Working while ill as a risk factor for serious coronary events:: The Whitehall II study
Working while ill as a risk factor for serious coronary events:: The Whitehall II study
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DOI：
10.2105/ajph.2003.035873
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发表时间：
2005-01-01
影响因子：
12.7
通讯作者：
Marmot, MG
中科院分区：
文献类型：
--
作者：
Kivimäki, M;Head, J;Marmot, MG
目标。有些人虽然生病了，却没有请假，这种现象被称为“病假出勤”。本研究探讨了因病缺勤与严重冠状动脉事件发生率之间的关联。方法。该分析基于 5071 名之前没有心肌梗塞的英国男性公务员队列。基线筛查包括健康状况和冠状动脉危险因素的测量。对基线筛查后 3 年的缺勤记录进行评估。感兴趣的结果是发生非致命性心肌梗塞或致命性冠心病（平均随访时间 = 9.1 年）。结果。在 3 年的跟踪调查中，17% 的健康状况不佳的员工没有缺勤。他们的严重冠状动脉事件发生率是中度因病缺勤的健康状况不佳员工的两倍（调整常规危险因素后，风险比1.97，95%置信区间=1.02，3.83）。结论。雇主和雇员应该意识到因病缺勤造成的潜在有害影响。
Objectives. Although sick, some people take no time off work, a phenomenon called "sickness presenteeism." This study examined the association between sickness presenteeism and incidence of serious coronary events.Methods. The analyses were based on a cohort of 5071 male British civil servants without previous myocardial infarction. Baseline screening included measurements of health status and coronary risk factors. Absence records were assessed for the 3 years subsequent to baseline screening. The outcome of interest was incident nonfatal myocardial infarction or fatal coronary heart disease (mean length of follow-up = 9.1 years).Results. Seventeen percent of unhealthy employees took no absence during the 3-year follow-up. Their incidence of serious coronary events was twice as high as that of the unhealthy employees with moderate levels of sickness absenteeism (after adjustment for conventional risk factors, hazard ratio 1.97, 95% confidence interval = 1.02, 3.83).Conclusions. Employers and employees should be aware of the potential harmful effects caused by sickness presenteeism.