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.
From the Department of Environmental and Occupational Sciences (Dr Burton), University of Illinois at Chicago, Chicago, Illinois; The University of Michigan Health Management Research Center (Dr Chen, Ms Schultz, Dr Edington), Ann Arbor, Michigan; and DePaul University (Dr Conti), Chicago, Illinois.
Wayne N. Burton, MD has no financial interest associated with this research.
Address correspondence to: Dee W. Edington, PhD, Health Management Research Center, University of Michigan, 1027 East Huron Street, Ann Arbor, MI 48104-1688; E-mail: email@example.com.