Sick but yet at work. An empirical study of sickness presenteeism
Sick but yet at work. An empirical study of sickness presenteeism
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DOI：
10.1136/jech.54.7.502
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发表时间：
2000-07-01
影响因子：
6.3
通讯作者：
Dallner, M
中科院分区：
文献类型：
--
作者：
Aronsson, G;Gustafsson, K;Dallner, M
研究目的-这项研究是一项关于职业、不可替代性、健康状况不佳、疾病缺勤、个人收入和精简组织的疾病出勤率的实证调查。设计-横截面设计。设置-瑞典劳动力。工作人员-研究组包括一个分层的子样本3801名在调查时工作的就业人员，瑞典统计局1997年8月和9月劳动力市场调查的电话采访。主要结果-在所有材料中，有三分之一的人报告说，他们在上一年中上班两次或两次以上，尽管他们认为，根据他们的健康状况，他们应该请病假。出勤率最高的主要是护理、福利和教育部门（护理和助产专业人员、注册护士、疗养院助理、义务教育学校教师和学前/小学教育工作者）。这些小组在1990年代面临人员裁减的部门工作）。在因病缺勤一段时间后不得不重新从事剩余工作的群体中，患病缺勤的风险比（比值比（OR））为2.29（95% CI 1.79，2.93）。高出勤率人群中，上背部/颈部疼痛和疲劳/轻度抑郁的比例较高（p < 0.001）。患病出勤率高的职业群体表现出患病缺勤率高（rho = 0.38; p <0.01），也支持关于工资水平和病假出勤率的假设（ρ = -0.22;结论-日常任务是提供照料或福利服务、或教学或指导的职业群体成员，患病时工作的风险大大增加。研究结果证实了难以替代或难以找到替代者与疾病出勤之间的联系。具有高患病出勤率的类别在没有出勤率的情况下更经常地经历症状。最常见的组合是月收入低、生病缺勤率高和生病出勤率高。
Study objective-The study is an empirical investigation of sickness presenteeism in relation to occupation, irreplaceability, ill health, sickness absenteeism, personal income, and slimmed down organisation.Design-Cross sectional design.Setting-Swedish workforce.Participants-The study group comprised a stratified subsample of 3801 employed persons working at the time of the survey, interviewed by telephone in conjunction with Statistics Sweden's labour market surveys of August and September 1997. The response rate was 87 per cent.Main results-A third of the persons in the total material reported that they had gone to work two or more times during the preceding year despite the feeling that, in the Light of their perceived state of health, they should have taken sick leave. The highest presenteeism is largely to be found in the care and welfare and education sectors (nursing and midwifery professionals, registered nurses, nursing home aides, compulsory school teachers and preschool/primary educationalists. these groups work in sectors that have faced personnel cutbacks during the 1990s). The risk ratio (odds ratio (OR)) for sickness presenteeism in the group that has to re-do work remaining after a period of absence through sickness is 2.29 (95% CI 1.79, 2.93). High proportions of persons with upper back/neck pain and fatigue/slightly depressed are among those with high presenteeism (p < 0.001). Occupational groups with high sickness presenteeism show high sickness absenteeism (rho = 0.38; p < .01) and the hypothesis on level of pay and sickness presenteeism is also supported (rho = -0.22; p < 0.01).Conclusions-Members of occupational groups whose everyday tasks are to provide care or welfare services, or teach or instruct, have a substantially increased risk of being at work when sick. The link between difficulties in replacement or finding a stand in and sickness presenteeism is confirmed by study results. The categories with high sickness presenteeism experience symptoms more often without presenteeism. The most common combination is low monthly income, high sickness absenteeism and high sickness presenteeism.