Department of Public Health, Ghent University.
J Occup Health. 2013;55(3):132-41. doi: 10.1539/joh.12-0164-oa. Epub 2013 Mar 13.
The aim of this study was to examine the relation between sickness presenteeism and different types of future sickness absence in 2,983 Belgian middle-aged workers.
Data were collected from 1,372 male and 1,611 female workers. Presenteeism was assessed by a single question, evaluating the frequency of occasions of going at work, despite illness, during the preceding year. Prospective, registered sickness absence data were collected during 12 months of follow-up. Multivariate logistic regression models were used to investigate the relationship between presenteeism and short/long spells of absenteeism and high sickness absence frequency.
High rates (>5 times) of presenteeism at baseline were significantly and independently associated with both long spells of sickness absence (at least 15 consecutive sick leave days) (men, OR=2.73, 95% CI=1.24-6.03; women, OR=2.40, 95% CI=1.31-4.40) and short spells of sickness absence (sick leave between 1 and 3 days) (men, OR=2.38, 95% CI=1.25-4.51; women, OR=1.90, 95% CI=1.17-3.11) in both genders during one year follow-up. Moderate rates (2-5 times) of presenteeism were significantly associated with long spells of sickness absence only in the male group (OR=1.90, 95%CI= 1.21-2.97). With regard to high sickness frequency (at least 3 sick leave episodes), a significant and positive association with high rates of presenteeism was demonstrated only in the female workers (OR=2.38, 95% CI=1.40-4.04).
These results suggest that presenteeism was related to different types of future sickness absence.
本研究旨在探讨 2983 名比利时中年工作者中当前病假与不同类型未来病假缺勤之间的关系。
数据来自 1372 名男性和 1611 名女性工作者。通过一个问题评估当前的病假缺勤情况，该问题评估了过去一年中因患病仍坚持上班的频率。在 12 个月的随访期间收集了前瞻性、注册的病假缺勤数据。使用多变量逻辑回归模型来研究当前病假缺勤与短期/长期缺勤和高病假缺勤频率之间的关系。
高频率（>5 次）的当前病假缺勤在基线时与男性的长期病假缺勤（至少 15 个连续病假天）（OR=2.73，95%CI=1.24-6.03）和女性的长期病假缺勤（OR=2.40，95%CI=1.31-4.40）以及短期病假缺勤（1-3 天病假）（OR=2.38，95%CI=1.25-4.51；OR=1.90，95%CI=1.17-3.11）显著且独立相关，并且在一年随访期间女性的短期病假缺勤（OR=1.90，95%CI=1.17-3.11）也显著相关。中度频率（2-5 次）的当前病假缺勤仅与男性的长期病假缺勤显著相关（OR=1.90，95%CI=1.21-2.97）。至于高频率的病假缺勤（至少 3 次病假缺勤），仅在女性工作者中显示出与高频率的当前病假缺勤显著相关（OR=2.38，95%CI=1.40-4.04）。
这些结果表明，当前病假缺勤与不同类型的未来病假缺勤相关。
