Skip to main content
Log in

Sickness Presenteeism Among Swedish Police Officers

  • Published:
Journal of Occupational Rehabilitation Aims and scope Submit manuscript

Abstract

Introduction The aim was to describe the prevalence of sickness presenteeism (SP) and to explore possible associations with work characteristics among Swedish police officers. Methods Questionnaire data from 11,793 police officers were analysed. Relative risks (RR) and 95% confidence intervals (CI) for SP were calculated with modified Poisson regression. SP was defined as having gone to work on two or more occasions during the past 12 months despite judging that one’s health would have motivated sickness absence. Results Of the police officers, 47% reported SP. All studied work environment factors were significantly associated with SP. The strongest association was found for stress (RR = 1.46; 95% CI: 1.41–1.52). Low support from colleagues and low control had higher impact on the risk estimates for SP among older subjects. Adjustment for self-rated health lowered the RRs, however, estimates remained statistically significant. The results indicated that SP was most affected by work environment among subjects with good self-rated health. Conclusions SP was high among police officers. Work environment factors seem to be associated with SP, particularly among subjects with good general health.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Stewart WF, Ricci JA, Chee E, Morganstein D. Lost productive work time costs from health conditions in the United States: results from the American Productivity Audit. J Occup Environ Med. 2003;45(12):1234–46.

    Article  PubMed  Google Scholar 

  2. Hemp P. Presenteeism: at work–but out of it. Harv Bus Rev. 2004;82(10):49–58, 155.

    Google Scholar 

  3. Mattke S, Balakrishnan A, Bergamo G, Newberry SJ. A review of methods to measure health-related productivity loss. Am J Manag Care. 2007;13(4):211–7.

    PubMed  Google Scholar 

  4. Loeppke R, Taitel M, Richling D, Parry T, Kessler RC, Hymel P, et al. Health and productivity as a business strategy. J Occup Environ Med. 2007;49(7):712–21.

    Article  PubMed  Google Scholar 

  5. Schultz AB, Edington DW. Employee health and presenteeism: a systematic review. J Occup Rehabil. 2007;17:547–79.

    Article  PubMed  Google Scholar 

  6. Vingard E, Alexanderson K, Norlund A. Swedish council on technology assessment in health care (SBU). Chapter 9. Consequences of being on sick leave. Scand J Public Health Suppl. 2004;63:207–15.

    Article  PubMed  Google Scholar 

  7. Kivimäki M, Head J, Ferrie J, Hemingway H, Shipley M, Vahtera J, et al. Working while ill as a risk factor for serious coronary events: the Whitehall II prospective cohort study. Am J Public Health. 2005;95:98–102.

    Article  PubMed  Google Scholar 

  8. Bergstrom G, Bodin L, Hagberg J, Aronsson G, Josephson M. Sickness presenteeism today, sickness absenteeism tomorrow? A prospective study on sickness presenteeism and future sickness absenteeism. J Occup Environ Med. 2009;51(6):629–38.

    Article  PubMed  Google Scholar 

  9. Bergstrom G, Bodin L, Hagberg J, Lindh T, Aronsson G, Josephson M. Does sickness presenteeism have an impact on future general health? Int Arch Occup Environ Health. 2009;82(10):1179–90.

    Article  PubMed  Google Scholar 

  10. Hansen CD, Andersen JH. Sick at work—a risk factor for long-term sickness absence at a later date? J Epidemiol Community Health. 2009;63(5):397–402.

    Article  CAS  PubMed  Google Scholar 

  11. SCB. Andel av de sysselsatta enl. arbetsmiljöundersökningen för vald arbetsmiljöfråga efter kön, ålder och socioekonomisk indelning SEI. År 1997–2007 (Percentage of employed acc. to the Swedish Work Environment Survey for selected question by sex, age and socio-economic classification SEI. Year 1997–2007). Arbetsmiljöundersökning (Work Environment Survey). Örebro: SCB (Statistics Sweden); 2009.

  12. Aronsson G, Gustafsson K. Sickness presenteeism: prevalence, attendance-pressure factors, and an outline of a model for research. J Occup Environ Med. 2005;47(9):958–66.

    Article  PubMed  Google Scholar 

  13. Hansen CD, Andersen JH. Going ill to work–what personal circumstances, attitudes and work-related factors are associated with sickness presenteeism? Soc Sci Med. 2008;67(6):956–64.

    Article  PubMed  Google Scholar 

  14. Caveley N, Cunningham JB, MacGregor JN. Sickness presenteeism, sickness absenteeism, and health following restructuring in a public service organization. J Manag Stud. 2007;44(304–319).

    Google Scholar 

  15. Elstad JI, Vabo M. Job stress, sickness absence and sickness presenteeism in Nordic elderly care. Scand J Public Health. 2008;36(5):467–74.

    Article  PubMed  Google Scholar 

  16. de Vroome E. Eurofound: prevalence of sickness absence and ‘presenteeism’ European foundation for the improvement of living and working conditions, 2006.

  17. Aronsson G, Gustafsson K, Dallner M. Sick but yet at work. An empirical study of sickness presenteeism. J Epidemiol Community Health. 2000;54:502–9.

    Article  CAS  PubMed  Google Scholar 

  18. Vingard E, Alexanderson K, Norlund A. Swedish council on technology assessment in health care (SBU). Chapter 10. Sickness presence. Scand J Public Health Suppl. 2004;63:216–21.

    Article  PubMed  Google Scholar 

  19. Arbetsmiljöverket. Poliser (Polices). Korta arbetsskadefakta (Short facts about work injury). Solna: Arbetsmiljöverket (Swedish Work Environment Authority), 2009.

  20. Vilhelmsson B. Poliser (Polices). Korta sifferfakta (Short facts in numbers). Solna: Arbetsmiljöverket (Swedish Work Environment Authority), 2003.

  21. Körlin J, Alexanderson K, Svedberg P. Sickness absence among women and men in the police: a systematic literature review. Scand J Public Health. 2008;37(3):310–9.

    Article  Google Scholar 

  22. SCB (Statistics Sweden). SCB:s analysmodell med Nöjd-Medarbetar-Index. Medarbetarna om sin arbetssituation. (Statistics Sweden analytic model with satisfied-employee-index. The employees about their work situation). In: Polisen (The Police), editor, 2007.

  23. Polisens årsredovisning (Annual report of the Swedish Police, in Swedish). In: Rikspolisstyrelsen (The National Police Board), editor, 2007.

  24. Manor O, Matthews S, Power C. Dichotomous or categorical response? Analysing self-rated health and lifetime social class. Int J Epidemiol. 2000;29(1):149–57.

    Article  CAS  PubMed  Google Scholar 

  25. Svedberg P, Bardage C, Sandin S, Pedersen NL. A prospective study of health, life-style and psychosocial predictors of self-rated health. Eur J Epidemiol. 2006;21(10):767–76.

    Article  PubMed  Google Scholar 

  26. Zou G. A modified poisson regression approach to prospective studies with binary data. Am J Epidemiol. 2004;159(7):702–6.

    Article  PubMed  Google Scholar 

  27. Hosmer D, Lemeshow S. Applied logistic regression. New York: Wiley; 2000.

    Book  Google Scholar 

  28. Johansson G, Lundberg I. Adjustment latitude and attendance requirements as determinants of sickness absence or attendance. Empirical tests of the illness flexibility model. Soc Sci Med. 2004;58(10):1857–68.

    Article  PubMed  Google Scholar 

  29. Nyberg A, Westerlund H, Magnusson Hanson L, Theorell T. Managerial leadership is associated with self-reported sickness absence and sickness presenteeism among Swedish men and women. Scand J Public Health. 2008;36:803–11.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This study was financially supported by the Swedish Council for Working Life and Social Research and the National Police Board. All authors are independent from their funders.

Conflict of interest statement

All authors declare that the answer to the questions on your competing interest form are all No and therefore have nothing to declare.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Constanze Leineweber.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Leineweber, C., Westerlund, H., Hagberg, J. et al. Sickness Presenteeism Among Swedish Police Officers. J Occup Rehabil 21, 17–22 (2011). https://doi.org/10.1007/s10926-010-9249-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10926-010-9249-1

Keywords

Navigation