National Research Centre for the Working Environment (Mr Sørensen, Dr Framke, Dr Clausen, Dr Garde, Dr Johnsen, Dr Kristiansen, Dr Madsen, Mr Nordentoft, Dr Rugulies); Department of Public Health (Dr Garde, Dr Rugulies); Department of Psychology (Dr Rugulies), University of Copenhagen, Copenhagen, Denmark.
J Occup Environ Med. 2020 Aug;62(8):557-565. doi: 10.1097/JOM.0000000000001879.
To examine whether low leadership quality predicts long-term sickness absence (LTSA) in Denmark.
Using Cox models, we estimated the association between exposure to low leadership quality and onset of register based LTSA (more than or equal to 6 weeks) during 12-months follow-up among 53,157 employees without previous LTSA.
During 51,155 person-years, we identified 2270 cases of LTSA. Low leadership quality predicted LTSA with a dose-respone pattern after adjustment for confounders. The hazard ratio (HR) of LTSA in the lowest compared with the highest quartile of leadership quality was 1.61 (95% CI: 1.43 to 1.82). Further, change from high to low leadership quality over time predicted risk of LTSA (HR = 1.42, 95% CI: 1.02 to 1.97) compared with persistent high leadership quality.
Exposure to low leadership quality is a risk factor of LTSA in the Danish workforce.
研究在丹麦，领导素质低下是否预示着长期病假（LTSA）。
我们使用 Cox 模型，在对混杂因素进行调整后，估计了暴露于低领导素质与登记在册的 12 个月 LTSA（6 周及以上）发病之间的关联，共纳入 53157 名无既往 LTSA 的员工。
在 51155 人年中，我们发现了 2270 例 LTSA。低领导素质与 LTSA 存在剂量-反应关系，在调整混杂因素后依然如此。与领导素质最高四分位组相比，最低四分位组 LTSA 的风险比（HR）为 1.61（95% CI：1.43 至 1.82）。此外，与持续的高领导素质相比，随着时间的推移，领导素质从高到低的变化也预示着 LTSA 的风险（HR=1.42，95% CI：1.02 至 1.97）。
在丹麦劳动力中，暴露于低领导素质是 LTSA 的一个危险因素。
