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A support group for absentee middle school students.

For this practice improvement project, an interview guide was developed to identify chronically absent middle school students' reasons for school absence. Of the 17 students interviewed, 82% (n = 14) identified illness as the reason for absence, although they rarely saw a health care provider. The students all shared dreams for the future; 50% involved further education, and 50% involved job training. A support group intervention was offered to the 17 students during spring term. Only three students were able to participate in a weekly group meeting for 5 weeks. Two of the three students were depressed and referred to their health care providers for evaluation. The topics presented to the group included being sick and options available, setting weekly attendance goals, identifying depressive symptoms and what they mean, and likes and dislikes about school. The support group occurred late in the school year, so its effect on attendance was not determined.

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Sickness absenteeism among employees of a teaching hospital in Saudi Arabia.

The sickness absence records of workers at the King Khalid University Hospital over a period of two years (1990-1991) were analysed to identify the category of workers at high risks. The records of each staff who went on 'sick-off' are available at the Employee Health Clinic of the hospital. There were 861 workers with sickness absence records during the period of study and 86% are expatriates on contract. The prevalence of sickness absence is higher among contract workers than non-contract workers about 16% and 9% respectively. The sex ratio was 1:2 in favour of females among contract employees but 1.2:1 in the male's favour for the Saudis. The observed sex differential in the rate of sickness absence in each occupational group is statistically significant (P < 0.01). Females have more spells of sickness than males and the duration of sickness absence is significantly higher in females. However, the average spell of sickness which is generally low is not different between contract and non-contract workers although slightly higher in the former. There was no significant occupational effect on the spells and duration of sickness absence. Respiratory infections and diseases of the digestive and musculoskeletal systems are the major diseases causing sickness absence. The implications of these findings are discussed in the paper. But for a good monitoring of sickness absence records, a health record surveillance card for each employee is recommended.

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Effects of a comprehensive school-based asthma program on symptoms, parent management, grades, and absenteeism.

STUDY OBJECTIVE: This study assessed the impact of a comprehensive school-based asthma program on symptoms, grades, and school absences in children, and parents' asthma management practices. DESIGN: Randomized controlled trial. SETTING: Fourteen elementary schools in low-income neighborhoods in Detroit, MI. PARTICIPANTS: Eight hundred thirty-five children with asthma in grades 2 through 5 and their parents. INTERVENTION: The intervention entailed six components for children, their parents, classmates, and school personnel to encourage and enable disease management. MEASUREMENTS AND RESULTS: Parents completed telephone interviews and the schools provided data at baseline and 24 months after intervention. At follow-up, treatment children with persistent disease had significant declines in both daytime (14% fewer, p < 0.0001) and nighttime (14% fewer, p < 0.0001) symptoms. Among children with both mild intermittent and persistent disease, those in the treatment group had 17% fewer daytime symptoms (p < 0.0001) but 40% more nighttime symptoms. Treatment children had higher grades for science (p < 0.02) but not reading, mathematics, or physical education. No differences in school absences for all causes between groups were noted in school records. However, parents of treatment group children reported fewer absences attributable to asthma in the previous 3 months (34% fewer, p < 0.0001) and 12 months (8% fewer, p < 0.05). Parents of treatment children had higher scores (2.19 greater, p = 0.02) on an asthma management index. The program may have stimulated attention to symptoms at night by parents of children with mild intermittent disease. Overall, the intervention provided significant benefits, particularly for children with persistent asthma.

Absenteeism↗

[Absenteeism in the nursing team].

The absence of elements of nursing staff jeopardizes the work organization causing overload on this staff and reduction of quality on the nursing assistance. The present study characterizes the type and distribution of absences of the nursing staff in a general far-reaching hospital, purposing a Technical Safety Rate to cover the absences from the reality investigated. Eight types of absences were studied between foreseen or non-foreseen. The highest number of absence types found were those ones referred to the foreseen absences. In sequence we found maternity leave representing the highest number of non-foreseen absences.

Absenteeism↗

The effects of workplace health promotion on absenteeism and employment costs in a large industrial population.

We evaluated the impact of a comprehensive workplace health promotion program on absences among full-time employees in a large, multi-location, diversified industrial company. A pretest-posttest control group design was used to study 41 intervention sites and 19 control sites with 29,315 and 14,573 hourly employees, respectively. Blue-collar employees at intervention sites experienced an 14.0 percent decline in disability days over two years versus a 5.8 percent decline at control sites. This resulted in a net difference of 11,726 fewer disability days over two years at program sites compared with non-program sites. Savings due to lower disability costs at intervention sites offset program costs in the first year, and provided a return of $2.05 for every dollar invested in the program by the end of the second year. These results suggest that comprehensive workplace health promotion programs can reduce disability days among blue collar employees and provide a good return on investment.

Absenteeism↗

Classroom-based surveys of adolescent risk-taking behaviors: reducing the bias of absenteeism.

OBJECTIVES: This investigation examined the effectiveness of intensive efforts to include frequently absent students in order to reduce bias in classroom-based studies. METHODS: Grade 10 students in 13 New York City high schools (n = 2049) completed self-administered confidential surveys in 4 different phases: a 1-day classroom capture, a 1-day follow-up, and 2 separate 1-week follow-ups. Financial incentives were offered, along with opportunities for out-of-classroom participation. RESULTS: Findings showed that frequently absent students engaged in more risk behaviors than those who were rarely absent. Intensive efforts to locate and survey chronically absent students did not, however, significantly alter estimates of risk behavior. Weighting the data for individual absences marginally improved the estimates. CONCLUSIONS: This study showed that intensive efforts to capture absent students in classroom-based investigations are not warranted by the small improvements produced in regard to risk behavior estimates.

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Academic locus of control, type A behavior, and college absenteeism.

Responses from 40 women and 56 men to the Academic Locus of Control Scale and the Framingham Type A Scale were unrelated to each other but correlated .49 and .55 and -.32 and -.37, respectively, with absences from class. Elimination of illness-related absences raised the correlations.

Absenteeism↗

Sickness absenteeism and mortality in patients with excessive drinking in somatic out-patient care.

In a study of 2114 patients attending somatic outpatient clinics, 208 were classified as excessive drinkers. Sickness benefit days and sickness periods per year, disability pension, and mortality were studied for the years 1981 to 1985. The excessive drinkers as a group had 13 to 27 more sickness days per year than the other patients. They also had more sickness periods and a higher rate of disability pension than patients without alcohol overconsumption. The study thus showed that a group with varying degrees of excessive drinking had an increased need for sickness benefits. The mortality was considerably increased among the excessive drinkers. The patients who had undergone treatment or were registered because of alcohol problems had most sickness benefit days. The excessive drinking patients without advanced alcohol problems did not have more sickness days than the other patients. Most of these patients (75%) were sick-listed without recognition of their excessive drinking by their doctor. This emphasizes the importance, in terms of sickness benefits and mortality, of better identification of patients with excessive drinking.

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