Skip Navigation LinksHome > July 2012 - Volume 54 - Issue 7 > Impact of Medication Adherence on Absenteeism and Short-Term...
Journal of Occupational & Environmental Medicine:
doi: 10.1097/JOM.0b013e31825463e9
Original Articles

Impact of Medication Adherence on Absenteeism and Short-Term Disability for Five Chronic Diseases

Carls, Ginger S. PhD; Roebuck, M. Christopher MBA; Brennan, Troyen A. JD, MD, MPH; Slezak, Julie A. MS; Matlin, Olga S. PhD; Gibson, Teresa B. PhD

Supplemental Author Material
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Objective: To estimate the impact of medication adherence on absenteeism and short-term disability among employees with chronic disease.

Methods: Cross-sectional analysis of administrative health care claims, absenteeism, and short-term disability data using multivariate regression and instrumental variable models for five cohorts of employees: diabetes, hypertension, congestive heart failure, dyslipidemia, and asthma/chronic obstructive pulmonary disease. Adherence was defined as possessing medication on at least 80% of days during follow-up.

Results: Adherent employees with diabetes, hypertension, dyslipidemia, and asthma/chronic obstructive pulmonary disease realized between 1.7 and 7.1 fewer days absent from work and between 1.1 and 5.0 fewer days on short-term disability. Absenteeism and short-term disability days by adherent employees with congestive heart failure were not significantly different from nonadherent employees with the condition in most specifications.

Conclusions: Appropriate management of chronic conditions can help employers minimize losses due to missed work.

©2012The American College of Occupational and Environmental Medicine


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