The association of medical conditions and presenteeism

被引:238
作者
Burton, WN
Pransky, G
Conti, DJ
Chen, CY
Edington, DW
机构
[1] Bank One, Chicago, IL 60670 USA
[2] Northwestern Univ, Sch Med, Chicago, IL 60611 USA
[3] Liberty Mutual Ctr Disabil Res, Hopkinton, MA USA
[4] Dept Med, Boston, MA USA
[5] Dept Family Med, Boston, MA USA
[6] Depaul Univ, Chicago, IL 60604 USA
[7] Univ Michigan, Hlth Management Res Ctr, Ann Arbor, MI 48109 USA
关键词
D O I
10.1097/01.jom.0000126687.49652.44
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
A self-reported measure of four domains of work impairment based on the Work Limitations Questionnaire was completed by 16,651 employees of a large financial services corporation. Using a multivariate model to control for coexisting conditions, age, and gender, significant relationships were observed between medical conditions and patterns of impaired work performance. Depression was highly associated with work limitations in time management (odds ratio [OR] = 2.05), interpersonal/mental functioning (OR = 2.50), and overall output (OR = 2.24). Arthritis (OR = 1.56) and low back pain (OR = 1.32) were associated with physical function limitations. These same two conditions were associated with limitations in mental/interpersonal functioning but with low back pain having the higher odds ratio (OR = 1.54 vs. 1.22). These results suggest that worksite interventions (eg, disease management programs) should be tailored to the unique effects observed with specific medical conditions. More targeted programs could have important benefits for productivity in the workplace.
引用
收藏
页码:S38 / S45
页数:8
相关论文
共 35 条
[1]   A review of health-related work outcome measures and their uses, and recommended measures [J].
Amick, BC ;
Lerner, D ;
Rogers, WH ;
Rooney, T ;
Katz, JN .
SPINE, 2000, 25 (24) :3152-3160
[2]   Sick but yet at work. An empirical study of sickness presenteeism [J].
Aronsson, G ;
Gustafsson, K ;
Dallner, M .
JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 2000, 54 (07) :502-509
[3]   Productivity costs before and after absence from work: as important as common? [J].
Brouwer, WBF ;
van Exel, NJA ;
Koopmanschap, MA ;
Rutten, FFH .
HEALTH POLICY, 2002, 61 (02) :173-187
[4]   The role of health risk factors and disease on worker productivity [J].
Burton, WN ;
Conti, DJ ;
Chen, CY ;
Schultz, AB ;
Edington, DW .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 1999, 41 (10) :863-877
[5]   Evaluation of a worksite-based patient education intervention targeted at employees with diabetes mellitus [J].
Burton, WN ;
Connerty, CM .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 1998, 40 (08) :702-706
[6]   The impact of allergies and allergy treatment on worker productivity [J].
Burton, WN ;
Conti, DJ ;
Chen, CY ;
Schultz, AB ;
Edington, DW .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2001, 43 (01) :64-71
[7]  
Centers for Disease Control and Prevention (CDC), 1999, MMWR Morb Mortal Wkly Rep, V48, P349
[8]   Loss of work productivity due to illness and medical treatment [J].
Cockburn, IM ;
Bailit, HL ;
Berndt, ER ;
Finkelstein, SN .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 1999, 41 (11) :948-953
[9]  
CONTI DJ, 1994, J OCCUP ENVIRON MED, V36, P983
[10]   Effects of recent and past major depression and distress on self-concept and coping [J].
Coyne, JC ;
Gallo, SM ;
Klinkman, MS ;
Calarco, MM .
JOURNAL OF ABNORMAL PSYCHOLOGY, 1998, 107 (01) :86-96