Skip to main content

Advertisement

Log in

Factors associated with work impairment and productivity among Lebanese community pharmacists

  • Research Article
  • Published:
International Journal of Clinical Pharmacy Aims and scope Submit manuscript

Abstract

Background Community pharmacists provide an essential service by promoting, maintaining and improving the health of the community. However, factors affecting community pharmacists’ work productivity remain poorly studied. Objective Our study aimed to assess, on a national level, work productivity components and its correlates among Lebanese community pharmacists. Methods: The study was carried out between March and July 2018, using a representative sample of community pharmacies from all districts of Lebanon. Main outcome measure: The work productivity components were assessed using the Work Productivity and Activity Impairment questionnaire. Results The study included 435 community pharmacists, the prevalence of sickness presenteeism and sickness absenteeism reached 91% and 45%, respectively. Presenteeism was positively associated with reporting higher depression score (β = 0.26) and insomnia (β = 0.20) whereas better mental (β = − 0.35) and physical health (β = − 0.38) were negatively associated with presenteeism. Absenteeism was positively associated with male gender (adjusted OR 2.05, 95% CI 1.14–3.70), reporting higher depression score (adjusted OR = 1.07, 95% CI 1.02–1.11) and negatively associated with better mental and physical health (adjusted OR = 0.93, 95% CI 0.90–0.96 and adjusted OR = 0.96, 95% CI 0.93–0.99; respectively). Activity impairment was positively associated with depression (β = 0.16) and insomnia (β = 0.12) and negatively associated with better mental (β = − 0.22) and physical health (β = − 0.015). Conclusion This is the first study assessing work productivity and activity impairment among Lebanese community pharmacists. Further research is needed to predict sickness absenteeism and presenteeism and this information will be useful to ensure quality of care is delivered.

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.

Similar content being viewed by others

References

  1. 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.

    CAS  PubMed  PubMed Central  Google Scholar 

  2. Johns G. Presenteeism in the workplace: a review and research agenda. J Organ Behav. 2010;31:519–42.

    Google Scholar 

  3. Miraglia M, Johns G. Going to work ill: a meta-analysis of the correlates of presenteeism and a dual-path model. J Occup Health Psychol. 2016;21:261–83.

    PubMed  Google Scholar 

  4. Brborović H, Daka Q, Dakaj K, Brborović O. Antecedents and associations of sickness presenteeism and sickness absenteeism in nurses: a systematic review. Int J Nurs Pract. 2017;23:e12598.

    Google Scholar 

  5. Hansen CD, Andersen JH. Going ill to work—what personal circumstances, attitudes and work-related factors are associated with sickness presenteeism? Soc Sci Med. 1982;2008(67):956–64.

    Google Scholar 

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

    CAS  Google Scholar 

  7. Dew K. Pressure to work through periods of short term sickness. BMJ. 2011;342:d3446.

    PubMed  Google Scholar 

  8. Prevalence of sickness absence and ‘presenteeism’. Eurofound. [Cited 2019 Apr 21]. https://www.eurofound.europa.eu/publications/article/2006/prevalence-of-sickness-absence-and-presenteeism.

  9. Lerner D, Henke RM. What does research tell us about depression, job performance, and work productivity? J Occup Environ Med. 2008;50:401.

    PubMed  Google Scholar 

  10. Munir F, Yarker J, Haslam C, Long H, Leka S, Griffiths A, et al. Work factors related to psychological and health-related distress among employees with chronic illnesses. J Occup Rehabil. 2007;17:259–77.

    PubMed  Google Scholar 

  11. Suzuki T, Miyaki K, Song Y, Tsutsumi A, Kawakami N, Shimazu A, et al. Relationship between sickness presenteeism (WHO–HPQ) with depression and sickness absence due to mental disease in a cohort of Japanese workers. J Affect Disord. 2015;180:14–20.

    PubMed  Google Scholar 

  12. Schultz AB, Chen C-Y, Edington DW. The cost and impact of health conditions on presenteeism to employers. Pharmacoeconomics. 2009;27:365–78.

    PubMed  Google Scholar 

  13. Gärtner FR, Nieuwenhuijsen K, van Dijk FJH, Sluiter JK. Interpretability of change in the Nurses Work Functioning Questionnaire: minimal important change and smallest detectable change. J Clin Epidemiol. 2012;65:1337–47.

    PubMed  Google Scholar 

  14. Hemp P. Presenteeism: at work—but out of it. Harv Bus Rev. 2004 Oct 1 [cited 2020 Mar 8]. https://hbr.org/2004/10/presenteeism-at-work-but-out-of-it.

  15. Cicolini G, Della Pelle C, Cerratti F, Franza M, Flacco ME. Validation of the Italian version of the Stanford Presenteeism Scale in nurses. J Nurs Manag. 2016;24:598–604.

    PubMed  Google Scholar 

  16. Koopman C, Pelletier KR, Murray JF, Sharda CE, Berger ML, Turpin RS, et al. Stanford presenteeism scale: health status and employee productivity. J Occup Environ Med. 2002;44:14–20.

    PubMed  Google Scholar 

  17. Ozminkowski RJ, Goetzel RZ, Long SR. A validity analysis of the Work Productivity Short Inventory (WPSI) instrument measuring employee health and productivity. J Occup Environ Med. 2003;45:1183–95.

    PubMed  Google Scholar 

  18. Bracewell LM, Campbell DI, Faure PR, Giblin ER, Morris TA, Satterthwaite LB, et al. Sickness presenteeism in a New Zealand hospital. N Z Med J. 2010;123:31–42.

    PubMed  Google Scholar 

  19. d’Errico A, Viotti S, Baratti A, Mottura B, Barocelli AP, Tagna M, et al. Low back pain and associated presenteeism among hospital nursing staff. J Occup Health. 2013;55:276–83.

    PubMed  Google Scholar 

  20. Gustafsson Sendén M, Løvseth LT, Schenck-Gustafsson K, Fridner A. What makes physicians go to work while sick: a comparative study of sickness presenteeism in four European countries (HOUPE). Swiss Med Wkly. 2013;143:w13840.

    PubMed  Google Scholar 

  21. Letvak SA, Ruhm CJ, Gupta SN. Nurses’ presenteeism and its effects on self-reported quality of care and costs. Am J Nurs. 2012;112:30–8 (quiz 48, 39).

    PubMed  Google Scholar 

  22. Szymczak JE, Smathers S, Hoegg C, Klieger S, Coffin SE, Sammons JS. Reasons why physicians and advanced practice clinicians work while sick: a mixed-methods analysis. JAMA Pediatr. 2015;169:815–21.

    PubMed  Google Scholar 

  23. Higuchi Y, Inagaki M, Koyama T, Kitamura Y, Sendo T, Fujimori M, et al. A cross-sectional study of psychological distress, burnout, and the associated risk factors in hospital pharmacists in Japan. BMC Public Health. 2016 [cited 2019 Apr 22];16. http://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-3208-5.

  24. Sacre H, Tawil S, Hallit S, Sili G, Salameh P. Mandatory continuing education for pharmacists in a developing country: assessment of a three-year cycle. Pharm Pract. 2019;17:1545.

    Google Scholar 

  25. Rahim H, Shah B. Pharmacy students’ perceptions and emotional responses to aggressive incidents in pharmacy practice. Am J Pharm Educ. 2010;74:61.

    PubMed  PubMed Central  Google Scholar 

  26. Rahme D, Lahoud N, Sacre H, Akel M, Hallit S, Salameh P. Work fatigue among lebanese community pharmacists: prevalence and correlates. Pharm Pract. 2020;18(2):1844. https://doi.org/10.18549/PharmPract.2020.2.1844.

    Article  Google Scholar 

  27. Sacre H, Obeid S, Choueiry G, Hobeika E, Farah R, Hajj A, Akel M, Hallit S, Salameh P. Factors associated with quality of life among community pharmacists in Lebanon: results of a cross-sectional study. Pharm Pract. 2019;17(4):1613. https://doi.org/10.18549/PharmPract.2019.4.1613.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Reilly MC, Bracco A, Ricci J-F, Santoro J, Stevens T. The validity and accuracy of the Work Productivity and Activity Impairment questionnaire-irritable bowel syndrome version (WPAI:IBS). Aliment Pharmacol Ther. 2004;20:459–67.

    CAS  PubMed  Google Scholar 

  29. Frone MR, Tidwell M-CO. The meaning and measurement of work fatigue: Development and evaluation of the Three-Dimensional Work Fatigue Inventory (3D-WFI). J Occup Health Psychol. 2015;20:273–88.

    PubMed  PubMed Central  Google Scholar 

  30. Spreng RN, McKinnon MC, Mar RA, Levine B. The Toronto Empathy Questionnaire: scale development and initial validation of a factor-analytic solution to multiple empathy measures. J Pers Assess. 2009;91:62–71.

    PubMed  PubMed Central  Google Scholar 

  31. Hamilton M. A rating scale for depression. J Neurol Neurosurg Psych. 1960;23:56–62.

    CAS  Google Scholar 

  32. Barbour B, Saadeh N, Salameh PR. Psychological distress in Lebanese young adults: constructing the screening tool ‘BDS-22’. Int J Cult Ment Health. 2012;5:94–108.

    Google Scholar 

  33. Hallit S, Sacre H, Haddad C, Malaeb D, Al Karaki G, Kheir N, et al. Development of the Lebanese insomnia scale (LIS-18): a new scale to assess insomnia in adult patients. BMC Psych. 2019;19:421.

    Google Scholar 

  34. Pancorbo G, Laros JA. Validity evidence of the Social and Emotional Nationwide Assessment (SENNA 1.0) Inventory. Paid Ribeirão Preto. 2017;27:339–47.

    Google Scholar 

  35. Aaronson NK, Acquadro C, Alonso J, Apolone G, Bucquet D, Bullinger M, et al. International quality of life assessment (IQOLA) project. Qual Life Res Int J Qual Life Asp Treat Care Rehabil. 1992;1:349–51.

    CAS  Google Scholar 

  36. Warren CL, White-Means SI, Wicks MN, Chang CF, Gourley D, Rice M. Cost burden of the presenteeism health outcome: diverse workforce of nurses and pharmacists. J Occup Environ Med. 2011;53:90–9.

    PubMed  Google Scholar 

  37. Johansen V, Aronsson G, Marklund S. Positive and negative reasons for sickness presenteeism in Norway and Sweden: a cross-sectional survey. BMJ Open. 2014;4:e004123.

    PubMed  PubMed Central  Google Scholar 

  38. Hallit S, Zeenny RM, Sili G, Salameh P. Situation analysis of community pharmacy owners in Lebanon. Pharm Pract. 2017;15:853.

    Google Scholar 

  39. Burmeister EA, Kalisch BJ, Xie B, Doumit MAA, Lee E, Ferraresion A, et al. Determinants of nurse absenteeism and intent to leave: an international study. J Nurs Manag. 2019;27:143–53.

    PubMed  Google Scholar 

  40. Mollazadeh M, Saraei M, Mehrdad R, Izadi N. Sickness absenteeism of Healthcare Workers in a Teaching Hospital. Hosp Pract Res. 2018;3:6–10.

    Google Scholar 

  41. de Graaf R, Tuithof M, van Dorsselaer S, ten Have M. Comparing the effects on work performance of mental and physical disorders. Soc Psych Psychiatr Epidemiol. 2012;47:1873–83.

    Google Scholar 

  42. Bolge SC, Doan JF, Kannan H, Baran RW. Association of insomnia with quality of life, work productivity, and activity impairment. Qual Life Res Int J Qual Life Asp Treat Care Rehabil. 2009;18:415–22.

    Google Scholar 

  43. Daley M, Morin CM, LeBlanc M, Grégoire J-P, Savard J. The economic burden of insomnia: direct and indirect costs for individuals with insomnia syndrome, insomnia symptoms, and good sleepers. Sleep. 2009;32:55–64.

    PubMed  PubMed Central  Google Scholar 

  44. Godet-Cayré V, Pelletier-Fleury N, Le Vaillant M, Dinet J, Massuel M-A, Léger D. Insomnia and absenteeism at work. Who pays the cost? Sleep. 2006;29:179–84.

    PubMed  Google Scholar 

  45. Johnson RW, Lo Sasso AT. The impact of elder care on women’s labor supply. Inq J Med Care Organ Provis Financ. 2006;43:195–210.

    Google Scholar 

  46. Pavalko EK, Henderson KA. Combining care work and paid work: do workplace policies make a difference? Res Aging. 2016. https://doi.org/10.1177/0164027505285848.

    Article  Google Scholar 

  47. Hensing G, Brage S, Nygård JF, Sandanger I, Tellnes G. Sickness absence with psychiatric disorders—an increased risk for marginalisation among men? Soc Psych Psychiatr Epidemiol. 2000;35:335–40.

    CAS  Google Scholar 

  48. Wooden M, Bubonya M, Cobb-Clark D. Sickness absence and mental health: evidence from a nationally representative longitudinal survey. Scand J Work Environ Health. 2016;42:201–8.

    PubMed  Google Scholar 

  49. Larson SL, Owens PL, Ford D, Eaton W. Depressive disorder, dysthymia, and risk of stroke: thirteen-year follow-up from the Baltimore epidemiologic catchment area study. Stroke. 2001;32:1979–83.

    CAS  PubMed  Google Scholar 

  50. Voinov B, Richie WD, Bailey RK. Depression and chronic diseases: it is time for a synergistic mental health and primary care approach. Prim Care Companion CNS Disord. 2013. https://doi.org/10.4088/PCC.12r01468.

    Article  PubMed  PubMed Central  Google Scholar 

  51. Ware J, Kosinski M, Keller S. SF-12: how to Score the SF-12 Physical and Mental Health Summary Scales. 1998.

  52. Busija L, Pausenberger E, Haines TP, Haymes S, Buchbinder R, Osborne RH. Adult measures of general health and health-related quality of life: medical Outcomes Study Short Form 36-Item (SF-36) and Short Form 12-Item (SF-12) Health Surveys, Nottingham Health Profile (NHP), Sickness Impact Profile (SIP), Medical Outcomes Study Short Form 6D (SF-6D), Health Utilities Index Mark 3 (HUI3), Quality of Well-Being Scale (QWB), and Assessment of Quality of Life (AQoL). Arthritis Care Res. 2011;63(Suppl 11):S383–412.

    Google Scholar 

  53. Trotter VK, Lambert MJ, Burlingame GM, Rees F, Carpenter BN, Steffen PR, et al. Measuring work productivity with a mental health self-report measure. J Occup Environ Med. 2009;51:739–46.

    PubMed  Google Scholar 

  54. Enns MW, Bernstein CN, Kroeker K, Graff L, Walker JR, Lix LM, et al. The association of fatigue, pain, depression and anxiety with work and activity impairment in immune mediated inflammatory diseases. PLoS ONE. 2018;13:e0198975.

    PubMed  PubMed Central  Google Scholar 

  55. Lerner D, Adler DA, Chang H, Lapitsky L, Hood MY, Perissinotto C, et al. Unemployment, job retention, and productivity loss among employees with depression. Psychiatr Serv Wash DC. 2004;55:1371–8.

    Google Scholar 

  56. Adamsson M, Laike T, Morita T. Seasonal variation in bright daylight exposure, mood and behavior among a group of office workers in Sweden. J Circadian Rhythms. 2020;16:2.

    Google Scholar 

Download references

Acknowledgements

The authors would like to thank all pharmacists who participated in this study.

Conflicts of interest

The authors report no conflicts of interest.

Funding

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Souheil Hallit.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Farah, R., Malaeb, D., Sacre, H. et al. Factors associated with work impairment and productivity among Lebanese community pharmacists. Int J Clin Pharm 42, 1097–1108 (2020). https://doi.org/10.1007/s11096-020-01087-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11096-020-01087-0

Keywords

Navigation