sectional questionnaire study of 5455 physicians. Scand J Prim Health Care. 2007;25:(3):178–85. https://doi.org/10.1080/02813430701430854
    [Google Scholar]
  19. Söderberg E, Alexanderson K. Sickness certificates as a basis for decisions regarding entitlement to sickness insurance benefits. Scand J Public Health. 2005 Aug 1;33:(4):314–20. https://doi.org/10.1080/14034940510005798
    [Google Scholar]
  20. Nilsing E, Söderberg E, Berg B. Sickness certificates in Sweden: did the new guidelines improve their quality? BMC Public Health. 2012 Oct 26;12:(1):907. https://doi.org/10.1186/1471-2458-12-907
    [Google Scholar]
  21. GLMM. Qatar: Law no. 14 of 2004 issuing the labor law. https://gulfmigration.grc.net/law-no-14-of-2004-issuing-the-labor-law/ [Accessed 8th July 2025].
  22. Alban LL, Carvalho M de, Carvalho AC. Reasons for sickness absenteeism among nursing workers in Brazil: an integrative review. Rev Bras Med Trab. 2021;19:(3):351–62. https://doi.org/10.47626/1679-4435-2021-629
    [Google Scholar]
  23. Chevalier A, Luce D, Blanc C, Goldberg M. Sickness absence at the French National Electric and Gas Company. Occup Environ Med. 1987 Feb 1;44:(2):101–10. https://doi.org/10.1136/oem.44.2.101
    [Google Scholar]
  24. Elabd K, Alkhenizan A, Aldughaither A. Sick leaves pattern in a Tertiary Healthcare Facility in Saudi Arabia. Cureus. 2020 Nov 18;12:(11):e11543. https://doi.org/10.7759/cureus.11543
    [Google Scholar]
  25. Santa-Marinha MS, Teixeira LR, De Seixas Maciel EMG, De Fatima Ramos Moreira M. Epidemiological profile of sickness absenteeism at Oswaldo Cruz Foundation from 2012 through 2016. Rev Bras Med Trab. 2020;16:(4):457–65. https://doi.org/10.5327/Z1679443520180307
    [Google Scholar]
  26. Ritchie P, Cowie H, Graham M, Hutchison P, Mulholland R, Melrose A, Pilkington A. Managing health at work: recording and monitoring information on sickness absence including work relatedness. Edinburgh: Institute of Occupational Medicine; 2005. Report No.: RR310. Sponsored by the Health and Safety Executive (HSE). Available from:https://webarchive.nationalarchives.gov.uk/ukgwa/20241208030149/https://www.hse.gov.uk/research/rrhtm/rr310.htm
    [Google Scholar]
  27. Reetoo N, Burrows J, Macdonald E. Managing sickness absence and return to work. Trial and assessment of a sickness absence recording tool. University of Glasgow; 2009.https://eprints.gla.ac.uk/5395/[Accessed 8th July 2025].
    [Google Scholar]
  28. State of Qatar Open Data. Homepage [Internet]. Available from: https://www.data.gov.qa/pages/homepage/ [Accessed 8th July 2025]
  29. Grytten J, Sørensen R. Practice variation and physician-specific effects. J Health Econ. 2003 May;22:(3):403–18. https://doi.org/10.1016/S0167-6296(02)00105-4
    [Google Scholar]
  30. Scheil-Adlung X, Sandner L.SECSOC ESS paper No. 27, ILO Sick Leave (XSA); 2010.
  31. Farrants K, Kjeldgård L, Marklund S, Head J, Alexanderson K. Sick leave before and after the age of 65 years among those in paid work in Sweden in 2000 or 2005: a register-based cohort study. J Int Med Res. 2018 Feb 1;46:(2):564–77. https://doi.org/10.1177/0300060517734744
    [Google Scholar]
  32. Donders NCGM, Bos JT, Van Der Velden K, Van Der Gulden JWJ. Age differences in the associations between sick leave and aspects of health, psychosocial workload and family life: a cross-sectional study. BMJ Open. 2012 Jan 1;2:(4):e000960. https://doi.org/10.1136/bmjopen-2012-000960
    [Google Scholar]
  33. theHRDirector. Gen Z employees take significantly more sick days than older peers. https://www.thehrdirector.com/business-news/gen-z/gen-z-employees-take-significantly-sick-days-older-peers/ [Accessed 8th July 2025].
  34. Personnel Today. 78 million work days lost to sickness in UK. https://www.personneltoday.com/hr/78-million-work-days-lost-to-sickness-in-uk/ [Accessed 8th July 2025].
  35. Taimela S, Läärä E, Malmivaara A, Tiekso J, Sintonen H, Justén S, et al. Self-reported health problems and sickness absence in different age groups predominantly engaged in physical work. Occup Environ Med. 2007 Nov;64:(11):739–46. https://doi.org/10.1136/oem.2006.027789
    [Google Scholar]
  36. Nicholson N, Brown CA, Chadwick-Jones JK. Absence from work and personal characteristics. J Appl Psychol. 1976 Jun;62:(3):319–27. https://doi.org/10.1037/0021-9010.62.3.319
    [Google Scholar]
  37. Clegg CW. Psychology of employee lateness, absence, and turnover: a methodological critique and an empirical study. J Appl Psychol. 1983 Feb;68:(1):88–101. https://doi.org/10.1037/0021-9010.68.1.88
    [Google Scholar]
  38. Leao ALM, Barbosa-Branco A, Turchi MD, Steenstra IA, Cole DC. Sickness absence among municipal workers in a Brazilian municipality: a secondary data analysis. BMC Res Notes. 2017 Dec 28;10:(1):773. https://doi.org/10.1186/s13104-017-3116-5
    [Google Scholar]
  39. Rhodes SR. Age-related differences in work attitudes and behavior: a review and conceptual analysis. Psychol Bull. 1983 Mar;93:(2):328–67. https://doi.org/10.1037/0033-2909.93.2.328
    [Google Scholar]
  40. Østby KA, Mykletun A, Nilsen W. Explaining the gender gap in sickness absence. Occup Med (Lond). 2018 Jun 20;68:(5):320–6. https://doi.org/10.1093/occmed/kqy062
    [Google Scholar]
  41. Herr J, Roy R, Klerman JA. Gender differences in needing and taking leave. Abt Associates; 2018.
    [Google Scholar]
  42. Mastekaasa A, Melsom AM. Occupational segregation and gender differences in sickness absence: evidence from 17 European countries. Eur Sociol Rev. 2014 Oct;30:(5):582–94. https://doi.org/10.1093/esr/jcu059
    [Google Scholar]
  43. Laaksonen M, Martikainen P, Rahkonen O, Lahelma E. Explanations for gender differences in sickness absence: evidence from middle-aged municipal employees from Finland. Occup Environ Med. 2008 May;65:(5):325–30. https://doi.org/10.1136/oem.2007.033910
    [Google Scholar]
  44. Løset GK, Dale-Olsen H, Hellevik T, Mastekaasa A, Von Soest T, Østbakken KM. Gender equality in sickness absence tolerance: attitudes and norms of sickness absence are not different for men and women. PLoS One. 2018 Aug 1; 13:(8):e0200788. https://doi.org/10.1371/journal.pone.0200788
    [Google Scholar]
  45. Garbin AJÍ, Nascimento CCMP, Zacharias FCM, Garbin CAS, Moimaz SAS, Saliba NA. Sickness absenteeism of Primary Health Care professionals before and during the COVID-19 pandemic. Rev Bras Enferm. 2022 Aug 26;75::e20220028. https://doi.org/10.1590/0034-7167-2022-0028
    [Google Scholar]
  46. Mollazadeh M, Saraei M, Mehrdad R, Izadi N. Sickness absenteeism of Healthcare Workers in a Teaching Hospital. Hosp Pract Res. 2018 Feb 1;3:(1):6–10. https://doi.org/10.15171/hpr.2018.02
    [Google Scholar]
  47. Office for National Statistics. Sickness absence in the UK labour market: 2022. https://www.ons.gov. uk/employmentandlabourmarket/peopleinwork/labourproductivity/articles/sicknessabsenceinthel abourmarket/2022#reasons-for-sickness-absence [Accessed 8th July 2025].
  48. CIPD. Health and wellbeing at work - Survey report. London; 2023.
  49. Virtanen M, Ervasti J, Head J, Oksanen T, Salo P, Pentti J, et al. Lifestyle factors and risk of sickness absence from work: a multicohort study. Lancet Public Health. 2018 Nov 1;3:(11):e545–54. https://doi.org/10.1016/S2468-2667(18)30201-9
    [Google Scholar]
  50. Rocha FP, Saito CA, Nathan Outeiro Pinto TC. Sickness absenteeism among health care workers in a public hospital in São Paulo, Brazil. Rev Bras Med Trab. 2019;17:(3):355–62. https://doi.org/10.5327/Z1679443520190333
    [Google Scholar]
  51. Mekonnen TH, Lamessa SK, Wami SD. Sickness-related absenteeism and risk factors associated among flower farm industry workers in Bishoftu town, Southeast Ethiopia, 2018: a cross-sectional study. BMC Res Notes. 2019 Mar 29;12:(1):181. https://doi.org/10.1186/s13104-019-4223-2
    [Google Scholar]
  52. AGSIW. Mental health in the Gulf: reforms and challenges. https://agsiw.org/mental-health-in-the-gulf-reforms-and-challenges/ [Accessed 8th July 2025].
  53. Merhej R. Stigma on mental illness in the Arab world: beyond the socio-cultural barriers. Int J Hum Rights Healthc. 2019 Jul 19;12:(4):285–98. https://doi.org/10.1108/IJHRH-03-2019-0025
    [Google Scholar]
  54. Stirling B, Hickey J, Omar H, Kehyayan V. Stigma towards mental disorders in Qatar: a qualitative study. QScience Connect. 2019 May 6;2019:(1):2. https://doi.org/10.5339/connect.2019.2
    [Google Scholar]
  55. Feeney A, North F, Head J, Canner R, Marmot M. Socioeconomic and sex differentials in reason for sickness absence from the Whitehall II Study. Occup Environ Med. 1998;55:(2):91–8. https://doi.org/10.1136/oem.55.2.91
    [Google Scholar]
  56. Hibbard JH, Pope CR. Another look at sex differences in the use of medical care: illness orientation and the types of morbidities for which services are used. Women Health. 1986 Jun 13;11:(2):21–36. https://doi.org/10.1300/J013v11n02_03
    [Google Scholar]
  57. Marmot MG, Stansfeld S, Patel C, North F, Head J, White I, et al. Health inequalities among British civil servants: the Whitehall II study. Lancet. 1991 Jun 8;337:(8754):1387–93. https://doi.org/10.1016/0140-6736(91)93068-k
    [Google Scholar]
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