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Predicting workplace absenteeism using machine learning: a pilot study in occupational health.

Pablo Llamas Blázquez1

  • 1Department of Occupational Health, Ramón y Cajal Hospital, Madrid, 28034, Spain. pablo.llamas@salud.madrid.org.

Journal of Occupational Medicine and Toxicology (London, England)
|November 11, 2025
PubMed
Summary

Machine learning models can predict workplace absenteeism, identifying employees at risk for prolonged absences. This pilot study shows promise for proactive occupational health interventions and personalized employee support.

Keywords:
Artificial intelligenceMachine learningOccupational healthPilot studyPredictive modellingRisk assessmentWorkplace absenteeism

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Area of Science:

  • Occupational Health
  • Data Science
  • Machine Learning in Healthcare

Background:

  • Workplace absenteeism poses significant challenges to organizational productivity and employee well-being.
  • Current absenteeism management strategies are largely reactive, necessitating predictive models for proactive interventions.

Purpose of the Study:

  • To develop and validate machine learning models for predicting workplace absenteeism patterns.
  • To identify risk factors associated with prolonged absence for evidence-based occupational health interventions.

Main Methods:

  • Utilized Random Forest and Gradient Boosting algorithms on a Brazilian company's absenteeism dataset (2007-2010).
  • Included demographic, clinical (BMI, ICD-10 absence reasons), and occupational factors in the analysis.
  • Excluded statistical outliers (>30 hours) to focus on typical absence patterns.

Main Results:

  • Random Forest classification model achieved 84% accuracy (AUC=0.89) in distinguishing prolonged absences.
  • Random Forest regression model predicted typical absence duration (R²=0.13, RMSE=3.93h, MAE=2.37h).
  • Key predictors included absence reason, BMI, and workload intensity, with significant interactions.

Conclusions:

  • Machine learning models are feasible for predicting prolonged absenteeism and identifying at-risk employees.
  • These models can support personalized health interventions and resource allocation in occupational health.
  • External validation and ethical considerations regarding privacy and fairness are crucial for implementation.