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Health Risk Change as a Predictor of Productivity Change

Grossmeier, Jessica PhD, MPH; Mangen, David J. PhD; Terry, Paul E. PhD; Haglund-Howieson, Laura MBA

Journal of Occupational and Environmental Medicine: April 2015 - Volume 57 - Issue 4 - p 347–354
doi: 10.1097/JOM.0000000000000408
Original Articles

Objective: To assess how health risk change influences concurrent and subsequent change in absenteeism and presenteeism.

Methods: A retrospective, longitudinal study design analyzed repeated health assessment survey data using maximum likelihood structural equation modeling.

Results: A statistically significant relationship was detected between self-reported health risks at one point in time and lower productivity (absenteeism and presenteeism) at the same point in time as well as a longitudinal effect of increasing risks at one point in time associated with decreased productivity at subsequent measurement periods.

Conclusions: Health is a predictor of productivity, and the benefits of improved health on improved productivity are cumulative over time.

From Verity Analytics (Dr Grossmeier), San Jose, CA; Mangen Research Associates, Inc (Dr Mangen), Mound; and StayWell (Dr Terry and Ms Haglund-Howieson), St. Paul, Minn.

Address correspondence to: Laura Haglund-Howieson, MBA, Senior Research Analyst, StayWell, 3000 Ames Crossing Rd, Suite 100, St. Paul, MN 55121 (

Funding for this study was provided by StayWell, a national provider of population health management services.

Dr Grossmeier was an employee of StayWell while the study was being conducted and for a portion of time during manuscript preparation.

Authors Grossmeier, Mangen, Terry, and Haglund-Howieson have no relationships/conditons/circumstances that present potential conflict of interest.

The JOEM editorial board and planners have no financial interest related to this research.

Copyright © 2015 by the American College of Occupational and Environmental Medicine