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Presenteeism as a predictor of disability pension: A prospective study among nursing professionals and care assistants in Sweden
Department of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, Stockholm, Sweden.
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational Health Science and Psychology, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research. Institute of Environmental Medicine, Unit of Intervention and Implementation Research for Worker Health, Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0002-0161-160x
Department of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, Stockholm, Sweden.
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational Health Science and Psychology, Occupational Health Science. Institute of Environmental Medicine, Unit of Intervention and Implementation Research for Worker Health, Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0001-5709-5387
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2019 (English)In: Journal of Occupational Health, ISSN 1341-9145, E-ISSN 1348-9585, Vol. 61, no 6, p. 453-463Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: The aim of the present study was to examine how presenteeism affects the risk of future disability pension among nursing professionals and care assistants (assistant nurses, hospital ward assistants, home-based personal care workers, and child care assistants). A specific objective was to compare health and social care employees with all other occupations.

METHODS: The study was based on a representative sample of working women and men (n = 43 682) aged 16-64 years, who had been interviewed between 2001 and 2013 for the Swedish Work Environment Survey conducted every second year since 1989. Information on disability pension was obtained from the Social Insurance Agency's database (2002-2014). The studied predictors were related to disability pension using Cox's proportional hazard regression with hazard ratios (HR) and 95% confidence interval (CI) and selected confounders were controlled for. The follow-up period was 6.7 years (SD 4.2).

RESULTS: Health and social care employees with frequent presenteeism showed a particularly elevated risk of future disability pension after adjusting for sex, sociodemographic variables, physical and psychosocial working conditions, and self-rated health symptoms. In the amalgamated occupational group of nursing professionals and care assistants, the impact on disability pension of having engaged in presenteeism four times or more during the prior year remained significant (HR = 3.72, 95% CI = 2.43-5.68).

CONCLUSIONS: The study suggests that frequent presenteeism contributes to an increased risk of disability pension among nursing professionals and care assistants as well as among all other occupations.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019. Vol. 61, no 6, p. 453-463
Keywords [en]
disability pension, health care workers, nurses, presenteeism, working conditions
National Category
Occupational Health and Environmental Health
Identifiers
URN: urn:nbn:se:hig:diva-30736DOI: 10.1002/1348-9585.12070ISI: 000496170900004PubMedID: 31294519Scopus ID: 2-s2.0-85074737708OAI: oai:DiVA.org:hig-30736DiVA, id: diva2:1358080
Funder
Swedish Research Council, 2009‐06192
Note

Funding information: The Swedish Research Council (VR) (grant/award number: ‘grant numbers 2009‐06192, 2013‐01645, and 2013‐016’), the Swedish Council for Working Life and Social Research, Sweden (FORTE) and (grant/award number: ‘Dnr: 2015‐00549’) AFA Insurance owned by the major labor market organizations in Sweden, (grant/award number: ‘Dnr: 170100’).

Available from: 2019-10-07 Created: 2019-10-07 Last updated: 2019-11-28Bibliographically approved

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Bergström, GunnarAboagye, Emmanuel

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