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We examined trajectories of short- and long-term SA among employees with psychological distress and how social and health-related factors are associated with them.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>We used the employer\u2019s register data on all-cause short- (\u2264\u200910 working days) and long-term (&gt;\u200910 working days) SA with a two-year follow-up. We prospectively linked the Helsinki Health Study survey data on 19\u201339-year-old employees of the City of Helsinki, Finland, in 2017, to the SA data. We included 1060 participants (81% women) who reported experiencing psychological distress, measured by the emotional wellbeing scale of RAND-36. Survey responses of age; gender; education; marital status; social support, procedural and interactional organisational justice, and bullying at work; physical activity; diet; tobacco and alcohol use; prior SA; and the level of psychological distress were included as exposures. Group-based trajectory modelling and multinomial logistic regression were used for the analyses.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>We identified four short-term SA trajectories: \u2018low\u2019 (n\u2009=\u2009379, 36% of participants), \u2018descending\u2019 (n\u2009=\u2009212, 20%), \u2018intermediate\u2019 (n\u2009=\u2009312, 29%), and \u2018high\u2019 (n\u2009=\u2009157, 15%); and two long-term SA trajectories: \u2018low\u2019 (n\u2009=\u2009973, 92%) and \u2018high\u2019 (n\u2009=\u200987, 8%). A higher education, fewer prior SA, and lower levels of psychological distress were associated with the \u2018low\u2019 short- and long-term SA trajectories.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>SA trajectories differ among employees with psychological distress. Early intervention and support are needed among employees with mental health symptoms to prevent future SA.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00420-024-02114-7","type":"journal-article","created":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T03:38:00Z","timestamp":1733369880000},"page":"59-77","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Sickness absence trajectories among young and early midlife employees with psychological distress: the contributions of social and health-related factors in a longitudinal register linkage study"],"prefix":"10.1007","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7880-834X","authenticated-orcid":false,"given":"Jatta","family":"Salmela","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3878-9145","authenticated-orcid":false,"given":"Noora Amanda","family":"Heinonen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6817-1476","authenticated-orcid":false,"given":"Jade","family":"Knop","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8361-3301","authenticated-orcid":false,"given":"Marianna","family":"Virtanen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5889-7805","authenticated-orcid":false,"given":"Pi","family":"Fagerlund","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6997-8312","authenticated-orcid":false,"given":"Anne","family":"Kouvonen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3841-3129","authenticated-orcid":false,"given":"Tea","family":"Lallukka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,12,5]]},"reference":[{"key":"2114_CR1","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1016\/j.jad.2023.07.014","volume":"339","author":"I Alaie","year":"2023","unstructured":"Alaie I, Svedberg P, Ropponen A, Narusyte J (2023) Longitudinal trajectories of sickness absence among young adults with a history of depression and anxiety symptoms in Sweden. 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