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患病出勤主义:患病率、出勤压力因素及一项研究模型概述

Sickness presenteeism: prevalence, attendance-pressure factors, and an outline of a model for research.

作者信息

Aronsson Gunnar, Gustafsson Klas

机构信息

Department of Work and Health, National Institute for Working Life, Stockholm, Sweden.

出版信息

J Occup Environ Med. 2005 Sep;47(9):958-66. doi: 10.1097/01.jom.0000177219.75677.17.

DOI:10.1097/01.jom.0000177219.75677.17
PMID:16155481
Abstract

OBJECTIVE

Sickness presence, that is, going to work despite judging one's current state of health as such that sick leave should be taken, was investigated in relation to different work and background factors.

METHODS

The study group comprised a random sample of 3136 persons who responded to a questionnaire administered in conjunction with Statistics Sweden's labor market survey. Logistic regressions were used in the analyses.

RESULTS

Fifty-three percent reported the presence of sickness (on more than one occasion during the preceding year). Having a health problem is a strong determinant of sickness presenteeism (odds ratio = 3.32). For any given health status, there are certain other factors (personally and work-related demands) that impact on the risk of sickness presence, such as difficulties in staff replacement, time pressure, insufficient resources, and poor personal financial situation.

CONCLUSIONS

The study has identified different types of determinants of sickness presence. Under the assumption that there is a connection between high sickness presence and risk for future ill health, the results may provide assistance in the formulation of preventive measures.

摘要

目的

针对疾病出勤现象,即尽管认为自己当前的健康状况应休病假,但仍去上班的情况,研究其与不同工作及背景因素的关系。

方法

研究组由3136名随机抽取的人员组成,他们对与瑞典统计局劳动力市场调查同时进行的问卷调查做出了回应。分析中使用了逻辑回归。

结果

53%的人报告存在疾病出勤现象(在前一年中不止一次)。存在健康问题是疾病出勤的一个重要决定因素(优势比=3.32)。对于任何给定的健康状况,还有其他一些因素(个人和与工作相关的需求)会影响疾病出勤风险,如员工替代困难、时间压力、资源不足和个人财务状况不佳。

结论

该研究确定了疾病出勤的不同类型决定因素。假设高疾病出勤与未来健康风险之间存在联系,研究结果可能有助于制定预防措施。

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