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Journal of Epidemiology and Community Health logoLink to Journal of Epidemiology and Community Health
. 2004 Oct;58(10):870–876. doi: 10.1136/jech.2003.016634

Psychosocial factors and work related sickness absence among permanent and non-permanent employees

D Gimeno 1, F Benavides 1, B Amick 1, J Benach 1, J M Martinez 1
PMCID: PMC1763323  PMID: 15365115

Abstract

Study objective: To examine the association between psychosocial work factors and work related sickness absence among permanent and non-permanent employees by sex.

Design: A cross sectional survey conducted in 2000 of a representative sample of the European Union total active population, aged 15 years and older. The independent variables were psychological job demands and job control as measures of psychosocial work environment, and work related sickness absence as the main outcome. Poisson regression models were used to compute sickness absence days' rate ratios.

Setting: 15 countries of the European Union.

Participants: A sample of permanent (n = 12 875) and non-permanent (n = 1203) workers from the Third European Survey on Working Conditions.

Results: High psychological job demands, low job control, and high strain and passive work were associated with higher work related sickness absence. The risks were more pronounced in non-permanent compared with permanent employees and men compared with women.

Conclusions: This work extends previous research on employment contracts and sickness absence, suggesting different effects depending on psychosocial working conditions and sex.

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Selected References

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  1. Ala-Mursula Leena, Vahtera J., Kivimäki M., Kevin M. V., Pentti J. Employee control over working times: associations with subjective health and sickness absences. J Epidemiol Community Health. 2002 Apr;56(4):272–278. doi: 10.1136/jech.56.4.272. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Amick Benjamin C., 3rd, McDonough Peggy, Chang Hong, Rogers William H., Pieper Carl F., Duncan Greg. Relationship between all-cause mortality and cumulative working life course psychosocial and physical exposures in the United States labor market from 1968 to 1992. Psychosom Med. 2002 May-Jun;64(3):370–381. doi: 10.1097/00006842-200205000-00002. [DOI] [PubMed] [Google Scholar]
  3. Aronsson G., Gustafsson K., Dallner M. Sick but yet at work. An empirical study of sickness presenteeism. J Epidemiol Community Health. 2000 Jul;54(7):502–509. doi: 10.1136/jech.54.7.502. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Artazcoz L., Borrell C., Benach J. Gender inequalities in health among workers: the relation with family demands. J Epidemiol Community Health. 2001 Sep;55(9):639–647. doi: 10.1136/jech.55.9.639. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Benach Joan, Gimeno David, Benavides Fernando G., Martínez José Miguel, Torné María del Mar. Types of employment and health in the European union: changes from 1995 to 2000. Eur J Public Health. 2004 Sep;14(3):314–321. doi: 10.1093/eurpub/14.3.314. [DOI] [PubMed] [Google Scholar]
  6. Benach Joan, Muntaner Carles, Benavides Fernando G., Amable Marcelo, Jodar Pere. A new occupational health agenda for a new work environment. Scand J Work Environ Health. 2002 Jun;28(3):191–196. [PubMed] [Google Scholar]
  7. Benavides F. G., Benach J., Diez-Roux A. V., Roman C. How do types of employment relate to health indicators? Findings from the second European survey on working conditions. J Epidemiol Community Health. 2000 Jul;54(7):494–501. doi: 10.1136/jech.54.7.494. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Benavides F. G., Benach J., Moncada S. Working conditions and sickness absence: a complex relation. J Epidemiol Community Health. 2001 May;55(5):368–368. doi: 10.1136/jech.55.5.368. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Benavides Fernando G., Benach Joan, Mira Miquel, Sáez Marc, Barceló Antònia. Occupational categories and sickness absence certified as attributable to common diseases. Eur J Public Health. 2003 Mar;13(1):51–55. doi: 10.1093/eurpub/13.1.51. [DOI] [PubMed] [Google Scholar]
  10. Blank N., Diderichsen F. Short-term and long-term sick-leave in Sweden: relationships with social circumstances, working conditions and gender. Scand J Soc Med. 1995 Dec;23(4):265–272. doi: 10.1177/140349489502300408. [DOI] [PubMed] [Google Scholar]
  11. Bourbonnais R., Mondor M. Job strain and sickness absence among nurses in the province of Québec. Am J Ind Med. 2001 Feb;39(2):194–202. doi: 10.1002/1097-0274(200102)39:2<194::aid-ajim1006>3.0.co;2-k. [DOI] [PubMed] [Google Scholar]
  12. Bourbonnais R., Vinet A., Vézina M., Gingras S. Certified sick leave as a non-specific morbidity indicator: a case-referent study among nurses. Br J Ind Med. 1992 Oct;49(10):673–678. doi: 10.1136/oem.49.10.673. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Feeney A., North F., Head J., Canner R., Marmot M. Socioeconomic and sex differentials in reason for sickness absence from the Whitehall II Study. Occup Environ Med. 1998 Feb;55(2):91–98. doi: 10.1136/oem.55.2.91. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Karasek R., Brisson C., Kawakami N., Houtman I., Bongers P., Amick B. The Job Content Questionnaire (JCQ): an instrument for internationally comparative assessments of psychosocial job characteristics. J Occup Health Psychol. 1998 Oct;3(4):322–355. doi: 10.1037//1076-8998.3.4.322. [DOI] [PubMed] [Google Scholar]
  15. Kivimäki M., Vahtera J., Pentti J., Ferrie J. E. Factors underlying the effect of organisational downsizing on health of employees: longitudinal cohort study. BMJ. 2000 Apr 8;320(7240):971–975. doi: 10.1136/bmj.320.7240.971. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Kivimäki Mika, Vahtera Jussi, Virtanen Marianna, Elovainio Marko, Pentti Jaana, Ferrie Jane E. Temporary employment and risk of overall and cause-specific mortality. Am J Epidemiol. 2003 Oct 1;158(7):663–668. doi: 10.1093/aje/kwg185. [DOI] [PubMed] [Google Scholar]
  17. Krantz Gunilla, Ostergren Per-Olof. Do common symptoms in women predict long spells of sickness absence? A prospective community-based study on Swedish women 40 to 50 years of age. Scand J Public Health. 2002;30(3):176–183. doi: 10.1080/14034940210133816. [DOI] [PubMed] [Google Scholar]
  18. Kristensen T. S. Sickness absence and work strain among Danish slaughterhouse workers: an analysis of absence from work regarded as coping behaviour. Soc Sci Med. 1991;32(1):15–27. doi: 10.1016/0277-9536(91)90122-s. [DOI] [PubMed] [Google Scholar]
  19. Marmot M., Feeney A., Shipley M., North F., Syme S. L. Sickness absence as a measure of health status and functioning: from the UK Whitehall II study. J Epidemiol Community Health. 1995 Apr;49(2):124–130. doi: 10.1136/jech.49.2.124. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Messing K., Tissot F., Saurel-Cubizolles M. J., Kaminski M., Bourgine M. Sex as a variable can be a surrogate for some working conditions: factors associated with sickness absence. J Occup Environ Med. 1998 Mar;40(3):250–260. doi: 10.1097/00043764-199803000-00007. [DOI] [PubMed] [Google Scholar]
  21. Moncada Salvador, Navarro Albert, Cortès Imma, Molinero Emilia, Artazcoz Lucía. Sickness leave, administrative category and gender: results from the "Casa Gran" project. Scand J Public Health Suppl. 2002;59:26–33. [PubMed] [Google Scholar]
  22. Niedhammer I., Bugel I., Goldberg M., Leclerc A., Guéguen A. Psychosocial factors at work and sickness absence in the Gazel cohort: a prospective study. Occup Environ Med. 1998 Nov;55(11):735–741. doi: 10.1136/oem.55.11.735. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. North F. M., Syme S. L., Feeney A., Shipley M., Marmot M. Psychosocial work environment and sickness absence among British civil servants: the Whitehall II study. Am J Public Health. 1996 Mar;86(3):332–340. doi: 10.2105/ajph.86.3.332. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Peter R., Siegrist J. Chronic work stress, sickness absence, and hypertension in middle managers: general or specific sociological explanations? Soc Sci Med. 1997 Oct;45(7):1111–1120. doi: 10.1016/s0277-9536(97)00039-7. [DOI] [PubMed] [Google Scholar]
  25. Theorell T., Karasek R. A. Current issues relating to psychosocial job strain and cardiovascular disease research. J Occup Health Psychol. 1996 Jan;1(1):9–26. doi: 10.1037//1076-8998.1.1.9. [DOI] [PubMed] [Google Scholar]
  26. VALENTIN H., VENRATH H., VON MALLINCKRODT H., GURAKAR M. Die maximale Sauerstoffaufnahme in den verschiedenen Altersklassen; eine praktisch wichtige Herz-Kreislauf-Funktionsprüfung im Vita-maxima-Bereich. Z Alternsforsch. 1956 Feb;9(4):291–309. [PubMed] [Google Scholar]
  27. Vahtera J., Kivimäki M., Pentti J., Theorell T. Effect of change in the psychosocial work environment on sickness absence: a seven year follow up of initially healthy employees. J Epidemiol Community Health. 2000 Jul;54(7):484–493. doi: 10.1136/jech.54.7.484. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Van Yperen N. W., Snijders T. A. A multilevel analysis of the demands--control model: is stress at work determined by factors at the group level or the individual level? J Occup Health Psychol. 2000 Jan;5(1):182–190. doi: 10.1037//1076-8998.5.1.182. [DOI] [PubMed] [Google Scholar]
  29. Virtanen M., Kivimäki M., Elovainio M., Vahtera J., Cooper C. L. Contingent employment, health and sickness absence. Scand J Work Environ Health. 2001 Dec;27(6):365–372. doi: 10.5271/sjweh.628. [DOI] [PubMed] [Google Scholar]
  30. Virtanen M., Kivimäki M., Elovainio M., Vahtera J. Selection from fixed term to permanent employment: prospective study on health, job satisfaction, and behavioural risks. J Epidemiol Community Health. 2002 Sep;56(9):693–699. doi: 10.1136/jech.56.9.693. [DOI] [PMC free article] [PubMed] [Google Scholar]
  31. Virtanen P., Vahtera J., Kivimäki M., Pentti J., Ferrie J. Employment security and health. J Epidemiol Community Health. 2002 Aug;56(8):569–574. doi: 10.1136/jech.56.8.569. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. Voss M., Floderus B., Diderichsen F. Physical, psychosocial, and organisational factors relative to sickness absence: a study based on Sweden Post. Occup Environ Med. 2001 Mar;58(3):178–184. doi: 10.1136/oem.58.3.178. [DOI] [PMC free article] [PubMed] [Google Scholar]
  33. Whitaker S. C. The management of sickness absence. Occup Environ Med. 2001 Jun;58(6):420-4; quiz 424,410. doi: 10.1136/oem.58.6.420. [DOI] [PMC free article] [PubMed] [Google Scholar]
  34. de Jonge J., Reuvers M. M., Houtman I. L., Bongers P. M., Kompier M. A. Linear and nonlinear relations between psychosocial job characteristics, subjective outcomes, and sickness absence: baseline results from SMASH. Study on Musculoskeletal Disorders, Absenteeism, Stress, and Health. J Occup Health Psychol. 2000 Apr;5(2):256–268. doi: 10.1037//1076-8998.5.2.256. [DOI] [PubMed] [Google Scholar]
  35. de Lange Annet H., Taris Toon W., Kompier Michiel A. J., Houtman Irene L. D., Bongers Paulien M. Effects of stable and changing demand-control histories on worker health. Scand J Work Environ Health. 2002 Apr;28(2):94–108. doi: 10.5271/sjweh.653. [DOI] [PubMed] [Google Scholar]

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