ADMINISTRATIVE MEDICAL EXAMINATION: EPIDEMIOLOGICAL PROFILE OF THE PUBLIC SERVANTS WITH SICK LEAVE AND WORK DISABILITY DUE TO MENTAL AND BEHAVIORAL DISORDERS, FROM MARCH TO AUGUST IN 2019, OF THE CITY OF ARACAJU, SERGIPE, BRAZIL.
submitted July 10th 2020, accepted Aug. 24th 2020
Thayane Sobral Cardoso (1)
http://lattes.cnpq.br/6014957504504518 – ORCID: 0000-0002-1592-958
Antônio Souza Lima-Júnior (2)
http://lattes.cnpq.br/2748423473735922 – ORCID: 0000-0001-6436-824
Kleber Cristian Albuquerque de Santana (3)
http://lattes.cnpq.br/9209752798069371 – ORCID:0000-0002-5634-737
(1) Fundação de Beneficência Hospital de Cirurgia – FBHC, Aracaju – SE, Brasil.
(2) Universidade Tiradentes, Aracaju – SE, Brasil.
(3) Perito Médico Federal e Perito Médico Oficial da Prefeitura de Aracaju. Aracaju-SE, Brasil.
The purpose of the study was to evaluate the epidemiological profile of the public servants of Aracaju removed from work due to mental and behavioral disorders. A descriptive, exploratory cross study based in clinical-occupational exam, besides the medical record. Sample: 85 servants with sick leave or functional rehabilitation, to stablish concordance with the diagnosis by the physician. 84,7% female and 15,29% male. Age range: zero under 20 years old, 1,17% 20-30, 31,76% 30-40, 42,35% 40-50, 22,35% 50-60 and 2,35% above 60. International Statistical Classification of Diseases and Related Health Problems – ICD: the most prevalent 63,52% – neurotic, stress related and somatoform disorders, F43.2 – 12,94%, F31, F32, F41.1 and F43.0 – 10,58%, each one. The most stricken professionals: primary teachers 25,88%, nursing assistants 18,82% and community health workers 10,97%. Duration of the medical leave granted: 17 function rehabilitation, 34 sick leaves under 30 days, 27 of 30-60, 6 of 60-90 and 1 above 180. No sick leave was refused and none in the interval of 90-120 and 120-180 days. 25% in their first sick leave in the last 5 years due to ICD-F, whereas 75% had previous. 93% were in use of psychotropics, except benzodiazepines, whilst 53% in use of benzodiazepines. 78,82% of the statements by psychiatrists. The results evidence that mental health is an important cause of absenteeism. The interpretation of these findings may hereafter serve as source formulations of policies and programs focused on the prevention and promotion of the occupational health for servants.
Keywords: Mental disorders, Forensic medicine, Mental health, Public servant, Work disability.