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Journal of Occupational & Environmental Medicine:
doi: 10.1097/01.jom.0000201563.18108.af
Original Articles

The Association Between Health Risk Change and Presenteeism Change

Burton, Wayne N. MD; Chen, Chin-Yu PhD; Conti, Daniel J. PhD; Schultz, Alyssa B. MS; Edington, Dee W. PhD

Continued Medical Education
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Abstract

Objective: This prospective study investigates whether changes in health risks are associated with changes in presenteeism (on-the-job productivity loss).

Method: A total of 7026 employees of a national financial services company responded to a health risk appraisal (HRA), which included a modified version of the Work Limitation Questionnaire (WLQ) in both 2002 and 2004. The association between changes in health risks and changes in self-reported presenteeism was examined.

Results: Changes in perceptual/psychologic health risks had a strong association with changes in presenteeism. Individuals who reduced their risks generally saw an improvement in productivity, whereas those who gained risks or remained high-risk status saw deterioration in productivity. Each risk factor increased or reduced was associated with a commensurate change in 1.9% productivity loss over time and estimated to be $950 per year per risk changed.

Conclusions: Positive and negative changes in health risks are associated with same-direction changes in presenteeism.

©2006The American College of Occupational and Environmental Medicine

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