+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Do work factors modify the association between chronic health problems and sickness absence among older employees?



Do work factors modify the association between chronic health problems and sickness absence among older employees?



Scandinavian Journal of Work Environment and Health 39(5): 477-485



The aim of this study was to (i) assess how common chronic health problems and work-related factors predict sickness absence and (ii) explore whether work-related factors modify the effects of health problems on sickness absence. A one-year longitudinal study was conducted among employed persons aged 45-64 years from the Study on Transitions in Employment, Ability and Motivation (N = 8984). The presence of common chronic health problems and work-related factors was determined at baseline and self-reported sickness absence at one-year follow-up by questionnaire. Multinomial multivariate logistic regression analyses were conducted to assess associations between health, work factors, and sickness absence, and relative excess risk due to interaction (RERI) techniques were used to test effect modification. Common health problems were related to follow-up sickness absence, most strongly to high cumulative sickness absence (> 9 days per year). Baseline psychological health problems were strongly related to high sickness absence at follow-up [odds ratio (OR) 3.67, 95% confidence interval (95% CI) 2.80-4.82]. Higher job demands at baseline increased the likelihood of high sickness absence at follow-up among workers with severe headaches [RERI 1.35 (95% CI 0.45-2.25)] and psychological health problems [RERI 3.51 (95% CI 0.67-6.34)] at baseline. Lower autonomy at baseline increased the likelihood of high sickness absence at follow-up among those with musculoskeletal [RERI 0.57 (95% CI 0.05-1.08)], circulatory [RERI 0.82 (95% CI 0.00-1.63)], and psychological health problems [RERI 2.94 (95% CI 0.17-5.70)] at baseline. Lower autonomy and higher job demands increased the association of an array of common chronic health problems with sickness absence, and thus focus should be placed on altering these factors in order to reduce sickness absence and essentially promote sustainable employability.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 052682462

Download citation: RISBibTeXText

PMID: 23440271


Related references

Do work factors modify the association between chronic health problems and sickness absence among older employees?. Scandinavian Journal of Work Environment & Health 39(5): 477-485, 2013

310Work factors, common chronic health problems, and sickness absence: patterns of effect modification among older workers in a longitudinal study. Occupational and Environmental Medicine 70(Suppl 1): A106.1-A106, 2013

Health problems and psychosocial work environment as predictors of long term sickness absence in employees who visited the occupational physician and/or general practitioner in relation to work: a prospective study. Occupational and Environmental Medicine 60(4): 295-300, 2003

Health Problems and Psychosocial Work Environment as Predictors of Long Term Sickness Absence in Employees Who Visited the Occupational Physician and/or General Practitioner in Relation to Work: A Prospective Study. Occupational and Environmental Medicine 60(4): 295-300, 2003

The influence of chronic health problems on work ability and productivity at work: a longitudinal study among older employees. Scandinavian Journal of Work Environment and Health 40(5): 473-482, 2014

Identifying factors relevant in the assessment of return-to-work efforts in employees on long-term sickness absence due to chronic low back pain: a focus group study. Bmc Public Health 12: 77, 2012

Work health determinants in employees without sickness absence. Occupational Medicine 63(1): 17-22, 2013

Does self-efficacy predict return-to-work after sickness absence? A prospective study among 930 employees with sickness absence for three weeks or more. Work 29(3): 233-238, 2007

Do traditional male role norms modify the association between high emotional demands in work, and sickness absence?. Occupational and Environmental Medicine 68(Suppl_1): A22-A23, 2011

Factors associated with sickness absence among employees with chronic conditions. Occupational Medicine 67(4): 296-300, 2017

The association between exposure to psychosocial work factors and mental health in older employees, a 3-year follow-up study. International Archives of Occupational and Environmental Health 91(1): 57-66, 2018

Self-rated health as a predictor of return to work among employees on long-term sickness absence. Disability and Rehabilitation 28(5): 289-297, 2006

The contribution of work engagement to self-perceived health, work ability, and sickness absence beyond health behaviors and work-related factors. Journal of Occupational and Environmental Medicine 56(8): 892-897, 2014

Factors associated with incidental sickness absence among employees in one health care system. American Journal of Health Promotion 24(1): 37-48, 2009

34Determinants of health, work ability and sickness absence: the influence of lifestyle, work-related factors, and work engagement. Occupational and Environmental Medicine 70(Suppl 1): A12.1-A12, 2013