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Relationships Between Work Environment Factors and Presenteeism Mediated by Employees' Health: A Preliminary Study

McGregor, Alisha B. Psyc (Hons); Iverson, Donald PhD; Caputi, Peter PhD; Magee, Christopher PhD; Ashbury, Fred PhD

Journal of Occupational and Environmental Medicine: December 2014 - Volume 56 - Issue 12 - p 1319–1324
doi: 10.1097/JOM.0000000000000263
Original Articles

Objective: This study investigates a research framework for presenteeism, in particular, whether work environment factors are indirectly related to presenteeism via employees' health.

Methods: A total of 336 employees, 107 from a manufacturing company in Europe and 229 from various locations across North America, completed a self-report survey, which measured the association between presenteeism (dependent variable) and several health and work environment factors (independent variables). These relationships were tested using path analysis with bootstrapping in Mplus.

Results: Presenteeism was directly related to health burden (r = 0.77; P = 0.00) and work environment burden (r = 0.34; P = 0.00). The relationship between work environment burden and presenteeism was partially mediated by health burden (β = 0.08; 95% confidence interval, 0.002 to 0.16).

Conclusions: These findings suggest both a direct and an indirect relationship between work environment factors and presenteeism at work.

From the School of Psychology (Ms McGregor and Dr Caputi), Centre for Health Initiatives (Ms McGregor, Dr Iverson, Dr Caputi, and Dr Magee), and Illawarra Health and Medical Research Institute (Dr Iverson and Dr Caputi), University of Wollongong, New South Wales, Australia; and University of Toronto (Dr Ashbury), Ontario, Canada.

Address correspondence to: Alisha McGregor, B. Psyc (Hons), School of Psychology, University of Wollongong, Wollongong, NSW 2522, Australia (

The authors declare no conflicts of interest.

Copyright © 2014 by the American College of Occupational and Environmental Medicine