Positive work-related states and long-term sickness absence: A study of register-based outcomes
Positive work-related states and long-term sickness absence: A study of register-based outcomes
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DOI：
10.1177/1403494809352105
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发表时间：
2010-02-01
影响因子：
3.4
通讯作者：
Borg, Vilhelm
中科院分区：
文献类型：
--
作者：
Clausen, Thomas;Christensen, Karl Bang;Borg, Vilhelm
目的：调查积极的工作相关状态与长期因病缺勤 (LTSA) 之间的关联。调查的积极状态是对工作场所的承诺（CW）和工作意义的体验（MW）。方法：使用泊松回归分析研究这种关联。数据由丹麦病假补偿登记数据和丹麦老年护理行业 9,560 名员工收集的调查数据合并而成。结果：CW 和 MW 与 LTSA 显着相关。根据社会心理工作特征、工作时间安排和体力工作量进行调整后，MW 较低的员工在超过两周和八周的时间内患 LTSA 的风险显着增加。与低和高 CW 的员工相比，在根据心理社会工作特征、工作时间安排和体力工作量进行调整后，中等 CW 的员工在超过八周的时间内发生 LTSA 的风险显着降低。此外，CW 较低的员工在两周以上的时间内患 LTSA 的风险会增加，但在根据社会心理工作特征、工作时间安排和体力工作量进行调整后，这种关联变得微不足道。分析还揭示了 CW 和 MW 在预测超过八周的 LTSA 方面存在交互作用。结论：CW 和 MW 与 LTSA 相关。然而，与我们的预期相反，我们发现高水平的 CW 和 MW 并不能防止 LTSA。相反，低水平的 MW 对预测 LTSA 具有决定性作用，而中等水平的 CW 对 LTSA 具有超过八周的保护作用。
Aims: To investigate the association between positive work-related states and long-term sickness absence (LTSA). The positive states that were investigated were commitment to the work-place (CW) and experience of meaning of work (MW). Methods: This association was investigated using Poisson regression analysis. Data consisted of a merge between Danish register data on sickness absence compensation and survey data collected among 9,560 employees in the Danish eldercare sector. Results: CW and MW were significantly associated with LTSA. Employees experiencing low MW had a significantly increased risk of LTSA for more than two and eight weeks, when adjusted for psychosocial work characteristics, work-time arrangements and physical workload. Compared to employees with low and high CW, employees with medium CW had a significantly decreased risk of LTSA for more than eight weeks, when adjusted for psychosocial work characteristics, work-time arrangements and physical workload. Furthermore, employees with low CW had an increased risk of LTSA for more than two weeks, but this association became borderline insignificant when adjusted for psychosocial work characteristics, work-time arrangements and physical workload. The analyses also revealed an interaction effect between CW and MW in predicting LTSA for more than eight weeks. Conclusions: CW and MW are associated with LTSA. Against our expectations, however, we found that high levels of CW and MW were not protective against LTSA. Instead, low levels of MW proved decisive in predicting LTSA, and medium levels of CW had a protective effect on LTSA for more than eight weeks.