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Does sickness presenteeism have an impact on future general health?

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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.

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References

  • Aronsson G, Gustafsson K (2005) Sickness presenteeism: prevalence, attendance-pressure factors, and an outline of a model for research. J Occup Environ Med 47(9):958–966

    Article  Google Scholar 

  • Aronsson G, Gustafsson K, Dallner M (2000) Sick but yet at work. An empirical study of sickness presenteeism. J Epidemiol Community Health 54(7):502–509

    Article  CAS  Google Scholar 

  • Aronsson G, Svensson L, Gustafsson K (2003) Unwinding, recuperation, and health among compulsory school and high school teachers in Sweden. Int J Stress Manag 10:217–234

    Article  Google Scholar 

  • Baum A, Posluszny DM (1999) Health psychology: mapping biobehavioral contributions to health and illness. Annu Rev Psychol 50:137–163

    Article  CAS  Google Scholar 

  • Bergstrom G, Bjorklund C, Fried I, Lisspers J, Nathell L, Hermansson U et al (2008) A comprehensive workplace intervention and its outcome with regard to lifestyle, health and sick leave: the AHA study. Work 31(2):167–180

    Google Scholar 

  • Bergström G, Bodin L, Hagberg J, Aronsson G, Josephson M (2009) Sickness presenteeism today, sickness absenteeism tomorrow? A prospective study on sickness presenteeism and future sickness absenteeism. J Environ Occup Med 51 (in press)

  • Burell G (2002) Is it possible to change stress-related behaviour? (In Swedish). In: Leander (ed) Rushed, beleaguered—burned out? Researchers discuss strategies to cope with harmful stress. Swedish Research Council, Stockholm, pp 55–69

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

    Article  Google Scholar 

  • Dallner M, Elo A-L Gamberale F, Hottinen V, Knardahl S, Lindström K, Skogstad A, Orhede E (2000) Validation of the general nordic questionnaire (QPSNordic) for psychological and social factors at work. Nord 2000:12. Nordic Council of Ministers, Copenhagen

    Google Scholar 

  • Frank O (2000) Structural plots of multivariate binary data. J Soc Biol Struct 1:1–19

    Google Scholar 

  • Goetzel RZ, Long SR, Ozminkowski RJ, Hawkins K, Wang S, Lynch W (2004) Health, absence, disability, and presenteeism cost estimates of certain physical and mental health conditions affecting U.S. employers. J Occup Environ Med 46(4):398–412

    Article  Google Scholar 

  • Grinyer A, Singleton V (2000) Sickness absence as risk-taking behaviour: a study of organisational and cultural factors in the public sector. Health Risk Soc 2:7–21

    Article  Google Scholar 

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

    Google Scholar 

  • Johansson G, Lundberg I (2004) Adjustment latitude and attendance requirements as determinants of sickness absence or attendance. Empirical tests of the illness flexibility model. Soc Sci Med 58(10):1857–1868

    Article  Google Scholar 

  • Karasek R, Theorell T (1990) Healthy work. Basic Books

  • Kivimaki M, Head J, Ferrie JE, Shipley MJ, Vahtera J, Marmot MG (2003) Sickness absence as a global measure of health: evidence from mortality in the Whitehall II prospective cohort study. BMJ 327(7411):364

    Article  Google Scholar 

  • Kivimäki M, Head J, Ferrie JE, Hemingway H, Shipley MJ, Vahtera J, Marmot M (2005) Working while ill as a risk factor for serious coronary events: The Whitehall II study. Am J Public Health 95:98–102

    Article  Google Scholar 

  • Kristensen Tage S (1991) Sickness absence and work strain among Danish slaughterhouse workers: an analysis of absence from work regarded as coping behaviour. Soc Sci Med 32:15–27

    Article  Google Scholar 

  • Lindberg P, Josephson M, Alfredsson L, Vingard E (2006) Promoting excellent work ability and preventing poor work ability: the same determinants? Results from the Swedish HAKuL study. Occup Environ Med 63(2):113–120

    Article  CAS  Google Scholar 

  • Lofland JH, Pizzi L, Frick KD (2004) A review of health-related workplace productivity loss instruments. Pharmacoeconomics 22(3):165–184

    Article  Google Scholar 

  • Main CJ, Williams AC (2002) Musculoskeletal pain. BMJ 325(7363):534–537

    Article  Google Scholar 

  • McEwen BS (1998) Protective and damaging effects of stress mediators. N Engl J Med 338(3):171–179

    Article  CAS  Google Scholar 

  • McEwen BS (2008) Central effects of stress hormones in health and disease: understanding the protective and damaging effects of stress and stress mediators. Eur J Pharmacol 583(2–3):174–185

    Article  CAS  Google Scholar 

  • McHorney CA, Ware JE, Lu JFR, Sherbourne CD (1994) The MOS 36-item short form health survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Med Care 32:40–66

    Article  CAS  Google Scholar 

  • McKevitt C, Morgan M, Dundas R, Holland WW (1997) Sickness absence and ‘working through’ illness: a comparison of two professional groups. J Public Health Med 19(3):295–300

    CAS  Google Scholar 

  • Munir F, Yarker J, Haslam C (2007) Sickness absence management: encouraging attendance or ‘risk-taking’ presenteeism in employees with chronic illness? Disabil Rehabil 30(19):1461–1472

    Google Scholar 

  • Podsakoff PM, MacKenzie SB, Lee JY, Podsakoff NP (2003) Common method biases in behavioral research: a critical review of the literature and recommended remedies. J Appl Psychol 88(5):879–903

    Article  Google Scholar 

  • Prasad M, Wahlqvist P, Shikiar R, Shih YC (2004) A review of self-report instruments measuring health-related work productivity: a patient-reported outcomes perspective. Pharmacoeconomics 22(4):225–244

    Article  Google Scholar 

  • Rosvold EO, Bjertness E (2001) Physicians who do not take sick leave: hazardous heroes? Scand J Public Health 29(1):71–75

    Article  CAS  Google Scholar 

  • Saunders JB, Aasland OG, Babor TF, De La Fuente JR, Grant M (1993) Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction 88:791–804

    Article  CAS  Google Scholar 

  • Schutte N, Toppinen S, Kalimo R, Schaufeli W (2000) The factorial validity of the Maslach Burnout Inventory-General Survey (MBI-GS) across occupational groups and nations. J Occup Organ Psychol 73:53–66

    Article  Google Scholar 

  • Setterlind S, Larsson G (1995) The stress profile: a psychosocial approach to measuring stress. Stress Med 11(2):85–92

    Article  Google Scholar 

  • Stewart WF, Ricci JA, Chee E, Morganstein D (2003) Lost productive work time costs from health conditions in the United States: results from the American Productivity Audit. J Occup Environ Med 45(12):1234–1246

    Article  Google Scholar 

  • Sullivan M, Karlsson J, Ware JE Jr (1995) The Swedish SF-36 health survey. I. Evaluation of data quality, scaling assumptions, reliability, and construct validity across general populations in Sweden. Soc Sci Med 41:1349–1358

    Article  CAS  Google Scholar 

  • van den Heuvel SG, Ijmker S, Blatter BM, de Korte EM (2007) Loss of productivity due to neck/shoulder symptoms and hand/arm symptoms: results from the PROMO-study. J Occup Rehabil 17(3):370–382

    Article  Google Scholar 

  • van Tulder M, Becker A, Bekkering T, Breen A, del Real MT, Hutchinson A, Koes B, Laerum E, Malmivaara A (2006) European guidelines for the management of acute nonspecific low back pain in primary care, Chapter 3. Eur Spine J 15(Suppl 2):S169–S191

    Article  Google Scholar 

  • Voss M, Floderus B, Diderichsen F (2004) How do job characteristics, family situation, domestic work, and lifestyle factors relate to sickness absence? A study based on Sweden Post. J Occup Environ Med 46(11):1134–1143

    Article  Google Scholar 

  • Vroome Ernest de (2006) Prevalence of sickness absence and “presenteeism”. http://www.eurofound.europa.eu/ewco/2006/07/NL0607019I.htm

  • Waldenstrom M, Theorell T, Ahlberg G, Josephson M, Nise P, Waldenstrom K, Vingard E (2002) Assessment of psychological and social current working conditions in epidemiological studies: experiences from the MUSIC-Norrtalje study. Scand J Public Health 30(2):94–102

    Article  Google Scholar 

  • Wiktorin C, Vingard E, Mortimer M, Pernold G, Wigaeus-Hjelm E, Kilbom A, Alfredsson L (1999) Interview versus questionnaire for assessing physical loads in the population-based MUSIC-Norrtalje Study. Am J Ind Med 35(5):441–455

    Article  CAS  Google Scholar 

  • Zou G (2004) A modified poisson regression approach to prospective studies with binary data. Am J Epidemiol 159(7):702–706

    Article  Google Scholar 

Download references

Acknowledgments

We are grateful to the project groups in the HAKuL and AHA studies who have been indispensable in the completion of these studies. We gratefully acknowledge the financial support of AFA-sjukförsäkring and the Swedish Council for Working Life and Social Research (FAS), Stockholm, Sweden.

Conflict of interest statement

None declared.

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Authors

Corresponding author

Correspondence to Gunnar Bergström.

Additional information

The study was approved by the Ethical Committee of the Karolinska Institute (AHA; Dnr 00-012), (HaKuL Dnr 99-242).

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Bergström, G., Bodin, L., Hagberg, J. et al. Does sickness presenteeism have an impact on future general health?. Int Arch Occup Environ Health 82, 1179–1190 (2009). https://doi.org/10.1007/s00420-009-0433-6

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  • DOI: https://doi.org/10.1007/s00420-009-0433-6

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