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Sickness Presenteeism and Psychosocial Risk Factors According to Inequality Axes
Angela Gómez-Domínguez1, Pedro Ferrer-Rosende, Laura Esteve-Matalí
1From the Research Group on Psychosocial Risks, Organization of Work and Health (POWAH), Universitat Autònoma de Barcelona (UAB), Cerdanyola del Vallès, Spain (A.G-.D., P.F-R., L.E-M., S.S-N., A.N-G.); Biostatistics Unit, Department of Paediatrics, Obstetrics & Gynaecology, Preventive Medicine and Public Health, Universitat Autònoma de Barcelona (UAB), Cerdanyola del Vallès, Spain (A.G-.D., P.F-R., L.E-M., S.S-N., A.N-G.); Universidad Nacional de Educación a Distancia (UNED), Madrid, Spain (A.G-.D.); Business Networks Dynamics Research Group, Department of Operations Management and Innovation, ESADE Business School-Ramon Llull University (S.S-N.); and Institute for Labour Studies, Universitat Autònoma de Barcelona (UAB), Cerdanyola del Vallès, Spain (A.N-G.).
Objective:
To assess the association between psychosocial risk factors (PSRs) and sickness presenteeism (SP) and examine possible differences according to the major axes of inequality in the labor market. Methods: Cross-sectional study based on a representative sample of the Spanish salaried population. Results: Although nearly all PSR show crude associations with SP, when adjusted for every other PSR, only the workers exposed to lack of role clarity (adjusted prevalence ratio [aPR], 1.30; 95% confidence interval [CI], 1.01 to 1.68), having role conflicts (aPR, 1.45; 95% CI, 1.19 to 1.77) and lack of sense of community at work (aPR, 1.30; 95% CI, 1.06 to 1.59) show a significant association. Conclusions: After adjusting for all PSR, those significantly associated to SP belong to the interpersonal relationships domain. Some of the PSR effects change according to the segmentation axes analyzed.
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