Epidemiological profile of public servants absent from work due to mental disorders from 2010 to 2013

Baasch, Davi; Trevisan, Rafaela Luiza; Cruz, Roberto Moraes

doi:10.1590/1413-81232017225.10562015

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FREE THEMES • Ciênc. saúde colet. 22 (5) • May 2017 • https://doi.org/10.1590/1413-81232017225.10562015 copy

Epidemiological profile of public servants absent from work due to mental disorders from 2010 to 2013

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

Describe the epidemiological profile of mental and behavior disorders (MBD) of public servants in the State of Santa Catarina, which resulted in workers providing medical certificates, between 2010 and 2013.

Method

A descriptive cross-sectional study with a quantitative approach, performed from data provided by the State Secretary of Administration. All medical certificates classified as in Chapter V of ICD-10 - Group “F” - Mental and Behavioral Disorders (MBD) were considered for analysis in the period.

Results

The study included 71 state agencies, primarily the State Secretary of Education, which corresponds to about 46% of all workers. Considering all the pathologies, 79,306 medical certificates were registered, among which, 40.14% were for MDB. Of the 8,765 workers with medical certificated for MBD, significant differences were found in the prevalence of work absence between gender (more women, in general, with the exception of MBD caused by psychoactive substance use), levels of education, city of the working place, government agency of work, and workers job position.

Epidemiological profile; Mental disorders; Sick leave; Mental health; Prevalence

Absences’ order	Absences’ starting year				Total

	2010	2011	2012	2013
1^st (after 2010)	2,937	2,077	2,012	1,739	8,765
2^nd	1,541	1,289	1,255	1,218	5,303
3^rd	811	935	877	870	3,493
4^th	429	675	702	648	2,454
5^th	186	513	530	513	1,742
6^th	70	388	407	434	1,299
7^th	19	277	335	349	980
8^th	9	202	269	288	768
9^th	3	118	234	241	596
10^th	3	74	182	194	453
11^th	2	38	144	153	337
12^th	1	22	111	139	273
13^th	0	13	81	109	203
14^th	0	7	47	95	149
15^th (or more)	0	4	114	298	416
Total	6,011	6,632	7,300	7,288	27,231

Characteristics	Absences 2010-13	%	N 2010-13 Servants	%	Total Pop. 2010-13	Prev. 2010-13
Sex
Fem	21,575	79.23	7,006	79.93	29,099	24.08
Mas	5,656	20.77	1759	20.07	16,289	10.80
Ethnicity
Black	826	3.03	265	3.02	1,292	20.51
White	25,575	93.92	8,224	93.83	42,039	19.56
Brown	585	2.15	180	2.05	1,096	16.43
Indigenous	22	0.08	13	0.15	93	13.98
Asian	24	0.09	10	0.11	116	8.64
Uninformed	199	0.73	73	0.83	752	9.71
Estado civil
Widower	807	2.96	231	2.64	802	28.80
Divorced	2,148	7.89	635	7.24	2,482	25.59
Separated	1,868	6.86	544	6.21	2,380	22.86
Maried	15,402	56.56	5,164	58.92	27,854	18.54
Single	7,001	25.71	2,187	24.95	11,825	18.50
Uninformed	5	0.02	4	0.05	46	8.70
Education
Postgraduation	14,036	51.54	4,775	54.48	22,103	21.60
Higher education	6,446	23.67	1,944	22.18	9,702	20.04
High school	5,043	18.52	1,518	17.32	9,620	15.78
Elementary school	985	3.62	290	3.31	2,392	12.12
Uninformed	721	2.65	238	2.72	1,570	15.16
Total	27,231	100	8.765	100	45,388	19.31

Main ICD-F Groups	Sex		Total

	Male	Female
F10-F19 Mental and behavioural disorders due to psychoactive substance use	92	12	104
F20-F29 Schizophrenia, schizotypal and delusional disorders	40	35	75
F30-F39 Mood (affective) disorders	829	4,202	5,031
F40-F48 Neurotic, stress-related and somatoform disorders	772	2,689	3,461
F60-F69 Disorders of adult personality and behavior	10	27	37
Other groups (F00-F09, F50-F59, F70-F79, F80-F89, F90-F98)	16	41	57
Total	1,759	7,006	8,765

Departments of SC state government	N Servants 2010-13	Pop. 2010-13	Prevalence 2010-13
Education Department	5,693	20,772	27.41
Special Education State Foundation	182	935	19.47
SDR* Florianopolis Metropolitan	20	100,5	19.90
Health Department	1,583	9,895	16.00
Administration Department	83	543	15.29
Pension Institute	37	256	14.45
Justice and Citizenship Department	240	1,685	14.25
State Foundation of Culture	20	157	12.72
Department of Social Welfare, Labour and Housing	33	267	12.36
Environment Foundation	34	286	11.89
Department of Transportation and Terminals	20	197	10.15
State’s General Attorney	30	313	9.58
Public Safety Department	375	4,465	8.40
Departament of Finance	64	1,132	5.66
State University Foundation	78	1,497	5.21
Infrastructure Department	43	870	4.94
Other Departments	230	2,019	11.39
Total	8,765	45,388	19.31

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E-mail: cienciasaudecoletiva@fiocruz.br

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[1] Collaborations

D Baasch participated in the method, tabulation, treatment of data and analysis of empirical data; RL Trevisan of the introduction, grounding and discussion of results (literature); and RM Cruz from the final considerations and final revision of the text.