Original Article

International Archives of Occupational and Environmental Health

, Volume 82, Issue 10, pp 1179-1190

Does sickness presenteeism have an impact on future general health?

  • Gunnar BergströmAffiliated withDivision of Intervention and Implementation Research, Department of Public Health Sciences, Karolinska InstitutetSection for Personal Injury Prevention, Department of Clinical Neuroscience, Karolinska Institutet Email author 
  • , Lennart BodinAffiliated withDivision of Intervention and Implementation Research, Department of Public Health Sciences, Karolinska InstitutetSection for Personal Injury Prevention, Department of Clinical Neuroscience, Karolinska Institutet
  • , Jan HagbergAffiliated withSection for Personal Injury Prevention, Department of Clinical Neuroscience, Karolinska Institutet
  • , Tomas LindhAffiliated withDepartment of Occupational and Environmental Health, Centre for Public Health, Stockholm County Council
  • , Gunnar AronssonAffiliated withDepartment of Psychology, Stockholm University
  • , Malin JosephsonAffiliated withSection of Occupational and Environmental Medicine, Department of Medical Sciences, Uppsala University

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Abstract

Purpose

The primary aim of this prospective study was to investigate whether working despite illness, so called “sickness presenteeism”, has an impact on the future general health of two different working populations during a follow-up period of 3 years.

Methods

The study was based on two bodies of data collected at a number of Swedish workplaces from 1999 to 2003. The first material comprised 6,901 employees from the public sector and the second 2,862 subjects from the private sector. A comprehensive survey was issued three times: at baseline, after 18 months and after 3 years. Apart from the explanatory variable sickness presenteeism, several potential confounders were considered. The outcome variable was good/excellent versus fair/poor self-reported health.

Results

Sickness presenteeism at baseline was consistently found to heighten the risk of fair/poor health at both the 18-month and 3-year follow ups even after adjusting for the detected confounders.

Conclusions

To the best of the authors’ knowledge, this study is the first to show that sickness presenteeism appears to be an independent risk factor for future fair/poor general health.

Keywords

Sickness presenteeism Prospective studies Health status Risk factors Workplace