DAYS OUT OF ROLE DUE TO COMMON MENTAL AND CHRONIC SOMATIC DISORDERS
Journal Title: Българско списание за обществено здраве (Bulgarian Journal of Public Health) - Year 2012, Vol 0, Issue 1
Abstract
Objectives: The aim of this paper is to explore the days out of role due to health problems of somatic and mental origin in Bulgaria. Data from national representative epidemiological study EPIBUL 2003-2007 for Bulgaria, show the share of common somatic and psychiatric disorders in the total days out of role in Bulgaria Methods: The study EPIBUL is nationally representative for Bulgaria and covers 5318 respondents over 18, for the period 2003 to 2007. Diagnostic tools that are used are DSM IV and CIDI 3.0. A presence of ten chronic somatic disorders and nine psychiatric disorders for each respondent, is investigated along with information about the number of days out of role in the last month before the interview in which respondents were not able to work or perform their other normal daily activities due to problems of physical or mental origin. Multiple regression analysis to assess the multivariate associations of somatic and psychiatric disorders controling age, gender, employment and education was applied. Results: About half of respondents (48.1%) had a psychiatric or somatic disorder of the 19 disorders included in this analysis. Those who reported at least one somatic disorder (44.3%) are significantly more than those who reported any mental disorder (10.7%). People with neurological disorders have the highest average number of days out of role (77.5 days), followed by those with social phobia (50.5 days), headache and/or migraine (44.6 days) and insomnia (40.6 days). Neurological diseases had also the largest individual effect followed by headaches and/ or migraine, insomnia and alcohol abuse. On the social level, however, a strong effect (population attributive risk - PAR) had conditions associated with chronic pain, cardiovascular diseases, headaches and/or migraine. Conclusion: Days out of role due to health problems are a major source of loss of human capital (1). The study of the causes leading to the loss of days has a value on a personal as well on population level. Increasing productivity and increasing social capital is directly related to reduction of the leading causes for days out of role. In Bulgaria, unlike other countries, a shift of the leading causes of lost days in the direction of somatic diseases, which is taken as an indirect indicator of the high threshold of stigmatization of mental health services.
Authors and Affiliations
Hristo Hinkov, Michael Okoliysky, Zahary Zarkov, Vladimir Nakov, Plamen Dimitrov, Toma Tomov
Keywords
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