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Original Article
Association between work from home and health-related productivity loss among Korean employees
Hyo Jeong Kim, Dong Wook Lee, Jaesung Choi, Yun-Chul Hong, Mo-Yeol Kang
Ann Occup Environ Med 2024;36:e13.   Published online April 30, 2024
DOI: https://doi.org/10.35371/aoem.2024.36.e13
AbstractAbstract AbstractAbstract in Korean PDFSupplementary MaterialPubReaderePub
Background

After the coronavirus disease 2019 pandemic, the widespread adoption of working from home, or teleworking, has prompted extensive research regarding its effects on work productivity and the physical and mental health of employees. In this context, our study aimed to investigate the association between working from home and health-related productivity loss (HRPL).

Methods

An online survey was conducted with a sample of 1,078 workers. HRPL was estimated by the Work Productivity and Activity Impairment Questionnaire: General Health version. Workers that have been working from home in the last 6 months were categorized into the “work from home” group. Generalized linear models were used to compare the mean difference of HRPL between “work from home” and “commuters” group. Stratified analyses were conducted based on various factors including gender, age, income level, occupation, education level, previous diagnosis of chronic disease, presence of preschool children, living in studio apartment, living alone, commuting time, working hours and regular exercise.

Results

The overall HRPL was higher in the “work from home” group than in the “commuters” group with a mean difference of 4.05 (95% confidence interval [CI]: 0.09–8.01). In the stratified analyses, significant differences were observed in workers with chronic diseases (mean difference: 8.23, 95% CI: 0.38–16.09), who do not live alone (mean difference: 4.84, 95% CI: 0.35–9.33), and workers that do not exercise regularly (mean difference: 4.96, 95% CI: 0.12–9.80).

Conclusions

Working from home is associated with an increased HRPL in the Korean working population, especially among those with chronic diseases, those who do not live alone, and those who do not exercise regularly.

재택근무와 건강 관련 노동생산성 손실 간의 연관성
목적
코로나-19 감염증 팬데믹 이후 재택근무 및 원격근무가 널리 퍼지면서 재택근무 생산성 및 노동자의 신체적, 정신적 건강에 대한 영향을 파악하고자 하는 연구가 다수 진행되었다. 이러한 맥락에서 본 연구는 재택근무와 건강 관련 노동생산성 손실 간의 관련성을 조사하고자 하였다.
방법
1,078명의 근로자를 대상으로 온라인 설문을 실시하였다. 건강 관련 노동생산성 손실은 “Work Productivity and Activity Impairment Questionnaire: General Health version(WPAI:GH)”를 이용하여 측정하였다. 지난 6개월 간 재택근무를 한 경우 재택근무자로, 그렇지 않은 경우 통근 근무자로 분류되었다. 재택근무자와 통근 근무자 간의 건강 관련 노동생산성 손실의 평균 차이를 비교하기 위해 일반 선형 모델을 사용하였다. 성별, 연령, 소득 수준, 학력, 만성 질병 진단 여부, 미취학 아동의 존재, 원룸 거주 여부, 독거 여부, 통근 시간, 근무 시간, 꾸준한 운동 등의 요인에 대한 층화 분석을 시행했다.
결과
재택근무자의 건강 관련 노동생산성 손실을 통근 근무자보다 높았으며 그 차이는 4.05(95% 신뢰구간: 0.09–8.01)이었다. 층화 분석에서는 만성 질병을 진단받은 적이 있는 경우(평균 차: 8.22, 95% 신뢰구간: 0.38–16.09), 독거 중이 아닌 경우(평균 차: 4.84, 95% 신뢰구간: 0.35–9.33), 그리고 운동을 꾸준히 하지 않는 경우(평균 차: 4.96, 95% 신뢰구간: 0.12–9.80) 유의한 차이가 확인되었다.
결론
국내 노동 인구에서 재택근무는 건강 관련 노동생산성 손실과 관련이 있으며 특히 만성 질환이 있는 근로자, 동거인이 있는 근로자, 운동을 정기적으로 하지 않는 근로자에서 더욱 그러한 것으로 나타났다.
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Original Article
Association between insomnia and absenteeism or presenteeism among Korean employees
JongHyun Hwang, Seong-Sik Cho, Jung Il Kim
Ann Occup Environ Med 2022;34:e41.   Published online December 6, 2022
DOI: https://doi.org/10.35371/aoem.2022.34.e41
AbstractAbstract AbstractAbstract in Korean PDFPubReaderePub
Background

In Korea, few studies clarify insomnia and its association and absenteeism or presenteeism. Therefore, this study aims to examine the association between insomnia and absenteeism/presenteeism using the sixth Korean Working Conditions Survey.

Methods

Insomnia was evaluated by the Minimal Insomnia Symptoms Scale (MISS). Absenteeism and presenteeism were assessed by asking if the employee had experienced absence or working despite being ill for the prior 12 months at the point of the survey. Multiple logistic analyses were conducted to explore insomnia and its association with absenteeism and presenteeism.

Results

The odds ratios of insomnia for absenteeism and presenteeism were 3.48 (95% confidence interval [CI]: 2.76–4.39) and 3.68 (95% CI: 3.18–4.26) in the fully adjusted model. As the MISS scores increased, absenteeism and presenteeism showed the increasing trend that odd ratios increased accordingly from the first to the fourth quartile.

Conclusions

This study observed that insomnia was related to both absenteeism and presenteeism among Korean employees.

한국 근로자에서의 불면증과 결근(absenteeism) 및 프리젠티즘(presenteeism) 간 연관성 연구.
목적
불면증은 결근 및 프리젠티즘을 유발하는 위험 인자로 알려져 있으나 한국의 노동자들에서의 불면증과 결근 및 프리젠티즘 간의 연관성을 연구한 경우는 드물다. 따라서, 이 연구는 한국 노동자들에서의 불면증과 결근 및 프리젠티즘간의 연관성을 조사하였다.
방법
본 연구는 제6차 한국 취업자 근로환경조사 자료를 활용하였다. 불면증은 최소 불면증 증상 척도(MISS)를 사용하여 평가하였으며, 결근 및 프리젠티즘은 조사시점에서 1년동안의 결근 경험 및 건강상 문제가 있음에도 출근한 경험에 대해 질문함으로써 평가하였다. 불면증과 결근 및 프리젠티즘 간의 연관성을 분석하기 위해 다중 로지스틱 회귀분석을 수행하였다.
결과
보정된 모형에서 불면증과 결근 및 프리젠티즘과의 오즈비는 각각 3.48(95% CI: 2.76 - 4.39), 3.68(95% CI: 3.18 - 4.26) 이었다. 최소 불면증 증상 척도 점수가 증가할 수록 결근 및 프리젠티즘이 증가하는 경향을 보였다.
결론
본 연구를 통해 불면증과 결근 및 프리젠티즘의 연관성을 확인할 수 있었다. 이러한 결과는 근로자들의 수면 건강을 위한 추가적인 연구와 효과적인 수면 건강 중재 프로그램의 개발 및 도입이 필요할 수 있다.

Citations

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  • Prevalence of Sleep Disturbances in Latin American Populations and Its Association with Their Socioeconomic Status—A Systematic Review and a Meta-Analysis
    F. A. Etindele Sosso, Filipa Torres Silva, Rita Queiroz Rodrigues, Margarida M. Carvalho, Sofia Zoukal, Gabriel Cordova Zarate
    Journal of Clinical Medicine.2023; 12(24): 7508.     CrossRef
  • Multidimensional typologies of precarious employment and their relationships with mental well-being in Korean wageworkers: A latent class analysis based on the Korean Working Conditions Survey (2020–2021)
    Seong-Uk Baek, Jong-Uk Won, Jin-Ha Yoon
    Preventive Medicine.2023; 177: 107787.     CrossRef
  • Association between receiving work communications outside of work hours via telecommunication devices and work-related headaches and eyestrain: a cross-sectional analysis of the 6th Korean Working Conditions Survey
    Yoon-Soo Jang, Jae-Han Lee, Na-Rae Lee, Dong-Woo Kim, June-Hee Lee, Kyung-Jae Lee
    Annals of Occupational and Environmental Medicine.2023;[Epub]     CrossRef
  • Presenteeism, Job Satisfaction, and Psychological Distress among Portuguese Workers in a Private Social Solidarity Institution during the COVID-19 Pandemic: A Cross-Sectional Study
    Ana Catarina Maurício, Carlos Laranjeira
    Administrative Sciences.2023; 13(10): 220.     CrossRef
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Original Article
Association between presenteeism and mental health among logistic center workers
Hyoungseob Yoo, Ji-hun Song, Hyoung-Ryoul Kim
Ann Occup Environ Med 2022;34:e39.   Published online November 17, 2022
DOI: https://doi.org/10.35371/aoem.2022.34.e39
AbstractAbstract AbstractAbstract in Korean PDFSupplementary MaterialPubReaderePub
Background

Workers in logistics centers are always pressed for time to collect and pack products. They also participate in high-intensity manual labor in which various musculoskeletal hazards exist. In the case of logistic center labor, it is estimated that there is a high risk of presenteeism due to the above characteristics which can cause deterioration of workers’ mental health. However, there is insufficient research on this topic.

Methods

Workers in a logistic center were surveyed using an Internet questionnaire. The survey items included demographic characteristics, labor intensity and work-related factors, and mental health aspects such as depression and anxiety. The survey was conducted for about a month from July 26, 2021 and a total of 353 people were analyzed. Through the χ2 test and t-test, the characteristics of workers who experienced presenteeism were examined and the prevalence ratios (PRs) of depression and anxiety experiences were calculated by multivariable Poisson regression. Afterwards, stratification analysis considering gender, the type of contract, and labor intensity was implemented.

Results

In the group that experienced presenteeism, the number of working days per week was higher and fixed-term workers, high labor intensity, and sleep deprivation were more common. In the multi-Poisson regression analysis conducted by adjusting the demographic characteristics, working hours, and work-related factors, the PRs of depression and anxiety were 1.98 (95% confidence interval: 1.24–3.18) and 1.81 (1.22–2.68), respectively. In particular, the p-value for interactions was significant when stratified with the type of contract.

Conclusions

As a result of the study, presenteeism and mental health were associated in logistic center workers. To prevent mental health issues of logistic center workers, management of presenteeism is necessary and a prospective study is needed.

일개 물류센터 노동자에서 프리젠티즘과 정신건강 사이의 상관성
목적
코로나19 이후 물류 산업 전반의 수요가 증가하기 시작하였다. 물류센터 노동은 상품을 입고하고 주문된 상품을 제한 시간 내에 집품, 포장해야하는 업무로 항상 시간에 쫓기며, 다양한 근골격계 유해인자들이 상존하는 고강도의 육체 노동이 특징적이다. 물류센터 노동의 경우 위와 같은 특징으로 프리젠티즘이 발생할 위험이 높을 것으로 추정되며, 이후 근로자의 정신건강의 악화를 가져올 것으로 추정이 되나, 이에 대한 연구는 드물다. 이에 물류산업 노동자에서의 프리젠티즘과 정신건강 사이의 상관성을 보고자 본 연구를 시행하였다.
방법
일개 물류센터 종사자들을 대상으로 온라인 설문조사 링크를 통해 2021.7.26-2021.8.27. 동안 설문조사를 실시하였다. 중복을 제외하여 총 353명의 물류센터 종사자들이 최종 연구대상자로 선정되었다. 인구학적 특징, 고용 형태 및 업무 내용, 노동 시간 및 강도, 교대 근무, 질병 경험, 수면장애, 우울 등 건강 실태 등에 대해 조사하였다. Chi-square test, T-test를 통해 프리젠티즘 여부에 따른 근로 관련 특징을 살펴보았고, multivariable Poisson regression을 통해 프리젠티즘 유무에 따른 우울, 불안의 Prevalence ratio(PR)을 산출하였고, 성별, 근무 시간, 노동 강도에 따른 층화 분석을 시행하였다. 통계 프로그램은 SAS 9.4(SAS Institute, Cary, NC, USA)를 사용하였다.
결과
프리젠티즘이 확인되는 군에서 주당 근로일수가 길고, 계약직이 많으며, 노동 강도가 높고, 수면시간이 적은 것으로 확인된다. 나이, 성별, 계약조건, 주당 근로시간, 근무 형태, 노동 강도를 보정하여 multivariable Poission regression을 통해 분석한 결과 프리젠티즘이 있는 군에서 우울과 불안이 발생할 PR 값이 1.98(95%CI 1.24-3.18), 불안이 발생할 PR 값이 1.81(95%CI 1.22-2.68)로 나타났다. 층화 분석 시 고용 형태가 프리젠티즘과 우울과의 관계에서 유의한 상호작용이 확인되었다.
결론
본 연구 결과 물류센터 노동자에서 프리젠티즘과 정신건강 사이의 상관관계가 확인되었다. 물류센터 노동자의 정신건강을 예방하기 위해 프리젠티즘을 유발할 노동 강도 및 노동 환경을 개선해야하며, 아파도 일을 쉴 수 있도록 상병수당, 유급휴가 등의 정책 등이 마련되어야 할 것을 보여준다.

Citations

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  • FATORES ASSOCIADOS AO PRESENTEÍSMO EM TRABALHADORES NO TERRITÓRIO BRASILEIRO: REVISÃO INTEGRATIVA
    Lucas Barros de Araujo, Luiz Almeida da Silva, Alexandre de Assis Bueno, Mikael Henrique de Jesus Batista, Ludmila Grego Maia, Hudson de Oliveira Silva
    Revista Contemporânea.2024; 4(7): e4946.     CrossRef
  • Multidimensional typologies of precarious employment and their relationships with mental well-being in Korean wageworkers: A latent class analysis based on the Korean Working Conditions Survey (2020–2021)
    Seong-Uk Baek, Jong-Uk Won, Jin-Ha Yoon
    Preventive Medicine.2023; 177: 107787.     CrossRef
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Original Article
Impacts of presenteeism on work-related injury absence and disease absence
Youna Won, Hwan-Cheol Kim, Jiho Kim, Minsun Kim, Seong-Cheol Yang, Shin-Goo Park, Jong-Han Leem
Ann Occup Environ Med 2022;34:e25.   Published online September 23, 2022
DOI: https://doi.org/10.35371/aoem.2022.34.e25
AbstractAbstract AbstractAbstract in Korean PDFPubReaderePub
Background

Many studies have been conducted on presenteeism and absenteeism, but the relationship between presenteeism and absenteeism is unclear. This study was undertaken to investigate the effect of presenteeism on future absenteeism.

Methods

This study was conducted on non-white collar workers that underwent general health examinations in 2014 and 2015. We asked subjects to fill out a questionnaire about their experiences of presenteeism for the past one year in 2014. In 2015, it was checked whether the same subjects had any experience of absence from work due to injury or disease during the past year. The χ2 test was used to analyze relationships between sociodemographic and occupational characteristics, presenteeism, and absence. Odds ratios (ORs) were calculated by logistic regression analysis controlled for confounding factors.

Results

A total of 12,572 workers were included in the study. For workers who experienced presenteeism, the OR for injury absence was 2.705 (95% confidence interval [CI]: 2.044–3.581), and the OR for disease absence was 4.906 (95% CI: 3.996–6.024) after adjusting for sociodemographic and occupational confounding factors. For men that experienced presenteeism, the OR for injury absence was 3.035 (95% CI: 2.258–4.081), and the OR for disease absence was 5.508 (95% CI: 4.340–6.989). For women that experienced presenteeism, the OR for injury absence was 1.322 (95% CI: 0.577–3.028), which was not significant, and the OR for disease absence was 3.629 (95% CI: 2.405–5.475).

Conclusions

This study suggests that presenteeism can influence future absenteeism. The effect of presenteeism may depend on cause of absence. Men who experienced presenteeism showed greater effects on injury and disease absence than women. For women, experience of presenteeism had a significant effect on disease absence but not on injury absence.

작업관련 손상결근과 질병결근에 대한 프리젠티즘의 영향
목적
프리젠티즘과 결근에 대한 많은 연구가 있어왔지만 그 상관관계는 여전히 불분명하다. 본 연구는 프리젠티즘이 미래의 결근에 미치는 영향을 조사하기 위해 수행되었다.
방법
본 연구는 2014년과 2015년에 한 대학병원에서 일반건강검진을 받은 비사무직근로자를 대상으로 실시하였다. 2014년 설문지 작성을 통해 지난 1년간의 프리젠티즘 여부를 조사하였다. 동일 근로자를 대상으로 2015년에는 1년간의 손상 및 질병 결근 여부를 확인하였다. 카이제곱 검정을 통해 사회인구통계학적, 직업적 특성과 프리젠티즘, 결근 간의 관계를 분석하였다. 교란 요인을 통제하여 로지스틱 회귀분석을 수행해 오즈비(OR)를 계산했다.
결과
총 12,572명의 근로자가 연구에 포함되었다. 사회인구학적 및 직업적 교란 요인을 조정한 후 프리젠티즘을 경험한 근로자에서 손상결근의 오즈비는 2.705(95% CI: 2.044-3.581), 질병결근의 오즈비는 4.906(95% CI: 3.996-6.024)이었다. 성별에 따라 나눈 결과, 프리젠티즘을 경험한 남성에서 손상결근의 오즈비는 3.035(95% CI: 2.258~4.081), 질병결근의 오즈비는 5.508(95% CI: 4.340~6.989)이었다. 여성의 경우는 프리젠티즘을 경험한 후 손상결근 오즈비가 1.322(95% CI: 0.577-3.028)로 유의미하지 않았고, 질병결근 오즈비는 3.629(95% CI: 2.405-5.475)로 나타났다.
결론
본 연구는 프리젠티즘이 미래 결근의 요인이 될 수 있음을 시사한다. 결근의 원인에 따라서 프리젠티즘의 영향은 달라질 수 있다. 남성과 여성을 분류했을 때, 프리젠티즘을 경험한 남성은 여성보다 손상과 질병 결근 모두에서 더 큰 영향을 보였고, 여성은 질병결근과 달리 손상결근에서는 이러한 영향이 나타나지 않았다.

Citations

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  • Association between sickness presenteeism and depressive symptoms: a cross-sectional study using the 6th Korean working conditions survey
    Myeong-Hun Lim, Min-Seok Kim, Seong-Uk Baek, Tae-Yeon Kim, Jong-Uk Won, Jin-Ha Yoon
    International Archives of Occupational and Environmental Health.2024; 97(5): 537.     CrossRef
  • Self-Esteem Trajectories After Occupational Injuries and Diseases and Their Relation to Changes in Subjective Health: Result From the Panel Study of Workers’ Compensation Insurance (PSWCI)
    Seong-Uk Baek, Won-Tae Lee, Min-Seok Kim, Myeong-Hun Lim, Jin-Ha Yoon, Jong-Uk Won
    Journal of Korean Medical Science.2023;[Epub]     CrossRef
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Original Article
The association between direct supervisor's behavior and employee presenteeism in Korean wage workers: findings from the fifth Korean Working Condition Survey
Sung Hee Lee, Joo Hyun Sung, Dae Hwan Kim, Chang Sun Sim
Ann Occup Environ Med 2021;33:e30.   Published online September 24, 2021
DOI: https://doi.org/10.35371/aoem.2021.33.e30
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background

Presenteeism is a phenomenon in which employees go to work, but physical or mental health problems make it impossible for them to properly demonstrate their abilities, and productivity decreases accordingly. Recent studies have considered the behavior of direct supervisors to be an important factor in the pathogenesis of various health-related outcomes. This study aimed to investigate the association between the direct supervisor's behaviors and presenteeism among wage workers in South Korea.

Methods

A total of 25,798 participants from the fifth Korean Working Condition Survey conducted in 2017 were included in the analysis. The behaviors of direct supervisor were assessed by 6 questionnaire items. In this study, the distribution of the scores was categorized into 4 categories (very good, good, bad, and very bad). To assess presenteeism, the corresponding questionnaire item was used. χ2 tests and multiple logistic regression analyses adjusted for general, occupational, and psychosocial factors were performed to determine the association between the behaviors of direct supervisor and presenteeism.

Results

Direct supervisor's behavior were significantly associated with presenteeism. The adjusted odds ratios (aORs) of presenteeism in the good, bad, and very bad groups were 1.297 (95% confidence interval [CI]: 1.153–1.458), 1.191 (95% CI: 0.941–1.507), and 1.604 (95% CI: 1.184–2.175), compared with the very good group. Associations between presenteeism and the behaviors of direct supervisor were significant in male workers, but not in female workers. For male workers, the aORs of presenteeism in the good, bad, very bad groups were 1.661 (95% CI: 1.425–1.936), 1.445 (95% CI: 1.053–1.982), 2.340 (95% CI: 1.569–3.491), respectively.

Conclusions

This study suggests that the behavior of a direct supervisor can influence the occurrence of presenteeism, particularly in men. The proper management of senior employee's behaviors is necessary to reduce the risk of presenteeism in the workplace.


Citations

Citations to this article as recorded by  
  • Association Between Sickness Presenteeism and Depressive Symptoms by Occupation and Employment Type During the COVID-19 Pandemic
    Minkoo Kang, Won-Tae Lee, Byungyoon Yun, Jin-Ha Yoon
    Safety and Health at Work.2024; 15(3): 338.     CrossRef
  • Sickness Presenteeism among Employees Having Workplace Conflicts—Results from Pooled Analyses in Latvia
    Svetlana Lakiša, Linda Matisāne, Inese Gobiņa, Hans Orru, Ivars Vanadziņš
    International Journal of Environmental Research and Public Health.2022; 19(17): 10525.     CrossRef
  • 268 View
  • 3 Download
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Research Article
Association between employment status and sickness presenteeism among Korean employees: a cross-sectional study
Jeong Woo Park, Seong Sik Cho, JongWoo Lee, Jonghyun Hwang, Jung Il Kim, Byoung Gwon Kim, Young Seoub Hong
Ann Occup Environ Med 2020;32:e17.   Published online June 12, 2020
DOI: https://doi.org/10.35371/aoem.2020.32.e17
AbstractAbstract PDFPubReaderePub
Background

Sickness presenteeism (SP) indicates “going to work while being ill.” The importance of SP has only recently been investigated, and the association between SP and employment status has been inconsistent across studies. Therefore, we conducted this study to explore the association between SP and employment status by using presenteeism propensity (PP), which can reflect the individual decision-making process.

Methods

The study population included employees participating in the 5th Korean Working Condition Survey. We analyzed data of only employees with at least one health event, which was calculated as the sum of SP and sickness absenteeism days. Employment status was grouped into 3 categories: stable employment, unstable employment (contract period 1 year), and unstable employment (contract period < 1 year). Survey-weighted logistic regression analysis was conducted to assess the association between employment status and PP (dichotomized as “≤ 0.5” and “> 0.5”).

Results

Unstable employees (contract period 1 year) had higher odds of PP than stable employees (odds ratio [OR]: 1.23, 95% confidence interval [CI]: 1.03–1.47), whereas unstable employees (contract period < 1 year) had lower odds of PP than stable employees (OR: 0.82, 95% CI: 0.71–0.96).

Conclusions

Employment status was associated with SP. Given the negative health impact of SP, social efforts, such as paid sick leave, are required to reduce SP and enhance the health status of unstable workers.


Citations

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  • Evaluation of absenteeism and presenteeism status of factory employees
    Belgin Oral, Yavuzalp Solak, Hasan Durmuş
    Work.2024; : 1.     CrossRef
  • Longitudinal Association of Working From Home on Work Functioning Impairment in Desk Workers During COVID-19 Pandemic
    Atsushi Takayama, Takashi Yoshioka, Tomohiro Ishimaru, Satomi Yoshida, Koji Kawakami, Takahiro Tabuchi
    Journal of Occupational & Environmental Medicine.2023; 65(7): 553.     CrossRef
  • A Cross-Sectional Study of Psychosocial Factors and Sickness Presenteeism in Japanese Workers During the COVID-19 Pandemic
    Masashi Masuda, Tomohiro Ishimaru, Ayako Hino, Hajime Ando, Seiichiro Tateishi, Tomohisa Nagata, Mayumi Tsuji, Shinya Matsuda, Yoshihisa Fujino
    Journal of Occupational & Environmental Medicine.2022; 64(1): e1.     CrossRef
  • Associations between job and workplace factors, health and physical factors, personal factors, and presenteeism among general employees in Japan: A longitudinal study
    Eiko Goto, Hirono Ishikawa, Tsuyoshi Okuhara, Hiroko Okada, Aiko Tsunezumi, Yumi Kagawa, Yoshihisa Fujino, Takahiro Kiuchi
    Journal of Occupational Health.2022;[Epub]     CrossRef
  • The Effect of Emotional Labor on Presenteeism of Chinese Nurses in Tertiary-Level Hospitals: The Mediating Role of Job Burnout
    Jia Song, Fang Liu, Xiaowei Li, Zhan Qu, Rongqiang Zhang, Jie Yao
    Frontiers in Public Health.2021;[Epub]     CrossRef
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Research Article
Association of discrimination and presenteeism with cardiovascular disease: the Fourth Korean Working Conditions Survey
Kyusung Kim, Sung-il Cho, Domyung Paek
Ann Occup Environ Med 2019;31:e28.   Published online October 11, 2019
DOI: https://doi.org/10.35371/aoem.2019.31.e28
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background

Discrimination is a representative social determinant of health. Presenteeism is defined as presenting to work despite of illness and is an indicator of group health. We investigated the association of discrimination and presenteeism with cardiovascular disease using Korean data.

Methods

This study used the fourth Korea Working Conditions Survey (2014) data of 27,662 wage workers (employees). Presenteeism and discrimination related to age, sex, education, birth region, and employment type were ascertained. Self-reported cardiovascular disease was also assessed using the survey questionnaire. General and occupational characteristics found to be significant in univariate analyses were entered into a multivariate logistic regression analysis of the association of discrimination and presenteeism with cardiovascular disease. We also calculated the odds ratios of multiple discriminations and/or presenteeism for cardiovascular disease.

Results

In the univariate analyses, sex, age, education, monthly income, employment type, occupation, hours worked per week, workplace scale, and shift work were significantly associated with cardiovascular disease. A multivariate logistic regression analysis adjusted for general and occupational characteristics showed that discrimination and presenteeism were significantly associated with cardiovascular disease. Finally, the association with cardiovascular disease was strongest when both multiple discriminations and presenteeism were present.

Conclusions

Discrimination and presenteeism are associated with cardiovascular disease, and this association was stronger in the presence of multiple types of discrimination and presenteeism.


Citations

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  • The effect of occupational coping self-efficacy on presenteeism among ICU nurses in Chinese public hospitals: a cross-sectional study
    Jijun Wu, Yuxin Li, Qin Lin, Jiquan Zhang, Zhenfan Liu, Xiaoli Liu, Xian Rong, Xiaoli Zhong
    Frontiers in Psychology.2024;[Epub]     CrossRef
  • Sickness Presenteeism in Shift and Non-Shift Nurses: Using the Fifth Korean Working Conditions Survey
    Ari Min, Minkyung Kang, Hye Chong Hong
    International Journal of Environmental Research and Public Health.2021; 18(6): 3236.     CrossRef
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Research Article
Association between job-related stress and experience of presenteeism among Korean workers stratified on the presence of depression
Jihyun Kim, Yeong-Kwang Kim, Sung-Ho Leem, Jong-Uk Won
Ann Occup Environ Med 2019;31:e26.   Published online September 30, 2019
DOI: https://doi.org/10.35371/aoem.2019.31.e26
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background

Presenteeism refers to the phenomenon of working while sick. Its development can be attributed to not only somatic symptoms but also underlying social agreements and workplace atmosphere. In this study, we analyzed presenteeism among workers from various industries, focusing on job-related stress with stratification on the presence of depression.

Methods

We conducted the study with data from questionnaires filled in by different enterprises enrolled in the Federation of Korean Trade Unions. Workers' depressive symptoms were investigated using the Patient Health Questionnaire-2, while questions on job-related stress and presenteeism were derived from the short form of the Korean Occupational Stress Scale and the official Korean version of the Work-Productivity and Activity Impairment Questionnaire-General Health, respectively. Multilevel logistic analysis was conducted to determine the statistical differences derived from the differences between companies.

Results

In total, 930 participants (753 men and 177 women) from 59 enterprises participated in the research. We conducted multilevel logistic regression to determine the association between the variables and presenteeism, with stratification by the presence of depression. Higher job demands and higher interpersonal conflict showed significantly elevated odds ratios (ORs) in univariate models and in the multivariate multilevel model. In the final model of total population, fully adjusted by general and work-related characteristics, higher job demands (OR: 3.29, 95% confidence interval [CI]: 2.08–5.21) and interpersonal conflict (OR: 1.87, 95% CI: 1.29–2.71) had significantly higher ORs—a tendency that remained in participants without depression.

Conclusions

This study reflected the factors associated with presenteeism among workers from various enterprises. The findings revealed that job-related stress was closely related to presenteeism in both the total population and in the population without depression. Thus, it emphasized interventions for managing job stress among workers to reduce presenteeism in general workers' population.


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  • Racial diversity at work: a psychodynamic perspective
    Victor Penda, Sonya Dineva
    Psychodynamic Practice.2024; : 1.     CrossRef
  • Presenteeism and mental health of workers during the COVID-19 pandemic: a systematic review
    Juan Jesús García-Iglesias, Juan Gómez-Salgado, Joao Apostolo, Rogério Rodrigues, Emília Isabel Costa, Carlos Ruiz-Frutos, Santiago Martínez-Isasi, Daniel Fernández-García, Ángel Vilches-Arenas
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • The Effects of Job Demand-control-support Profiles on Presenteeism: Evidence from the Sixth Korean Working Condition Survey
    Ari Min, Hye Chong Hong
    Safety and Health at Work.2023; 14(1): 85.     CrossRef
  • Association of work environment with stress and depression among Japanese workers
    Kiko Shiga, Keisuke Izumi, Kazumichi Minato, Michitaka Yoshimura, Momoko Kitazawa, Sayaka Hanashiro, Kelley Cortright, Shunya Kurokawa, Yuki Momota, Mitsuhiro Sado, Takashi Maeno, Toru Takebayashi, Masaru Mimura, Taishiro Kishimoto
    Work.2022; 72(4): 1321.     CrossRef
  • Sickness Presenteeism among Employees Having Workplace Conflicts—Results from Pooled Analyses in Latvia
    Svetlana Lakiša, Linda Matisāne, Inese Gobiņa, Hans Orru, Ivars Vanadziņš
    International Journal of Environmental Research and Public Health.2022; 19(17): 10525.     CrossRef
  • Work-Related Factors Affecting the Occurrence of Presenteeism - Recent Research Trends and Future Directions
    Koji MORI, Masako NAGATA, Tomohisa NAGATA
    Journal of UOEH.2021; 43(1): 61.     CrossRef
  • Factors Associated With the Work Productivity of Japanese Working Pregnant Women
    Aya Wada, Yasuka Nakamura, Yoko Sumikawa Tsuno, Keiko Nagasaka, Maiko Kawajiri, Yoko Takeishi, Mikako Yoshida, Toyoko Yoshizawa
    Journal of Occupational & Environmental Medicine.2021; 63(11): e759.     CrossRef
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Research Article
Sick at work: prevalence and determinants among healthcare workers, western Ethiopia: an institution based cross-sectional study
Tesfaye Hambisa Mekonnen, Mekuriaw Alemayewu Tefera, Yayehirad Alemu Melsew
Ann Occup Environ Med 2018;30:2.   Published online February 1, 2018
DOI: https://doi.org/10.1186/s40557-018-0213-4
AbstractAbstract PDFPubReaderePub
Background

Going to work despite feeling sick also known as sickness presenteeism is one of the emerging global occupational health challenges. Sickness presenteeism negatively affects both health of work forces and productivity of organizations in general. However, there is insufficient research exploring this situation in majority of the Sub-Saharan African countries, including Ethiopia. Thus this study intended to investigate the prevalence and determinant factors of sickness presenteeism among health care workers, Western Ethiopia.

Methods

This study used an institution based cross-sectional quantitative study design. The study period was from February to March, 2017. We employed simple random sampling method to select 360 study samples. Data collection was performed by pre-tested structured and self- administered questionnaire. We used SPSS version 20 to carry out binary logistic regression analysis. Odds ratio with 95% confidence intervals was calculated and significance of associations was determined at p-value < 0.05.

Results

A total of 344 respondents fully completed the survey questionnaire. Mean age with standard deviation was 30.28 ± 6.181. Prevalence of sickness Presenteeism was 52.6% [95%CI: (47.4, 57.8)] in the past 12 months. Educational status [AOR:2.1, 95%CI: (1.17,3.90)], financial problem [AOR:1.9,95%CI:(1.07,3.46)], sickness absenteeism [AOR:2.7,95% CI:(1.50,5.02)], lack of staff replacement [AOR:2.7,95%CI:(1.50,5.02)], absence of occupational health services [AOR:3.0,95%CI:(1.34,6.70)], and pressure from supervisor [AOR:1.8,95% CI:(1.01,3.31)] were significant predictors of the dependent variable.

Conclusion

Relatively higher proportions of workers indicated sickness presenteeism as compared to other studies. Risk factors like educational status, personal financial problem, sickness absenteeism, lack of staff replacement, absence of occupational health services, and pressure from supervisors considerably increased the likely occurrence of employees’ sick attendance. It is advisable for health care managers to hire adequate health care staffs, to implement basic occupational health services and to design strategies which reduce pressure from supervisors.


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  • Premenstrual Syndrome’s Impact on Work-Related Quality of Life Among Jordanian Nurses
    Yamamah Al-Hmaid, Othman Beni Yonis, Mais Alkhalili, Khalid Kheirallah
    Cureus.2024;[Epub]     CrossRef
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    Yimer Mamaye, Dawit Getachew Yenealem, Molla Fentanew, Tadiwos Abebaw, Christian Melaku, Anmut Endalkachew Bezie, Alebachew Bitew Abie, Amensisa Hailu Tesfaye
    Frontiers in Public Health.2024;[Epub]     CrossRef
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    Darja Korošec, Dominika Vrbnjak, Gregor Štiglic
    BMJ Open.2023; 13(12): e075718.     CrossRef
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    Ji-Sung Ahn, Seunghyeon Cho, Won-Ju Park
    Journal of Korean Medical Science.2022;[Epub]     CrossRef
  • Presenteeism in Non-Academic Staff in a Public University Context: Prevalence, Associated Factors, and Reasons to Work While Sick during the COVID-19 Pandemic
    Sónia Magalhães, Joselina Barbosa, Elisabete Borges
    International Journal of Environmental Research and Public Health.2022; 19(22): 14966.     CrossRef
  • Relationship Between Support for Workers With Illness and Work Functioning Impairment in Japan During the COVID-19 Pandemic
    Yu Igarashi, Seiichiro Tateishi, Arisa Harada, Ayako Hino, Mayumi Tsuji, Akira Ogami, Koji Mori, Ryutaro Matsugaki, Yoshihisa Fujino
    Journal of Occupational & Environmental Medicine.2022; 64(5): e279.     CrossRef
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    Ari Min, Minkyung Kang, Hanjong Park
    Journal of Nursing Management.2022; 30(7): 2811.     CrossRef
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    Jirachat Tangchareonsamut, Chathaya Wongrathanandha, Siriluk Khamsee, Wichai Aekplakorn
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    Maria Michela Gianino, Omar Kakaa, Gianfranco Politano, Antonio Scarmozzino, Alfredo Benso, Carla Maria Zotti
    Influenza and Other Respiratory Viruses.2021; 15(1): 81.     CrossRef
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    E B Andres, J N M Lui, W Song, J M Johnston
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    Jenny Andrea Beltrán Torres, Ivonne Constanza Valero-Pacheco, Miguel Antonio Hernández Rodiño, Luisa Fernanda Penagos Simbaqueba, Andrés Felipe Perdomo Riveros
    Revista Ocupación Humana.2021; 21(1): 42.     CrossRef
  • Predictors of Presenteeism Among Hospital Employees—A Cross-Sectional Questionnaire-Based Study in Switzerland
    Alexandra Allemann, Klarissa Siebenhüner, Oliver Hämmig
    Journal of Occupational & Environmental Medicine.2019; 61(12): 1004.     CrossRef
  • Sickness presenteeism: Are we sure about what we are studying? A research based on a literature review and an empirical illustration
    Albert Navarro, Sergio Salas‐Nicás, Clara Llorens, Salvador Moncada, Emilia Molinero‐Ruíz, David Moriña
    American Journal of Industrial Medicine.2019; 62(7): 580.     CrossRef
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Research Article
A global, cross cultural study examining the relationship between employee health risk status and work performance metrics
Ana Howarth, Jose Quesada, Peter R. Mills
Ann Occup Environ Med 2017;29:17.   Published online June 12, 2017
DOI: https://doi.org/10.1186/s40557-017-0172-1
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background

Health risk assessments (HRA) are used by many organisations as a basis for developing relevant and targeted employee health and well-being interventions. However, many HRA’s have a western-centric focus and therefore it is unclear whether the results can be directly extrapolated to those from non-western countries. More information regarding the differences in the associations between country status and health risks is needed along with a more global perspective of employee health risk factors and well-being overall. Therefore we aimed to i) quantify and compare associations for a number of health risk factors based on country status, and then ii) explore which characteristics can aid better prediction of well-being levels and in turn workplace productivity globally.

Methods

Online employee HRA data collected from 254 multi-national companies, for the years 2013 through 2016 was analysed (n = 117,274). Multiple linear regression models were fitted, adjusting for age and gender, to quantify associations between country status and health risk factors. Separate regression models were used to assess the prediction of well-being measures related to productivity.

Results

On average, the developing countries were comprised of younger individuals with lower obesity rates and markedly higher job satisfaction compared to their developed country counterparts. However, they also reported higher levels of anxiety and depression, a greater number of health risks and lower job effectiveness. Assessment of key factors related to productivity found that region of residency was the biggest predictor of presenteeism and poor pain management was the biggest predictor of absenteeism.

Conclusions

Clear differences in health risks exist between employees from developed and developing countries and these should be considered when addressing well-being and productivity in the global workforce.

Electronic supplementary material

The online version of this article (doi:10.1186/s40557-017-0172-1) contains supplementary material, which is available to authorized users.


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    Fatemeh Bakhtari, Parvin Sarbakhsh, Jalil Daneshvar, Devender Bhalla, Haidar Nadrian
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Research Article
Gender differences in Reasons for Sickness Presenteeism - a study among GPs in a Swedish health care organization
Marie Gustafsson Sendén, Karin Schenck-Gustafsson, Ann Fridner
Ann Occup Environ Med 2016;28:50.   Published online September 20, 2016
DOI: https://doi.org/10.1186/s40557-016-0136-x
AbstractAbstract PDFPubReaderePub
Background

It is common that physicians go to work while sick and therefore it is important to understand the reasons behind. Previous research has shown that women and men differ in health and health related behavior. In this study, we examine gender differences among general practitioners who work while sick.

Methods

General practitioners (GP’s) working in outpatient care in a Swedish city participated in the study (n = 283; women = 63 %; response rate = 41 %). Data were obtained from a large web-based questionnaire about health and organization within primary care. Two questions about sickness presenteeism (going to work while sick) were included; life-long and during the past 12 months, and five questions about reasons. We controlled for general health, work-family conflict and demographic variables.

Results

Female physicians reported sickness presenteeism more often than male physicians. Work-family conflict mediated the association between gender and sickness presenteeism.

Women reported reasons related with “concern for others” and “workload” more strongly than men. Men reported reasons related with “capacity” and “money” more strongly than women. These differences are likely effects of gender stereotyping and different family-responsibilities.

Conclusions

Gender socialization and gender stereotypes may influence work and health-related behavior. Because sickness presenteeism is related with negative effects both on individuals and at organizational levels, it is important that managers of health organizations understand the reasons for this, and how gender roles may influence the prevalence of sickness presenteeism and the reasons that female and male GPs give for their behavior.


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    Salim Yılmaz, Selma Söyük
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Research Article
The association between Korean workers’ presenteeism and psychosocial factors within workplaces
Yun-Sik Cho, Jae Bum Park, Kyung-Jong Lee, Kyoung-Bok Min, Chul-In Baek
Ann Occup Environ Med 2016;28:41.   Published online September 7, 2016
DOI: https://doi.org/10.1186/s40557-016-0124-1
AbstractAbstract PDFPubReaderePub
Background

Presenteeism, a concept that has recently undergone active study, is the act of attending work while sick. This study investigates the association between presenteeism and various psychosocial factors within workplaces.

Methods

This study analyzed 29246 wage earners from the third Korean Working Conditions Survey (KWCS, 2011) data using the logistic regression analysis to investigate the association between presenteeism and various psychosocial factors within workplaces.

Results

Among the 29246 wage earners, 6347 (21.7 %) showed presenteeism. Those who experienced age discrimination at work (adjusted odds ratio (aOR) 1.77: 95 % CI 1.56–2.00), educational background discrimination (aOR 1.35: 95 % CI 1.22–1.51), regional discrimination (aOR 1.55: 95 % CI 1.31–1.83), sexual discrimination (aOR 1.65: 95 % CI 1.41–1.94), employment type discrimination (aOR 2.13: 95 % CI 1.89–2.40), physical violence (aOR 1.92: 95 % CI 1.45–2.55), sexual harassment (aOR 2.90: 95 % CI 2.01–4.19), job insecurity (aOR 1.36: 95 % CI 1.18–1.56), work–life imbalance (aOR 1.38: 95 % CI 1.29–1.47), low job satisfaction (aOR 2.04: 95 % CI 1.91–2.17), no colleague support (aOR 1.11: 95 % CI 1.02–1.21), job stress (aOR 1.89: 95 % CI 1.76–2.02), emotional labor (aOR 1.50: 95 % CI 1.41–1.60), high work intensity (aOR 1.31: 95 % CI 1.23–1.38), and 3 groups of job strain that are passive group (aOR 1.09: 95 % CI 1.00–1.18), active group (aOR 1.39: 95 % CI 1.28–1.51), and high strain group (aOR 1.35: 95 % CI 1.24–1.46) showed an increased risk of presenteeism compared to their respective counterparts (p < 0.01).

Conclusions

The study results confirmed the association between presenteeism and various psychosocial factors within workplaces. Considering that presenteeism negatively affects productivity and the mental and physical health of individuals, managing various psychosocial factors within workplaces is proposed to reduce presenteeism.


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Research Article
Presenteeism among self-employed workers: Korean working conditions survey
Min-Su Kim, Jae Bum Park, Kyoung-Bok Min, Kyung-Jong Lee, Kimin Kwon
Ann Occup Environ Med 2014;26:32-32.   Published online October 1, 2014
DOI: https://doi.org/10.1186/s40557-014-0032-1
AbstractAbstract PDFPubReaderePub
Objective

Presenteeism has become a public concern recently. Thus, we aimed to understand the relationship between self-employed workers and presenteeism using a nationally representative sample of Korean workers.

Methods

Using data from the Korean Working Conditions Survey conducted in 2011, a total of 43,392 workers including paid employees and self-employed workers were analyzed. The effect of employment status on presenteeism was analyzed using logistic regression analysis. The independent variables were socioeconomic characteristics, working conditions, and working environments.

Results

Among the 43,392 workers, 34,783 were paid and 8,609 were self-employed. Self-employed workers were more likely to exhibit presenteeism than were paid workers. An elevated odds ratio of 1.27 (95% CI 1.19-1.36) was found for presenteeism among self-employed workers.

Conclusion

Being self-employed was significantly related with exhibiting presenteeism. Additional research should investigate whether other factors mediate the relationship between employment status and presenteeism as well as ways to reduce presenteeism among self-employed workers.


Citations

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Research Article
Association among Working Hours, Occupational Stress, and Presenteeism among Wage Workers: Results from the Second Korean Working Conditions Survey
Sung-Hwan Jeon, Jong-Han Leem, Shin-Goo Park, Yong-Seok Heo, Bum-Joon Lee, So-Hyun Moon, Dal-Young Jung, Hwan-Cheol Kim
Ann Occup Environ Med 2014;26:6-6.   Published online March 24, 2014
DOI: https://doi.org/10.1186/2052-4374-26-6
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of the present study was to identify the association between presenteeism and long working hours, shiftwork, and occupational stress using representative national survey data on Korean workers.

Methods

We analyzed data from the second Korean Working Conditions Survey (KWCS), which was conducted in 2010, in which a total of 6,220 wage workers were analyzed. The study population included the economically active population aged above 15 years, and living in the Republic of Korea. We used the chi-squared test and multivariate logistic regression to test the statistical association between presenteeism and working hours, shiftwork, and occupational stress.

Results

Approximately 19% of the workers experienced presenteeism during the previous 12 months. Women had higher rates of presenteeism than men. We found a statistically significant dose–response relationship between working hours and presenteeism. Shift workers had a slightly higher rate of presenteeism than non-shift workers, but the difference was not statistically significant. Occupational stress, such as high job demand, lack of rewards, and inadequate social support, had a significant association with presenteeism.

Conclusions

The present study suggests that long working hours and occupational stress are significantly related to presenteeism.


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Original Article
The Association of Health Risks with Absenteeism and Presenteeism
Seung Won Oh, Ki Taig Jung, Ji Young Park
Korean Journal of Occupational and Environmental Medicine 2007;19(4):304-314.   Published online December 31, 2007
DOI: https://doi.org/10.35371/kjoem.2007.19.4.304
AbstractAbstract PDF
OBJECTIVES
This study sought to provide evidence for the relationship between health risks and selfreported absenteeism and presenteeism.
METHODS
A cross-sectional analysis of 496 employees of an electric company was conducted. Participants responded to a self-questionnaire including the assessment of 7 health risks (obesity, current smoking, problem drinking, lack of exercise, chronic disease, depressive mood, high stress) and the Work Productivity and Activity Impairment - General Health Questionnaire (WPAI-GH). Logistic regression analyses were used to determine the significance of health risks on work impairment.
RESULTS
As a result of the analysis of all the participants, problem drinking (absenteeism) and high stress (absenteeism and presenteeism) were significantly associated with work impairment. In the analysis of a sub-group, current smoking (presenteeism), lack of exercise (absenteeism), and high stress (presenteeism and absenteeism) were significantly associated with reduced productivity among the blue-collar workers. However, the analysis of the white-collar workers showed no significant relationship between health risks and work impairment.
CONCLUSIONS
This investigation suggests that employees who have more health risks will experience more absenteeism and presenteeism than employees with fewer risks, and this association is affected by employment type.

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    Min Kyoung Hye, Min Hee Hong
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    Deulle Min, Su Jeong Lee
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    Jeong Woo Park, Seong Sik Cho, JongWoo Lee, Jonghyun Hwang, Jung Il Kim, Byoung Gwon Kim, Young Seoub Hong
    Annals of Occupational and Environmental Medicine.2020;[Epub]     CrossRef
  • Assessing the Association Between Emotional Labor and Presenteeism Among Nurses in Korea: Cross-sectional Study Using the 4th Korean Working Conditions Survey
    Sung Won Jung, June-Hee Lee, Kyung-Jae Lee
    Safety and Health at Work.2020; 11(1): 103.     CrossRef
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    Kyusung Kim, Sung-il Cho, Domyung Paek
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    Jihyun Kim, Yeong-Kwang Kim, Sung-Ho Leem, Jong-Uk Won
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    Yoonjeong Lee, Hyun-Li Kim
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Original Article
Stress and Presenteeism in Workers of Small and Medium Enterprises
Moon Hee Jung, Young Mi Lee, Mikako Arakida
Korean Journal of Occupational and Environmental Medicine 2007;19(1):47-55.   Published online March 31, 2007
DOI: https://doi.org/10.35371/kjoem.2007.19.1.47
AbstractAbstract PDF
OBJECTIVES
The study objective was to develop an understanding of the relationship between the stress and presenteeism of workers.
METHODS
The study subjects were workers who were receiving Group Occupational Health Services in Seoul and Gyeonggi-do. For the survey, a structured self-report questionnaire was administered from February 1 to March 30, 2006. Data were collected from 354 employees and analyzed on SPSS 12.0 and AMOS 5.0 program.
RESULTS
For present health problems, gastrointestinal problems were ranked highest at 44.9% followed by muskuloskelectal problems, and mental and nervous problems with over 30%. However, compared to the current health condition, the rate of medical cure for the subjects' health problems was very low. Job and psychosocial stresses exerted a significant effect on the health problems, which in turn exerted a significant effect on the work impairment. In other words, stress exerted a significant effect on presenteeism.
CONCLUSIONS
Job and psychosocial stresses are the variables which influence presenteeism. Thus, Job and psycosocial stresses need to be controled to prevent the decline of presenteeism.

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    Svetlana Lakiša, Linda Matisāne, Inese Gobiņa, Hans Orru, Ivars Vanadziņš
    International Journal of Environmental Research and Public Health.2022; 19(17): 10525.     CrossRef
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    Kyung-Shin Lee, Dong-Wook Lee, JooYong Park, Ho-Yeon Kim, Je-Yeon Yun, Yun-Chul Hong, Nami Lee
    Journal of Affective Disorders.2022; 319: 344.     CrossRef
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    Jihyun Kim, Yeong-Kwang Kim, Sung-Ho Leem, Jong-Uk Won
    Annals of Occupational and Environmental Medicine.2019;[Epub]     CrossRef
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    Ji Hyun Lee, Eun Kyung Choi, Hyang Ok Oh, Hye Kyung Moon, Sang Min Lee
    Journal of Korean Academy of Community Health Nursing.2016; 27(1): 31.     CrossRef
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    Jong-Tae Baek, Young-Chae Cho
    Journal of the Korea Academia-Industrial cooperation Society.2015; 16(6): 4086.     CrossRef
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    Sung-Hwan Jeon, Jong-Han Leem, Shin-Goo Park, Yong-Seok Heo, Bum-Joon Lee, So-Hyun Moon, Dal-Young Jung, Hwan-Cheol Kim
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    Arnaldo Sanchez Bustillos, Oswaldo Ortiz Trigoso
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