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Gómez-Domínguez A, Ferrer-Rosende P, Esteve-Matalí L, Salas-Nicás S, Navarro-Giné A. Sickness Presenteeism and Psychosocial Risk Factors According to Inequality Axes. J Occup Environ Med 2023; 65:561-566. [PMID: 36804515 DOI: 10.1097/jom.0000000000002810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2023]
Abstract
OBJECTIVE To assess the association between psychosocial risk factors (PSRs) and sickness presenteeism (SP) and examine possible differences according to the major axes of inequality in the labor market. Methods: Cross-sectional study based on a representative sample of the Spanish salaried population. Results: Although nearly all PSR show crude associations with SP, when adjusted for every other PSR, only the workers exposed to lack of role clarity (adjusted prevalence ratio [aPR], 1.30; 95% confidence interval [CI], 1.01 to 1.68), having role conflicts (aPR, 1.45; 95% CI, 1.19 to 1.77) and lack of sense of community at work (aPR, 1.30; 95% CI, 1.06 to 1.59) show a significant association. Conclusions: After adjusting for all PSR, those significantly associated to SP belong to the interpersonal relationships domain. Some of the PSR effects change according to the segmentation axes analyzed.
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Affiliation(s)
- Angela Gómez-Domínguez
- From the Research Group on Psychosocial Risks, Organization of Work and Health (POWAH), Universitat Autònoma de Barcelona (UAB), Cerdanyola del Vallès, Spain (A.G-.D., P.F-R., L.E-M., S.S-N., A.N-G.); Biostatistics Unit, Department of Paediatrics, Obstetrics & Gynaecology, Preventive Medicine and Public Health, Universitat Autònoma de Barcelona (UAB), Cerdanyola del Vallès, Spain (A.G-.D., P.F-R., L.E-M., S.S-N., A.N-G.); Universidad Nacional de Educación a Distancia (UNED), Madrid, Spain (A.G-.D.); Business Networks Dynamics Research Group, Department of Operations Management and Innovation, ESADE Business School-Ramon Llull University (S.S-N.); and Institute for Labour Studies, Universitat Autònoma de Barcelona (UAB), Cerdanyola del Vallès, Spain (A.N-G.)
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Tavares RDSCR, Silva LF, Muniz Júnior J. Presenteeism and noise perception at work: a cross-sectional study using association analysis. SAO PAULO MED J 2023; 141:36-44. [PMID: 36043671 PMCID: PMC9808988 DOI: 10.1590/1516-3180.2021.0792.r2.07042022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Accepted: 04/07/2022] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND Presenteeism refers to the presence of a worker at work with reduced performance due to illness, and it is a common public health problem. Exposure to noise during production processes brings risk to workers' health. OBJECTIVE To analyze the health profile of workers in the automotive industry and identify the association between noise perception and presenteeism among workers in the Brazilian automotive industry. DESIGN AND SETTING This was a cross-sectional study utilizing a case study design analyzing the automotive industry in the interior of São Paulo state, Brazil. METHODS This study included 306 workers using the Presenteeism Work Limitations Questionnaire protocol. Multiple logistic regression was used for data analysis. RESULTS Male workers with reports of headache, tension, and limited well-being at work, having perceived that noise exposure interferes with productivity, showed a positive association with the occurrence of presenteeism. Physical demand had the highest score in terms of interfering with the presenteeism index. CONCLUSION Workers' perceptions of noise were associated with presenteeism.
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Affiliation(s)
| | - Luiz Felipe Silva
- PhD. Lecturer, Natural Resources Institute (Department), Universidade Federal de Itajubá (UNIFEI), Itajubá (MG), Brazil
| | - Jorge Muniz Júnior
- PhD. Associate Professor, Department of Production, Universidade Estadual Paulista (UNESP), Guaratinguetá (SP), Brazil
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Kwon MJ. Occupational Health Inequalities by Issues on Gender and Social Class in Labor Market: Absenteeism and Presenteeism Across 26 OECD Countries. Front Public Health 2020; 8:84. [PMID: 32269984 PMCID: PMC7109280 DOI: 10.3389/fpubh.2020.00084] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2019] [Accepted: 03/02/2020] [Indexed: 11/13/2022] Open
Abstract
Background: This study aimed to examine the health disparities among working populations of 26 OECD countries through absenteeism and presenteeism, and to explain the combined effects of gender, work-life imbalance, occupational class, and labor market gender inequality factors on the occurrence of them. Methods: We investigated nested data on 30,131 wage workers across 26 OECD countries. At the country level, macro indicators representing labor market gender inequality were collected from OECD database. Multi-level logistic analysis was used to analyze the main and interacting effects of explanatory variables on absenteeism and presenteeism. Results: This study revealed a negative relationship between gender inequalities in the labor market and the incidence of absenteeism and presenteeism. After controlling for relevant individual- and country-level factors, the gender wage gap was associated with a decrease in absenteeism and presenteeism but the gender gap in the employment rate had a similar effect only on presenteeism. In addition, these country-level factors worked differently for the risk of absenteeism and presenteeism among groups of workers by gender, level of work-life imbalance, employment condition, and occupational class. Conclusion: Workers in societies with separate gender roles and structural inequalities in the labor market reported lower levels of absenteeism and presenteeism, which was explained by an association between the double burden of work and family life and occupational health. In other respects, however, gender egalitarian policies may play an essential role in preventing health disadvantages for unfavorable working groups of women, non-permanent contract and manual job.
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Affiliation(s)
- Min Jung Kwon
- College of Nursing, Kyungpook National University, Daegu, South Korea
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Pie ACS, Fernandes RDCP, Carvalho FM, Porto LA. Fatores associados ao presenteísmo em trabalhadores da indústria. REVISTA BRASILEIRA DE SAÚDE OCUPACIONAL 2020. [DOI: 10.1590/2317-6369000003118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumo Introdução: o presenteísmo pode ser definido como estar no trabalho mesmo percebendo limitações, físicas ou psíquicas, que podem reduzir a capacidade laborativa. Objetivos: estimar a prevalência do presenteísmo e sua associação com características sociodemográficas, estilos de vida, aspectos relacionais no trabalho e interpessoais e condições gerais de saúde em trabalhadores da indústria na Bahia. Métodos: o presenteísmo foi medido pelo somatório das respostas positivas às questões sobre falta de vontade, falta de concentração e indisposição ou desânimo para o trabalho, em conjunto com o absenteísmo negativo. Utilizou-se na análise multivariada o modelo de Poisson com variância robusta para estimar a magnitude das associações por meio da razão de prevalências. Resultados: entre os dados analisados de 2.093 trabalhadores, ter menos de 30 anos, ter maior escolaridade, apresentar dor, dormir mal, sentir-se estressado e experimentar sentimentos negativos em relação à vida associaram-se a maiores prevalências de presenteísmo. Conclusão: o presenteísmo pode evoluir para piora progressiva da saúde do trabalhador. Portanto, identificá-lo precocemente e promover intervenções para reduzir seus determinantes é um desafio para as organizações.
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Affiliation(s)
| | | | | | - Lauro Antônio Porto
- Universidade Federal da Bahia, Brasil; Universidade Federal da Bahia, Brasil
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Navarro A, Salas‐Nicás S, Llorens C, Moncada S, Molinero‐Ruíz E, Moriña D. Sickness presenteeism: Are we sure about what we are studying? A research based on a literature review and an empirical illustration. Am J Ind Med 2019; 62:580-589. [PMID: 31074084 DOI: 10.1002/ajim.22982] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2018] [Revised: 04/08/2019] [Accepted: 04/09/2019] [Indexed: 01/24/2023]
Abstract
BACKGROUND There has been an increasing interest in studying sickness presenteeism (SP). An ever-increasing amount of scientific literature is published using this term, yet there appears to be considerable heterogeneity in how it is assessed, which could result in substantial differences in the definition and interpretation of the phenomenon really being studied. We aim to discuss what really is being studied, depending on how the phenomenon is operationalized, measured, and analyzed. METHODS A study based on a literature review and an empirical illustration using data of the third Spanish Psychosocial Risks Survey (2016). RESULTS Differences are observed based on the population in which SP is measured, the cut-off points used to define a worker as presenteeist, the reasons for an SP episode and even an analysis of the phenomenon treated as a count or as a dichotomous. CONCLUSIONS Without being completely exclusive, it seems that restricting the population of analysis to only those workers who consider that they should not have gone to work due to their health, and/or establishing low cut-off points to define someone as presenteeist, would more clearly delimit the study of SP to the exercise of a right to sick leave. In contrast, working with the entire population or using high cut-off points appears to relate the study of SP more with health status and less with the exercise of rights. On the other hand, taking the reasons for SP into account would probably help to improve interpretation of the phenomenon.
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Affiliation(s)
- Albert Navarro
- Research Group on Psychosocial RisksOrganization of Work and Health (POWAH), Autonomous University of Barcelona (UAB)Cerdanyola del Vallès Spain
- Biostatistics Unit, Faculty of MedicineAutonomous University of Barcelona (UAB)Cerdanyola del Vallès Spain
| | - Sergio Salas‐Nicás
- Research Group on Psychosocial RisksOrganization of Work and Health (POWAH), Autonomous University of Barcelona (UAB)Cerdanyola del Vallès Spain
- Biostatistics Unit, Faculty of MedicineAutonomous University of Barcelona (UAB)Cerdanyola del Vallès Spain
| | - Clara Llorens
- Research Group on Psychosocial RisksOrganization of Work and Health (POWAH), Autonomous University of Barcelona (UAB)Cerdanyola del Vallès Spain
- Union Institute of Work, Environment and Health (ISTAS)Reference Centre on Work Organisation and HealthBarcelona Spain
- Sociology DepartmentFaculty of Sociology and Political Sciences, Autonomous University of Barcelona (UAB)Cerdanyola del Vallès Spain
| | - Salvador Moncada
- Union Institute of Work, Environment and Health (ISTAS)Reference Centre on Work Organisation and HealthBarcelona Spain
| | | | - David Moriña
- Departament of MathematicsGraduate School of Mathematics (BGSMath), Autonomous University of Barcelona (UAB)Cerdanyola del Vallès Spain
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Paid Sick Leave and Risks of All-Cause and Cause-Specific Mortality among Adult Workers in the USA. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14101247. [PMID: 29048337 PMCID: PMC5664748 DOI: 10.3390/ijerph14101247] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/10/2017] [Revised: 10/06/2017] [Accepted: 10/13/2017] [Indexed: 11/17/2022]
Abstract
Background: The USA is one of only a few advanced economies globally that does not guarantee its workers paid sick leave. While there are plausible reasons why paid sick leave may be linked to mortality, little is known empirically about this association. Methods: In a pooled USA nationally-representative longitudinal sample of 57,323 working adults aged 18-85 years from the National Health Interview Surveys 2000-2002, paid sick leave was examined as a predictor of all-cause and cause-specific mortality. Multivariate Cox proportional hazards models were used to estimate the impact of paid sick leave on mortality. Results: Having paid sick leave through one's job was associated with 10% (hazards ratio, HR = 0.90; 95% CI = 0.81-0.996; p = 0.04), 14% (HR = 0.86; 95% CI = 0.74-0.99; p = 0.04), and 22% (HR = 0.78; 95% CI = 0.65-0.94; p = 0.01) significantly lower hazards of all-cause mortality after mean follow-up times of 11.1, 6.5, and 4.5 years, respectively. This study further identified associations of paid sick leave with 24% (HR = 0.76; 95% CI = 0.59-0.98; p = 0.03), and 35% (HR = 0.65; 95% CI = 0.44-0.95; p = 0.03) lower hazards of dying from heart diseases and unintentional injuries, respectively. Conclusions: To the author's knowledge, this study provides the first empirical evidence on the linkages between paid sick leave and mortality and supports protective effects, particularly against heart diseases and unintentional injuries. The most salient association corresponded to a lag period of just less than five years. Social policies that mandate paid sick leave may help to reduce health inequities and alleviate the population burden of mortality among working adults in the USA.
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Williams-Whitt K, White MI, Wagner SL, Schultz IZ, Koehn C, Dionne CE, Koehoorn M, Harder H, Pasca R, Warje O, Hsu V, McGuire L, Schulz W, Kube D, Hook A, Wright MD. Job demand and control interventions: a stakeholder-centered best-evidence synthesis of systematic reviews on workplace disability. THE INTERNATIONAL JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE 2015; 6:61-78. [PMID: 25890601 PMCID: PMC6977041 DOI: 10.15171/ijoem.2015.553] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/09/2015] [Accepted: 03/15/2015] [Indexed: 11/30/2022]
Abstract
BACKGROUND Physical and psychological job demands in combination with the degree of control a worker has over task completion, play an important role in reducing stress. Occupational stress is an important, modifiable factor affecting work disability. However, the effectiveness of reducing job demands or increasing job control remains unclear, particularly for outcomes of interest to employers, such as absenteeism or productivity. OBJECTIVE This systematic review reports on job demand and control interventions that impact absenteeism, productivity and financial outcomes. METHODS A stakeholder-centered best-evidence synthesis was conducted with researcher and stakeholder collaboration throughout. Databases and grey literature were searched for systematic reviews between 2000 and 2012: Medline, EMBASE, the Cochrane Database of Systematic Reviews, DARE, CINAHL, PsycINFO, TRIP, health-evidence.ca, Rehab+, National Rehabilitation Information Center (NARIC), and Institute for Work and Health. Articles were assessed independently by two researchers for inclusion criteria and methodological quality. Differences were resolved through consensus. RESULTS The search resulted in 3363 unique titles. After review of abstracts, 115 articles were retained for full-text review. 11 articles finally met the inclusion criteria and are summarized in this synthesis. The best level of evidence we found indicates that multimodal job demand reductions for either at-work or off-work workers will reduce disability-related absenteeism. CONCLUSION In general, the impacts of interventions that aim to reduce job demands or increase job control can be positive for the organization in terms of reducing absenteeism, increasing productivity and cost-effectiveness. However, more high quality research is needed to further assess the relationships and quantify effect sizes for the interventions and outcomes reviewed in this study.
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Affiliation(s)
- K Williams-Whitt
- Faculty of Management, University of Lethbridge, Calgary, AB, Canada.
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Muckenhuber J, Burkert N, Großschädl F, Freidl W. Income inequality as a moderator of the relationship between psychological job demands and sickness absence, in particular in men: an international comparison of 23 countries. PLoS One 2014; 9:e86845. [PMID: 24505271 PMCID: PMC3914810 DOI: 10.1371/journal.pone.0086845] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2013] [Accepted: 12/14/2013] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES The aim of this study was to investigate whether more sickness absence is reported in countries with higher income inequality than elsewhere, and whether the level of income inequality moderates the association between psycho-social job demands and sickness absence. METHODS Our analysis is based on the Fifth European Working Conditions Survey that compared 23 European countries. We performed multi-level regression analysis. On the macro-level of analysis we included the Gini-Index as measure of inequality. On the micro-level of analysis we followed the Karasek-Theorell model and included three scales for psychological job demands, physical job demands, and decision latitude in the model. The model was stratified by sex. RESULTS We found that, in countries with high income inequality, workers report significantly more sickness absence than workers in countries with low income inequality. In addition we found that the level of income inequality moderates the relationship between psychological job demands and sickness absence. High psychological job demands are significantly more strongly related to more days of sickness absence in countries with low income inequality than in countries with high income inequality. CONCLUSIONS As the nature and causal pathways of cross-level interaction effects still cannot be fully explained, we argue that future research should aim to explore such causal pathways. In accordance with WHO recommendations we argue that inequalities should be reduced. In addition we state that, particularly in countries with low levels of income inequality, policies should aim to reduce psychological job demands.
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Affiliation(s)
- Johanna Muckenhuber
- Institute for Social Medicine and Epidemiology, Medical University Graz, Graz, Austria
| | - Nathalie Burkert
- Institute for Social Medicine and Epidemiology, Medical University Graz, Graz, Austria
| | - Franziska Großschädl
- Institute for Social Medicine and Epidemiology, Medical University Graz, Graz, Austria
| | - Wolfgang Freidl
- Institute for Social Medicine and Epidemiology, Medical University Graz, Graz, Austria
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