原创力文档sickness presenteeism predicts suboptimal self-rated health and sickness absence a nationally representative study of the swedish working population病的现象预测理想自我报告健康和病假的代表性研究瑞典劳动人口.pdfVIP
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sickness presenteeism predicts suboptimal self-rated health and sickness absence a nationally representative study of the swedish working population病的现象预测理想自我报告健康和病假的代表性研究瑞典劳动人口
Sickness Presenteeism Predicts Suboptimal Self-Rated
Health and Sickness Absence: A Nationally
Representative Study of the Swedish Working
Population
1 2 1 1
Marina Taloyan *, Gunnar Aronsson , Constanze Leineweber , Linda Magnusson Hanson ,
Kristina Alexanderson3, Hugo Westerlund1,3
1 Stress Research Institute, Stockholm University, Stockholm, Sweden, 2 Department of Psychology, Stockholm University, Stockholm, Sweden, 3 Department of Clinical
Neuroscience, Karolinska Institutet, Stockholm, Sweden
Abstract
Background: Earlier studies have suggested that sickness presenteeism (SP) may be a risk factor for future health problems.
The purpose of the present study was to test this in a nationally representative prospective study of Swedish workers.
Methods: Prospective cohort with a representative sample of the Swedish working population surveyed in 2008 and 2010.
Odds ratios (OR) with 95% confidence intervals (CI) were calculated using logistic regression.
Results: Those who reported more than 7 days of SP had higher risk of suboptimal SRH compared to those who reported no
SP (OR = 5.95; 95% CI 4.98–7.12), also after adjustment for confounders (OR = 1.64; 95% CI 1.30–2.06). Those who reported 1–
7 days of SP also had an increased risk before and after adjustments. Inclusion of self-rated physical and psychological work
capacity did not attenuate the associations, whereas of emotional exhaustion attenuated the ORs to non-significance for
both outcomes, indicating that the health consequences associated with SP are largely related to mental health.
Conclusion: The results strengthen earlier findings suggesting that SP can be a risk factor for future suboptimal general
health and sickness absence, particularly through mental health problems. This indicates t
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