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PubMed2006

Workplace absenteeism and aspects of access to health care for individuals with migraine headache.

OBJECTIVES: (1) To examine the relationship between access to care and the number of missed workdays, and (2) to determine how this relationship is confounded by the presence of having health insurance and health care use among migraineurs. DESIGN/METHODS: This retrospective, pooled, cross-sectional study used 1996 to 1999 Medical Expenditure Panel Survey data. Employed migraineurs who were between 18 and 65 years of age were included. Individuals reporting a neoplastic or an acute pain condition were excluded. An access to care index was developed using Rasch Partial Credit Analysis. A 2-part model was used to estimate the annual number of missed workdays. RESULTS: Of the 703 migraineurs, 538 (77%) reported missing work time. Of those who missed work, the mean (SE) annual number of missed workdays was 4.4 (.39). A higher level of access to care (P= .025) and presence of depression (P= .033) were significantly associated with missing a greater number of workdays. We created a proxy for migraine severity based on migraine-related prophylactic medication use and hospitalization(s). Severe migraines were significantly (OR = 2.01, SE = .51, P= .006) associated with an increased likelihood to miss workdays. When health insurance was included in the model, a higher level of access to care was significantly associated with the increased likelihood to miss workdays (OR = 1.04, SE = .021, P= .05). From the original model, the odds ratio (1.035 to 1.040) and the SE (.020 to .021) increased slightly. When health care use was included in the model and health insurance was removed, (1) emergency department visits were significantly (P= .006) associated with missing a greater number of workdays, and (2) access to care was significantly associated with missing a greater number of workdays (P= .028). When having health insurance and health care use were simultaneously included in the model, a higher level of access to care was significantly associated with greater likelihood to miss work (OR = 1.040, SE = .0212, P= .05) and missing a greater number of workdays (P= .005). However, a change of 1 standard deviation in the score would be associated with a 12% change in the odds to miss work and only 8 percentage points change in the number of missed workdays. CONCLUSIONS: Contrary to expectations, a higher level of access to care is significantly associated with an increased likelihood to miss work and with missing a greater number of workdays. Depression, migraine severity, and health care use are important explanatory variables. Having health insurance may be a confounder between access to care and workplace absenteeism.

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PubMed2002

Do mental disorders matter? A study of absenteeism among care seeking Gulf War veterans with ill defined conditions and musculoskeletal disorders.

AIMS: To investigate the extent that common psychological conditions contribute to lost work among individuals with musculoskeletal and ill defined conditions. METHODS: Cross sectional health and work related survey evaluating Gulf War veterans seeking Department of Defense health care for Gulf War related health concerns. Ordered probit models were used to study whether a provider diagnosed musculoskeletal condition (ICD-9 codes 710-739) or "signs, symptoms, and ill defined conditions" (ICD-9 codes 780-799) have an effect on recent lost work over the previous 90 days in the presence of one or more psychological conditions (ICD-9 codes 290-320) after controlling for sociodemographic variables. RESULTS: Bivariate analyses revealed that musculoskeletal conditions, ill defined conditions, and psychological conditions were positively associated with lost work. Multivariate analyses showed an independent effect of both psychological conditions and musculoskeletal conditions. A significant interaction existed between psychological conditions and musculoskeletal conditions: the presence of a coexisting psychological condition considerably increased the likelihood that a musculoskeletal disorder resulted in lost work, or vice versa. CONCLUSIONS: Psychological conditions appear to be an important contributor to absenteeism among individuals with musculoskeletal and ill defined conditions. A limitation of the cross sectional design was the inability to sequence the onset of conditions.

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PubMed2006

A follow-up study of chronic fatigue syndrome in children and adolescents: symptom persistence and school absenteeism.

This is a follow-up study of 28 young people aged between 7 and 17 meeting the Oxford criteria for the diagnosis of chronic fatigue syndrome treated in a specialist paediatric/psychiatric service. Retrospective case note analysis revealed a wide range and duration of symptoms together with high levels of school absenteeism prior to the diagnosis. The mean follow-up interval after discharge from the specialist service was 3 years and although most of the young people regarded themselves as fully recovered by this time, improvement was variable and about one third were still experiencing disabling symptoms. The illness had impacted on the education or career plans of all the young people to some extent with 15 experiencing difficulty returning to school. This article highlights the need for early recognition and diagnosis of chronic fatigue syndrome in young people and the importance of continuing paediatric support to reduce symptom persistence in the sensitive recovery period. Maintaining school attendance by close liaison between health and education services both before and after diagnosis and treatment is also vital if long-term morbidity is to be reduced.

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PubMed1988

Severe perimenstrual symptoms: prevalence and effects on absenteeism and health care seeking in a non-clinical sample.

Three hundred eight nursing students were classified into three perimenstrual severity groups based on their responses to the Moos Menstrual Distress Questionnaire, disregarding the number of symptoms reported. The prevalence of severe perimenstrual symptoms was 44% for strong symptoms and 18% for acute symptoms. Severity was significantly related to perimenstrual absence and to health care seeking for menstrual disorders, dysmenorrhea, and for gynecological disorders unrelated to menstruation. Severity was not significantly related to non-gynecological absence or health care seeking for non-gynecological disorders. Severe menstrual symptoms, particularly dysmenorrhea, had more of an effect on absenteeism and health care seeking than severe premenstrual symptoms.

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PubMed1992

Secretaries, depression and absenteeism.

This study examines the prevalence of Major Depressive Disorder; missed work; and mental health services use among secretaries and other women employed full-time. In a random sample of 3,484 women employed full-time, women employed as secretaries were significantly more likely to be depressed than other women even after controlling for socio-demographic characteristics (odds ratio = 1.69, 95% confidence interval = 1.05, 2.73). Secretaries were significantly more likely to report missing work in the last three months (odds ratio = 1.77, confidence interval = 1.01, 3.11); a finding not attributable to depression. Secretaries were also more likely to seek mental health services, but this finding was not significant (odds ratio = 1.78, confidence interval = 0.55, 5.78). It is possible that these findings are attributable to a selection effect whereby depressed women, and women who are likely to miss work, become secretaries. A second possibility is that women employed as secretaries have more "nonwork role stress" than other employed women. Alternatively, job conditions which result in dissatisfaction and stress may lead to depression and absenteeism. We believe our findings warrant further investigation into the work environment of secretaries.

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PubMed1985

Medical examination of school entrants: later school problems and absenteeism of attenders and non-attenders.

Children who were scheduled for medical examination before entering school were followed in school one or two years later. Non-attenders had a two-fold risk of repeating grades, special class placement, referral for speech/language problems, teacher-reported learning or behavior problems, failure of vision or hearing screening, and transfer between schools. Absenteeism was also significantly more common. Children not brought in for preventive health care are at greater risk than others for difficulties in school.

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PubMed1988

Smoking prevalence in a cohort of adolescents, including absentees, dropouts, and transfers.

This study reports daily smoking rates among older adolescents obtained by a unique follow-up of a cohort originally identified in the seventh grade. Those no longer in their original school districts were located and interviewed by telephone. Smoking rates among dropouts exceeded 70 per cent in all age-sex groups. Smoking rates among transfers were as high as those among absentees. Including these subgroups raised smoking prevalence rates among older adolescents substantially.

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PubMedDate not supplied

Hospitalizations for painful episodes: association with school absenteeism and academic performance in children and adolescents with sickle cell anemia.

Painful episodes have been identified as one of the most frequent manifestations of sickle cell anemia (hemoglobin HbSS). This retrospective study compared the frequency of hospitalization and the academic performance of two groups of children with HbSS (ages 8 to 18 years) with differing frequencies of pain. A high frequency (HF) group (n = 10) was composed of children who had four or more hospitalizations for pain in the study period; those in the low frequency (LF) group (n = 11) had one or no hospitalizations for pain during the study period. The two groups were matched on age (within 6 months), gender, and ethnicity. Standardized assessments of academic achievement and school records of attendance and class grades were obtained for all participants. The standardized academic achievement for both groups was approximately one standard deviation below the normative mean of the population sample, and class grades were below a C average. School absence was frequent in both groups (LF mean = 16.8 days/year; HF mean = 35.4 days/year), and children in the HF group had significantly more absences than children in the LF group. The lack of difference in academic performance between the two groups suggests that there may be factors other than school absenteeism that affect academic achievement, which require further investigation.

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PubMedDate not supplied

The relationship of body mass index, medical costs, and job absenteeism.

OBJECTIVES: To assess the relationship between body mass index, as categorized by the recently released guidelines of the NHLBI, and health care costs and absenteeism in a sample of municipal workers. METHODS: A cross-sectional study was employed that compared the obesity-related health care costs and absences of normal and overweight/obese city workers. RESULTS: While accounting for age, gender, race, smoking behavior, and educational attainment, BMI predicted both average annual health-care costs and work absence hours. CONCLUSIONS: The NHLBI guidelines for overweight and obesity effectively predicted absences and health care costs.

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PubMed1997

Attacking the disability and absenteeism epidemic--behavioral health care solutions.

To remain competitive in a global economy, employers must implement effective programs to stem escalating disability claims and increased costly absenteeism. This article discusses methods to counter this latest workforce epidemic. The authors discuss employee attitudes, legal considerations and behavioral health care solutions.

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PubMed1985

A catastrophe model of employee withdrawal leading to low job performance, high absenteeism, and job turnover during the first year of employment.

A catastrophe model of employee withdrawal indicates that declining job performance, absenteeism, and turnover are discontinuous behavioral outcomes of the same withdrawal phenomenon arising from varying levels of job tension and group cohesion. The advantages of using catastrophe models to describe the temporal changes in employee withdrawal over a relatively short time period are discussed.

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PubMed1989

Absenteeism among hospital nurses: an idiographic-longitudinal analysis.

For several months, nurses completed ratings of the degree to which certain events relevant to absence were present during each of their scheduled workdays. The event ratings for days when the nurses decided to be absent were then compared with those for days when the nurses attended. As expected, certain events, such as ill health and tiredness, tended to covary and proved to be consistently related to absenteeism across nurses. Also as expected, some events that were not especially relevant for the nurses as a whole, like having a sick family member or friend and concerns about previous poor attendance, nonetheless emerged as being relevant to the absence behavior of certain individuals. Finally, some events were consistently related to the nurses' expressed desire to be absent but not to actual absences. We discuss these differences from two perspectives, one emphasizing the role of attribution bias and the other, a two-stage process in which such bias has no major role.

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PubMedDate not supplied

Does employee fitness decrease employee absenteeism and medical cost?

In recent years American have become increasingly interested in physical fitness and optimum health care. Health care is big business in the United States. American industry has lead the nation in a quest for wellness by establishing wellness programs for it's employees. This article will attempt to determine: 1) if employees on a fitness program facilitate cost containment for industry when compared to employees not participating in a fitness program; and 2) if employees on a fitness program experience reduced absenteeism due to health reasons and reduced medical costs compared to employees not participating in a fitness program.

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PubMed2003

[Factors related to sickness absenteeism among nursing personnel].

OBJECTIVE: To analyze short-term leaves among the healthcare staff of a university hospital. METHODS: Study population included 965 nursing professionals active on 1 January 2000. Leaves up to 30 days in one year were analyzed. Sickness leaves (one-year aggregate), service demand, and diagnoses were described. Relative risk was estimated through multivariate analysis, using negative binomial distribution. RESULTS: About 65% of workers generated 1,988 appointments, of which 68.6% lead to absence from work. The greatest demand occurred among nursing technicians, women, and statutory workers (OR=1.61; 1.47; 1.53 respectively). Over half the studied population (57.6%) had at least one absence. This corresponds to 87.8% of workers who had physician appointments. These workers generated a total 1,364 leaves of absence--1.41 per worker--and 5,279 workdays were missed. Multivariate analysis was carried out considering each gender separately. An effect was found only for work regime (RR=1.45 e RR=2.43) for both men and women. CONCLUSIONS: A relationship exists between absenteeism and work regime. It is necessary to include other variables, such as time working for the company, shift, and number of children.

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PubMed1992

Prediction of prospective medical claims and absenteeism costs for 1284 hourly workers from a manufacturing company.

Multivariate regression models were developed to predict the employer's economic costs (medical claims payments and loss from employees' absenteeism) from selected health-related measures among 1284 hourly employees. Twelve health-related measures, mainly from a Health Risk Appraisal (HRA) completed in 1985, were selected as predictors. Regression models were developed according to the economic measures for the three subgroups (men under 35, men 35 or older, and women). All the regression models significantly predicted economic costs from selected health-related measures with a multiple R2 range of .23 to .13 (P less than .001).

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PubMed2006

Job dynamics of veterinary professionals in an academic research institution. II. Veterinary technician attendance, absenteeism, and pay distribution.

To understand and better manage attendance and overtime for a team of veterinary technicians, a retrospective analysis of the attendance and time card records was done over a 2-y period. The findings show that veterinary technicians were in the workplace for a combination of straight time and overtime hours for approximately 89% of all compensated hours. The remainder of paid compensation was for vacation (4%), holidays (4%), and sick leave (3%). This team of veterinary technicians earned significantly more overtime hours, as much as 9% of total annual compensated hours, than the reported 3% standard for animal resources programs nationwide. The majority of overtime hours (61%) were for assigned weekend and holiday duty and after-hours veterinary medical emergencies. Veterinary technicians expended sick leave at 75% of the amount accrued and at a statistically significantly rate 65% higher than the national average for unscheduled absences for hourly personnel in animal resources programs. Because the direct cost of absenteeism may exceed 645 dollars per employee annually and because work inappropriately done at premium pay outside of business hours is a controllable expense, sound management of attendance and overtime is important in cost containment for animal resources programs.

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PubMed1991

Fitness and absenteeism among hospital workers. Clarifying the connection.

A total of 48% of hospital workers rated poor to below average in fitness. Administrative and clericals had the lowest fitness rating, while technical and paraprofessionals were the most fit. Illness absence days ranged from 0 to 39 in a 6 month period, with professionals absent the greatest number of days. Gender, income, and ethnicity explained 50% of the variance in the fitness results. Demographic and social characteristics potentially may confound fitness program outcome, including absenteeism.

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PubMed1990

[Evaluation of respiratory function in coke plant workers. I. Analysis of absenteeism].

The analysis of sick-levels of all employees of Nowa Huta Steel-Mill, including coke plant workers was performed. Disablement for work on account of different diseases, expressed per hundred of employees, and dynamics of absence in period from 1986-1988 years was presented on a background of general national work-absenteeism due to diseases. Disablement for work in Nowa Huta Steel-Mill, particularly in the coke division was higher than in the general population. The diseases of airways had the highest contribution to the coefficient of morbidity.

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