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
[11]   NEGATIVE COGNITION AND THE PERSISTENCE OF DEPRESSION [J].
DENT, J ;
TEASDALE, JD .
JOURNAL OF ABNORMAL PSYCHOLOGY, 1988, 97 (01) :29-34
[12]   The relationship between pain and depression in a trial using paroxetine in sufferers of chronic low back pain [J].
Dickens, C ;
Jayson, M ;
Sutton, C ;
Creed, F .
PSYCHOSOMATICS, 2000, 41 (06) :490-499
[13]   Psychological correlates of pain behavior in patients with chronic low back pain [J].
Dickens, C ;
Jayson, M ;
Creed, F .
PSYCHOSOMATICS, 2002, 43 (01) :42-48
[14]   Depressive symptoms, satisfaction with health care, and 2-year work outcomes in an employed population [J].
Druss, BG ;
Schlesinger, M ;
Allen, HM .
AMERICAN JOURNAL OF PSYCHIATRY, 2001, 158 (05) :731-734
[15]   The health and productivity cost burden of the "top 10" physical and mental health conditions affecting six large US employers in 1999 [J].
Goetzel, RZ ;
Hawkins, K ;
Ozminkowski, RJ ;
Wang, SH .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2003, 45 (01) :5-14
[16]  
GREENBERG PE, 1993, J CLIN PSYCHIAT, V54, P405
[17]   Impact of illness and its treatment on workplace costs: Regulatory and measurement issues [J].
Greenberg, PE ;
Birnbaum, HG ;
Kessler, RC ;
Morgan, M ;
Stang, P .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2001, 43 (01) :56-63
[18]   The role of psychological and biological factors in postinfective gut dysfunction [J].
Gwee, KA ;
Leong, YL ;
Graham, C ;
McKendrick, MW ;
Collins, SM ;
Walters, SJ ;
Underwood, JE ;
Read, NW .
GUT, 1999, 44 (03) :400-406
[19]   Persons with chronic conditions - Their prevalence and costs [J].
Hoffman, C ;
Rice, D ;
Sung, HY .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1996, 276 (18) :1473-1479
[20]  
*I HLTH PROD MAN, 2001, MEAS EMPL PROD GUID