Department of Collective Health, Federal University of Triangulo Mineiro, Uberaba 38025180, Brazil.
Laboratory of Health and Environment Education, Oswaldo Cruz Institute, Fiocruz, Rio de Janeiro 21040900, Brazil.
Int J Environ Res Public Health. 2020 Sep 16;17(18):6758. doi: 10.3390/ijerph17186758.
Presenteeism is the term used to describe going in to work even with a health problem. The phenomenon has been identified as one prior factor in sickness absence and, accordingly, the better it is understood, the better will be the prevention strategies. This study aimed to examine the mediating role of presenteeism (the ability to concentrate on work and to complete work despite a health problem) in the association between psychosocial factors at work and common mental disorders (CMD). This cross-sectional study included 1218 nursing personnel at a public hospital in Brazil. Structural equation modelling was performed. The sample comprised mostly women (85.4%), and the mean age was 44.1 (SD = 11.3; range: 24-70) years. Prevalence of presenteeism was 32.8%. Among presenteeist workers ( = 400), a relationship was observed between presenteeism and higher CMD scores. Furthermore, being able to concentrate on work even with a health problem mediated the relationship between social support and CMD and between psychological demands and CMD. Working when sick impairs both the work and the worker's health. Interventions designed to improve working conditions and interpersonal relations can be effective strategies against presenteeism.
Presenteeism 是指即使有健康问题也要去工作。这种现象已被确定为缺勤的一个前期因素，因此，对其了解得越好，预防策略就越好。本研究旨在探讨工作中的心理社会因素与常见精神障碍（CMD）之间的关系中，工作投入（尽管有健康问题但仍能专注于工作并完成工作的能力）的中介作用。这项横断面研究包括巴西一家公立医院的 1218 名护理人员。进行了结构方程模型分析。该样本主要由女性（85.4%）组成，平均年龄为 44.1（SD=11.3；范围：24-70）岁。工作投入的患病率为 32.8%。在投入工作的员工（=400）中，工作投入与较高的 CMD 评分之间存在关系。此外，即使有健康问题也能集中精力工作，这也在社会支持与 CMD 之间以及心理需求与 CMD 之间起到了中介作用。带病工作会损害工作和员工的健康。旨在改善工作条件和人际关系的干预措施可能是对抗工作投入的有效策略。
