Efeito conjunto das horas de trabalho remunerado e de múltiplos empregos sobre o absenteísmo por motivo de saúde entre professores de ensino básico no Brasil: Estudo Educatel

Rodríguez-Loureiro, Lucía; Artazcoz, Lucía; López-Ruiz, María; Assunção, Ada Ávila; Benavides, Fernando G.

Lucía Rodríguez-Loureiro

Centro de Investigación en Salud Laboral, Universitat Pompeu Fabra, Barcelona, España.

Centro de Investigación Biomédica en Red - Epidemiología y Salud Pública, Madrid, España.

Instituto Hospital del Mar de Investigaciones Médicas, Barcelona, España.

http://orcid.org/0000-0003-0092-3748

Lucía Artazcoz

Centro de Investigación en Salud Laboral, Universitat Pompeu Fabra, Barcelona, España.

Centro de Investigación Biomédica en Red - Epidemiología y Salud Pública, Madrid, España.

Agència de Salut Pública de Barcelona, Barcelona, España.

Institut d'Investigació Biomèdica de Sant Pau, Barcelona, España.

http://orcid.org/0000-0002-6300-5111

María López-Ruiz

Centro de Investigación en Salud Laboral, Universitat Pompeu Fabra, Barcelona, España.

Centro de Investigación Biomédica en Red - Epidemiología y Salud Pública, Madrid, España.

Instituto Hospital del Mar de Investigaciones Médicas, Barcelona, España.

Facultad Latinoamericana de Ciencias Sociales, Salamanca, España.

http://orcid.org/0000-0003-3453-0408

Ada Ávila Assunção

Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.

http://orcid.org/0000-0003-2123-0422

Fernando G. Benavides

Centro de Investigación en Salud Laboral, Universitat Pompeu Fabra, Barcelona, España.

Centro de Investigación Biomédica en Red - Epidemiología y Salud Pública, Madrid, España.

Instituto Hospital del Mar de Investigaciones Médicas, Barcelona, España.

http://orcid.org/0000-0003-0747-2660

Correspondence L. Rodríguez-Loureiro Centro de Investigación en Salud Laboral, Universitat Pompeu Fabra. Edificio PRBB, C/Dr. Aiguader, 88, Barcelona / Barcelona - 08003, España. lrloureiro92@gmail.com

Contributors

L. Rodríguez-Loureiro participated in the discussion of the analysis strategy, cleaned and prepared the dataset for the analysis, carried out the analyses, participated in the interpretation and discussion of the results, drafted the manuscript and completed its final version to be published. L. Artazcoz participated in the discussion of the analysis strategy, made substantial contributions in the interpretation and discussion of the results, and revised and approved the final version of the manuscript to be published. M. López-Ruiz participated in the discussion of the analysis strategy, in the interpretation and discussion of the results, and revised and approved the final version of the manuscript to be published. A. A. Assunção participated in the conception and design of the study, in the selection of the sample, in the interpretation and discussion of the results, and revised and approved the final version of the manuscript to be published. F. G. Benavides participated in the discussion of the analysis strategy, made substantial contributions in the interpretation and discussion of the results, and revised and approved the final version of the manuscript to be published.

Additional informations

ORCID: Lucía Rodríguez-Loureiro (0000-0003-0092-3748); Lucía Artazcoz (0000-0002-6300-5111); María López-Ruiz (0000-0003-3453-0408); Ada Ávila Assunção (0000-0003-2123-0422); Fernando G. Benavides (0000-0003-0747-2660)

Study variables	Women		Men
Study variables	n	%	n	%
Number of schools and weekly paid working hours
Working in one school (hours)
35-40	823	25.6	353	18.6
< 30	935	29.0	480	25.3
41-50	55	1.7	31	1.6
> 50	47	1.5	22	1.2
Working in more than one school (hours)
35-40	530	16.5	328	17.3
< 30	292	9.1	219	11.6
41-50	232	7.2	191	10.1
> 50	306	9.5	272	14.3
Self-certified sickness absence	1,740	54.0	848	44.7
Medically certified sickness absence	684	21.2	356	18.8
Age (years)
≤ 34	992	30.8	643	33.9
35-44	982	30.5	588	31.0
45-54	895	27.8	442	23.3
> 55	351	10.9	223	11.8
Type of contract
Public school
Permanent	1,388	43.1	632	33.3
Temporary	521	16.2	293	15.5
Private school
Permanent	806	25.0	675	35.6
Temporary	505	15.7	296	15.6
Salary (minimum wages) *
< 2	1,233	38.3	593	31.3
2-3	931	28.9	427	22.6
> 3	1052	32.7	872	46.1
Total	3,220	100.0	1,896	100.0

Study variables	Working in one school								Working in more than one school
	35-40 hours		< 35 hours		41-50 hours		> 50 hours		35-40 hours		< 35 hours		41-50 hours		> 50 hours
	n	%	n	%	n	%	n	%	n	%	n	%	n	%	n	%
Self-certified sickness absence	437	53.1	450	48.1	28	50.9	28	59.6	326	61.5	141	48.3	135	58.2	195	63.7
Medically certified sickness absence	181	22.0	161	17.2	11	20.0	11	23.4	121	22.8	58	19.9	55	23.7	86	28.1
Age (years)
≤ 34	244	29.6	287	30.7	18	32.7	17	36.2	169	31.9	99	33.9	78	33.6	80	26.1
35-44	273	33.2	254	27.2	18	32.7	9	19.1	178	33.6	80	27.4	83	35.8	87	28.4
45-54	211	25.6	270	28.9	11	20.0	13	27.7	143	27.0	81	27.7	61	26.3	105	34.3
> 55	95	11.5	124	13.3	8	14.5	8	17.0	40	7.5	32	11.0	10	4.3	34	11.1
Type of contract
Public school
Permanent	444	53.9	383	41.0	21	38.2	27	57.4	223	42.1	81	27.7	78	33.6	131	42.8
Temporary	131	15.9	209	22.4	9	16.4	6	12.8	71	13.4	51	17.5	23	9.9	21	6.9
Private school
Permanent	94	11.4	117	12.5	10	18.2	6	12.8	202	38.1	121	41.4	115	49.6	141	46.1
Temporary	154	18.7	226	24.2	15	27.3	8	17.0	34	6.4	39	13.4	16	6.9	13	4.2
Salary (minimum wages)
< 2	182	22.2	447	47.9	14	25.5	14	29.8	231	43.7	155	53.1	98	42.2	92	30.1
2-3	252	30.7	248	26.6	11	20.0	17	36.2	171	32.3	80	27.4	62	26.7	90	29.4
> 3	387	47.1	239	25.6	30	54.5	16	34.0	127	24.0	57	19.5	72	31.0	124	40.5
Total	823	100.0	935	100.0	55	100.0	47	100.0	530	100.0	292	100.0	232	100.0	306	100.0

Study variables	Working in one school								Working in more than one school
	35-40 hours		< 35 hours		41-50 hours		> 50 hours		35-40 hours		< 35 hours		41-50 hours		> 50 hours
	n	%	n	%	n	%	n	%	n	%	n	%	n	%	n	%
Self-certified sickness absence	139	39.4	178	37.1	13	41.9	11	50.0	148	45.1	101	46.1	104	54.5	154	56.6
Medically certified sickness absence	64	18.1	72	15.0	7	22.6	2	9.1	59	18.0	43	19.6	40	20.9	69	25.4
Age (years)
≤ 34	118	33.4	157	32.7	9	29.0	4	18.2	118	36.0	83	37.9	74	38.7	80	29.4
35-44	108	30.6	143	29.8	9	29.0	7	31.8	91	27.7	60	27.4	61	31.9	109	40.1
45-54	84	23.8	106	22.1	11	35.5	7	31.8	85	25.9	49	22.4	44	23.0	56	20.6
> 55	43	12.2	74	15.4	2	6.5	4	18.2	34	10.4	27	12.3	12	6.3	27	9.9
Type of contract
Public school
Permanent	161	45.6	182	37.9	10	32.3	13	59.1	82	25.0	49	22.4	47	24.6	88	32.4
Temporary	70	19.8	112	23.3	6	19.4	2	9.1	42	12.8	27	12.3	17	8.9	17	6.3
Private school
Permanent	61	17.3	68	14.2	8	25.8	5	22.7	174	53.0	105	47.9	104	54.5	150	55.1
Temporary	61	17.3	118	24.6	7	22.6	2	9.1	30	9.1	38	17.4	23	12.0	17	6.3
Salary (minimum wages)
< 2	46	13.1	168	35.1	8	25.8	1	4.5	122	37.2	113	51.6	59	30.9	76	28.0
2-3	68	19.3	102	21.3	2	6.5	6	27.3	93	28.4	46	21.0	52	27.2	58	21.4
> 3	238	67.6	208	43.5	21	67.7	15	68.2	113	34.5	60	27.4	80	41.9	137	50.6
Total	353	100.0	480	100.0	31	100.0	22	100.0	328	100.0	219	100.0	191	100.0	272	100.0

Main independent variable, by sex	n	%	PRc	95%CI	PRa	95%CI
Women
Number of schools and paid working hours
Working in one school (hours)
35-40	437	53.1	1.00		1.00
< 35	450	48.1	0.91	0.83-0.99 *	0.93	0.85-1.02
41-50	28	50.9	0.96	0.73-1.25	0.98	0.75-1.28
> 50	28	59.6	1.12	0.88-1.43	1.11	0.87-1.43
Working in more than one school (hours)
35-40	326	61.5	1.16	1.06-1.27 **	1.17	1.07-1.29 ***
< 35	141	48.3	0.91	0.79-1.04	0.95	0.83-1.09
41-50	135	58.2	1.10	0.97-1.24	1.11	0.98-1.27
> 50	195	63.7	1.20	1.08-1.33 ***	1.21	1.09-1.35 ***
Men
Number of schools and paid working hours
Working in one school (hours)
35-40	139	39.4	1.00		1.00
< 35	178	37.1	0.94	0.79-1.12	0.97	0.81-1.15
41-50	13	41.9	1.06	0.69-1.64	1.08	0.70-1.66
> 50	11	50.0	1.27	0.82-1.97	1.27	0.82-1.96
Working in more than one school (hours)
35-40	148	45.1	1.15	0.96-1.37	1.13	0.95-1.36
< 35	101	46.1	1.17	0.97-1.42	1.18	0.97-1.43
41-50	104	54.5	1.38	1.15-1.66 ***	1.35	1.12-1.63 **
> 50	154	56.6	1.44	1.22-1.70 ***	1.40	1.18-1.66 ***

Main independent variable, by sex	n	%	PRc	95%CI	PRa	95%CI
Women
Number of schools and paid working hours
Working in one school (hours)
35-40	181	22.0	1.00		1.00
< 35	161	17.2	0.78	0.65-0.95 *	0.84	0.70-1.03
41-50	11	20.0	0.91	0.53-1.57	0.93	0.54-1.60
> 50	11	23.4	1.06	0.62-1.81	1.07	0.63-1.83
Working in more than one school (hours)
35-40	121	22.8	1.04	0.85-1.27	1.10	0.89-1.36
< 35	58	19.9	0.90	0.69-1.18	0.99	0.75-1.30
41-50	55	23.7	1.08	0.83-1.40	1.14	0.87-1.49
> 50	86	28.1	1.28	1.02-1.59 *	1.30	1.03-1.63 *
Men
Number of schools and paid working hours
Working in one school (hours)
35-40	64	18.1	1.00		1.00
< 35	72	15.0	0.83	0.61-1.13	0.91	0.66-1.23
41-50	7	22.6	1.25	0.63-2.48	1.31	0.67-2.57
> 50	2	9.1	0.50	0.13-1.91	0.48	0.12-1.82
Working in more than one school (hours)
35-40	59	18.0	0.99	0.72-1.37	1.04	0.75-1.44
< 35	43	19.6	1.08	0.76-1.53	1.21	0.85-1.72
41-50	40	20.9	1.16	0.81-1.65	1.17	0.82-1.67
> 50	69	25.4	1.40	1.047-1.89 *	1.41	1.04-1.92 *

[1] Correspondence L. Rodríguez-Loureiro Centro de Investigación en Salud Laboral, Universitat Pompeu Fabra. Edificio PRBB, C/Dr. Aiguader, 88, Barcelona / Barcelona - 08003, España. lrloureiro92@gmail.com

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Efeito conjunto das horas de trabalho remunerado e de múltiplos empregos sobre o absenteísmo por motivo de saúde entre professores de ensino básico no Brasil: Estudo Educatel

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