Musich Shirley, Hook Dan, Baaner Stephanie, Spooner Michelle, Edington Dee W
Health Management Research Center, University of Michigan, 1027 E. Huron Street, Ann Arbor, MI 48104-1688 USA.
Am J Health Promot. 2006 Nov-Dec;21(2):127-36. doi: 10.4278/0890-1171-21.2.127.
To investigate the impact of selected corporate environment factors, health risks, and medical conditions on job performance using a self-reported measure of presenteeism.
A cross-sectional survey utilizing health risk appraisal (HRA) data merging presenteeism with corporate environment factors, health risks, and medical conditions.
Approximately 8000 employees across ten diverse Australian corporations.
Employees (N = 1523; participation rate, 19%) who completed an HRA questionnaire.
Self-reported HRA data were used to test associations of defined adverse corporate environment factors with presenteeism. Stepwise multivariate logistic regression modeling assessed the relative associations of corporate environment factors, health risks, and medical conditions with increased odds of any presenteeism.
Increased presenteeism was significantly associated with poor working conditions, ineffective management/leadership, and work/life imbalance (adjusting for age, gender, health risks, and medical conditions). In multivariate logistic regression models, work/life imbalance, poor working conditions, life dissatisfaction, high stress, back pain, allergies, and younger age were significantly associated with presenteeism.
Although the study has some limitations, including a possible response bias caused by the relatively low participation rate across the corporations, the study does demonstrate significant associations between corporate environment factors, health risks, and medical conditions and self-reported presenteeism. The study provides initial evidence that health management programming may benefit on-the-job productivity outcomes if expanded to include interventions targeting work environments.
使用一种自我报告的出勤主义测量方法，调查选定的企业环境因素、健康风险和医疗状况对工作绩效的影响。
一项横断面调查，利用健康风险评估（HRA）数据，将出勤主义与企业环境因素、健康风险和医疗状况相结合。
澳大利亚十家不同企业的约8000名员工。
完成HRA问卷的员工（N = 1523；参与率19%）。
使用自我报告的HRA数据来测试已定义的不良企业环境因素与出勤主义之间的关联。逐步多元逻辑回归模型评估企业环境因素、健康风险和医疗状况与任何出勤主义几率增加之间的相对关联。
出勤主义增加与恶劣的工作条件、无效的管理/领导以及工作/生活失衡显著相关（调整年龄、性别、健康风险和医疗状况后）。在多元逻辑回归模型中，工作/生活失衡、恶劣的工作条件、生活不满、高压力、背痛、过敏和年轻与出勤主义显著相关。
尽管该研究存在一些局限性，包括各企业参与率相对较低可能导致的回应偏差，但该研究确实证明了企业环境因素、健康风险和医疗状况与自我报告的出勤主义之间存在显著关联。该研究提供了初步证据，表明健康管理计划如果扩大到包括针对工作环境的干预措施，可能会对在职生产力产生有益影响。
