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Médecine du travail du personnel hospitalier

Association of contractual and subjective job insecurity with sickness presenteeism among public sector employees

Auteur     Tarja Heponiemi
Auteur     Marko Elovainio
Auteur     Jaana Pentti
Auteur     Marianna Virtanen
Auteur     Hugo Westerlund
Auteur     Pekka Virtanen
Auteur     Tuula Oksanen
Auteur     Mika Kivimäki
Auteur     Jussi Vahtera
Résumé     OBJECTIVE We examined the associations of contractual job insecurity (fixed-term vs permanent employment contract) and subjectively assessed job insecurity with sickness presenteeism among those who had no sickness absences during the study year. METHODS Survey data from a sample of 18,454 Public sector employees were gathered in 2004 (the Finnish Public Sector study). RESULTS Fixed-term employees were less likely to report working while ill (odds ratio = 0.88, 95% confidence interval = 0.77 to 0.99) than permanent employees. Subjective insecurity was associated with higher levels of working while ill, and this association was stronger among older employees. These results remained after adjustments for demographics, health-related variables, and optimism. CONCLUSIONS Our results suggest that subjective job insecurity might be even more important than contractual insecurity when a public sector employee makes the decision to go to work despite feeling ill.
Publication     Journal of Occupational and Environmental Medicine / American College of Occupational and Environmental Medicine
Volume     52
Numéro     8
Pages     830-835
Date     Aug 2010

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doi:10.1097/JOM.0b013e3181ec7e23

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