What makes you work while you are sick Evidence from a survey of workers

What makes you work while you are sick Evidence from a survey of workers
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DOI:
10.1093/eurpub/ckp076
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发表时间:
2010-02-01
影响因子:
4.4
通讯作者:
Laukkanen, Erkki
Laukkanen, Erkki
中科院分区:
医学3区
文献类型:
--
作者:
Bockerman, Petri;Laukkanen, Erkki

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背景:自20世纪70年代初以来,病假旷工一直是欧盟劳动力调查的重点。相比之下,病假出勤主义是一个新来者。根据调查,这一概念直到20世纪90年代才出现在实证文献中。对疾病出勤的决定因素的了解仍然相对稀少。方法:本文使用2008年对725个芬兰工会成员的调查数据,将病假出勤与病假缺勤的患病率进行比较。我们估计Logit模型。预测变量反映了工作时间安排和工作场所的规则。我们包括经济部门和教育程度等控制变量。结果:控制工作人员的特征,我们发现病假出勤对工作时间安排比病假缺勤更敏感。长期全职工作、期望工作时间和实际工作时间不匹配、轮班或定期工作以及工作周过长都会增加生病出勤率。我们还发现了疾病类别之间的一种有趣的权衡:定期加班减少了病假缺勤,但增加了病假出勤。结论:两类与工作相关的疾病,缺勤和出勤,是对应的。然而,对其流行的解释指向不同的因素。
Background: Sickness absenteeism has been a focus of the EU Labour Force Surveys since the early 1970s. In contrast, sickness presenteeism is a newcomer. Based on surveys, this concept emerged in the empirical literature as late as the 1990s. Knowledge of the determinants of sickness presenteeism is still relatively sparse. Methods: The article examines the prevalence of sickness presenteeism in comparison with sickness absenteeism, using survey data covering 725 Finnish union members in 2008. We estimate logit models. The predictor variables capture working-time arrangements and the rules at the workplace. We include control variables such as the sector of the economy and educational attainment. Results: Controlling for worker characteristics, we find that sickness presenteeism is much more sensitive to working-time arrangements than sickness absenteeism is. Permanent full-time work, mismatch between desired and actual working hours, shift or period work and overlong working weeks increase sickness presenteeism. We also find an interesting trade-off between sickness categories: regular overtime decreases sickness absenteeism, but increases sickness presenteeism. Conclusions: Two work-related sickness categories, absenteeism and presenteeism, are counterparts. However, the explanations for their prevalence point to different factors.