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Presenteeism in college students: reliability and validity of the Presenteeism Scale for Students

Quality of Life Research volume 20, pages 439–446 (2011)Cite this article

Abstract

Objective

Presenteeism is the impaired work performance due to health problems. We aimed to develop a Presenteeism Scale for Students (PSS), and to reveal the existence of presenteeism among students.

Methods

Students (n = 5,701) in 4 national universities in Japan were recruited via the school-based health examination. Moreover, 122 students participated in a 2-week interval test–retest to examine the reliability and criterion-related validity of the PSS.

Results

Of the students, 59.2% indicated some health problems. Allergy was most prevalent health problems, affecting 35.7% of the whole students. Students with emotional problems had higher degree of presenteeism than those with the other problems. The Cronbach’s α of the work impairment score of the PSS was 0.90. The Spearman’s coefficient for the test–retest score was 0.80 (P < 0.001). Regarding criterion-related validity, Spearman’s coefficient between the work impairment score of the PSS and summary score of the SF-36 was −0.60 (P < 0.001).

Conclusions

These findings suggest that the PSS can be expected to be useful for assessment of students with presenteeism. Furthermore, we found that the majority of students have some health problems, and proposed that the issue of presenteeism on campus should be addressed.

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Abbreviations

PSS:

Presenteeism Scale for Students

SF-36:

Medical Outcomes Study 36-Item Health Survey

PHC:

Primary health condition

WIS:

Work impairment score

WOS:

Work output score

HA:

Hours of absenteeism

References

  1. Yamashita, M., & Arakida, M. (2006). Concept analysis of presenteeism and its possible applications in Japanese occupational health. Sangyo Eiseigaku Zasshi, 48(6), 201–213. (in Japanese).

    PubMed  Article  Google Scholar 

  2. Goetzel, R. Z., Long, S. R., Ozminkowski, R. J., 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. Journal Occupational and Environmental Medicine, 46(4), 398–412.

    Article  Google Scholar 

  3. Brouwer, W. B., Koopmanschap, M. A., & Rutten, F. F. (1999). Productivity losses without absence: Measurement validation and empirical evidence. Health Policy, 48(1), 13–27.

    PubMed  Article  CAS  Google Scholar 

  4. 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. Journal of Occupational and Environmental Medicine, 51(6), 629–638.

    PubMed  Article  Google Scholar 

  5. Goetzel, R. Z., Carls, G. S., Wang, S., Kelly, E., Mauceri, E., Columbus, D., et al. (2009). The relationship between modifiable health risk factors and medical expenditures, absenteeism, short-term disability, and presenteeism among employees at Novartis. Journal of Occupational and Environmental Medicine, 51(4), 487–499.

    PubMed  Article  Google Scholar 

  6. Aarons, G. A., Monn, A. R., Leslie, L. K., Garland, A. F., Lugo, L., Hough, R. L., et al. (2008). Association between mental and physical health problems in high-risk adolescents: A longitudinal study. Journal of Adolescent Health, 43(3), 260–267.

    PubMed  Article  Google Scholar 

  7. Lerner, D., Amick, B. C., I. I. I., Rogers, W. H., Malspeis, S., Bungay, K., & Cynn, D. (2001). The work limitations questionnaire. Medical Care, 39(1), 72–85.

    PubMed  Article  CAS  Google Scholar 

  8. Reilly, M. C., Zbrozek, A. S., & Dukes, E. M. (1993). The validity and reproducibility of a work producitivity and activity impairment instrument. Pharmacoeconomics, 4(5), 353–365.

    PubMed  Article  CAS  Google Scholar 

  9. Koopman, C., Pelletier, K. R., Murray, J. F., Sharda, C. E., Berger, M. L., Turpin, R. S., et al. (2002). Stanford presenteeism scale: Health status and employee productivity. Journal of Occupational and Environmental Medicine, 44(1), 14–20.

    PubMed  Article  Google Scholar 

  10. Turpin, R. S., Ozminkowski, R. J., Sharda, C. E., Collins, J. J., Berger, M. L., Billotti, G. M., et al. (2004). Reliability and validity of the Stanford presenteeism scale. Journal of Occupational and Environmental Medicine, 46(11), 1123–1133.

    PubMed  Article  Google Scholar 

  11. Yamashita, M., & Arakida, M. (2008). Reliability and validity of the Japanese version of the Stanford presenteeism scale in female employees at 2 Japanese enterprises. Journal of Occupational Health, 50(1), 66–69.

    PubMed  Article  Google Scholar 

  12. Fukuhara, S., Bito, S., Green, J., Hsiao, A., & Kurokawa, K. (1998). Translation, adaptation, and validation of the SF-36 Health Survey for use in Japan. Journal of Clinical Epidemiology, 51(11), 1037–1044.

    PubMed  Article  CAS  Google Scholar 

  13. Fukuhara, S., Ware, J. E., Kosinski, M., Wada, S., & Gandek, B. (1998). Psychometric and clinical tests of validity of the Japanese SF-36 health survey. Journal of Clinical Epidemiology, 51(11), 1045–1053.

    PubMed  Article  CAS  Google Scholar 

  14. Bergström, G., Bodin, L., Hagberg, J., Lindh, T., Aronsson, G., & Josephson, M. (2009). Does sickness presenteeism have an impact on future general health? International Archives of Occupational and Environmental Health, 82(10), 1179–1190.

    PubMed  Article  Google Scholar 

  15. Collins, J. J., Baase, C. M., Sharda, C. E., Ozminkowski, R. J., Nicholson, S., Billotti, G. M., et al. (2005). The assessment of chronic health conditions on work performance, absence, and total economic impact for employers. Journal of Occupational and Environmental Medicine, 47(6), 547–557.

    PubMed  Article  Google Scholar 

  16. Sakurai, Y., Nakamura, K., Teruya, K., Shimada, N., Umeda, T., Tanaka, H., et al. (1998). Prevalence and risk factors of allergic rhinitis and cedar pollinosis among Japanese men. Preventive Medicine, 27(4), 617–622.

    PubMed  Article  CAS  Google Scholar 

  17. Sanderson, K., Tilse, E., Nicholson, J., Oldenburg, B., & Graves, N. (2007). Which presenteeism measures are more sensitive to depression and anxiety? Journal of Affective Disorders, 101(1–3), 65–74.

    PubMed  Article  Google Scholar 

  18. Teperi, J., & Rimpelä, M. (1989). Menstrual pain, health and behavior in girls. Social Science and Medicine, 29(2), 163–169.

    PubMed  Article  CAS  Google Scholar 

  19. Jones, L., Scott, J., Haque, S., Gordon-Smith, K., Heron, J., Caesar, S., et al. (2005). Cognitive style in bipolar disorder. The British Journal of Psychiatry, 187, 431–437.

    PubMed  Article  Google Scholar 

  20. Orth, U., Robins, R. W., & Roberts, B. W. (2008). Low self-esteem prospectively predicts depression in adolescence and young adulthood. Journal of Personality and Social Psychology, 95(3), 695–708.

    PubMed  Article  Google Scholar 

  21. Druley, J. A., & Townsend, A. L. (1998). Self-esteem as a mediator between spousal support and depressive symptoms: A comparison of healthy individuals and individuals coping with arthritis. Health Psychology, 17(3), 255–261.

    PubMed  Article  CAS  Google Scholar 

  22. Moonie, S., Sterling, D. A., Figgs, L. W., & Castro, M. (2008). The relationship between school absence, academic performance, and asthma status. Journal of School Health, 78(3), 140–148.

    PubMed  Article  Google Scholar 

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Acknowledgments

The authors would like to thank all of the staff of Akita University Health Administration Center, Nara Women’s University Health Administration Center, Fukuoka University of Education Health Center and Osaka University Health Care Center for conducting this survey. The authors are also grateful to Yasunobu Kabeshita, M.D. for helpful comments on an earlier draft of this paper.

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Authors and Affiliations

  1. Department of Health Promotion Medicine, Division of Preventive and Environmental Medicine, Osaka University Graduate School of Medicine, D3 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan

    Masateru Matsushita & Yoshiro Sugita

  2. Osaka University Health Care Center, Toyonaka, Japan

    Hiroyoshi Adachi, Takayuki Kumano-go, Schuhei Yamamura, Nakamori Suganuma, Akira Mikami, Toshiki Moriyama & Yoshiro Sugita

  3. Department of Nursing, International University of Health and Welfare Graduate School, Odawara, Japan

    Mikako Arakida

  4. Health Administration Center, Akita University, Akita, Japan

    Ikuro Namura

  5. Health Administration Center, Nara Women’s University, Nara, Japan

    Yuko Takahashi

  6. Health Center, Fukuoka University of Education, Munakata, Japan

    Masakazu Miyata

  7. Department of Psychiatry, Osaka University Graduate School of Medicine, Suita, Japan

    Yoshihisa Shigedo

Authors
  1. Masateru Matsushita
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  2. Hiroyoshi Adachi
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  3. Mikako Arakida
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  4. Ikuro Namura
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  5. Yuko Takahashi
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  6. Masakazu Miyata
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  7. Takayuki Kumano-go
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  8. Schuhei Yamamura
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  9. Yoshihisa Shigedo
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  10. Nakamori Suganuma
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  11. Akira Mikami
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  12. Toshiki Moriyama
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  13. Yoshiro Sugita
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Correspondence to Masateru Matsushita.

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Matsushita, M., Adachi, H., Arakida, M. et al. Presenteeism in college students: reliability and validity of the Presenteeism Scale for Students. Qual Life Res 20, 439–446 (2011). https://doi.org/10.1007/s11136-010-9763-9

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  • DOI: https://doi.org/10.1007/s11136-010-9763-9

Keywords

  • Presenteeism Scale for Students (PSS)
  • Presenteeism
  • Absenteeism
  • Campus health
  • Health problems