The Associations of Multimorbidity With Health-Related Productivity Loss in a Large and Diverse Public Sector Setting: A Cross-Sectional Survey. Issue 6 (June 2018)

• Record Type: Journal Article
• Authors: Wang, Lili; Cocker, Fiona; Kilpatrick, Michelle; Otahal, Petr; Si, Lei; Palmer, Andrew J.; Sanderson, Kristy
• Is Part Of: Journal of occupational and environmental medicine. Volume 60:Issue 6(2018)
• Publication Date: 2018-06
• Subjects: absenteeism -- lost productive time -- multimorbidity -- presenteeism; Medicine, Industrial -- Periodicals; Environmental health -- Periodicals; Occupational Medicine -- Periodicals; Environmental Medicine -- Periodicals; Environmental health; Medicine, Industrial; Periodicals; Electronic journals; 616.9803
• DOI: 10.1097/JOM.0000000000001243
• Languages: English
• ISSNs: 1076-2752

Abstract

Abstract : Objective: To evaluate absenteeism, presenteeism, and total lost productive time (LPT) associated with multimorbidity. Methods: Cross-sectional data from 3228 state-government employees from Tasmania were collected in 2013. The validated measures of absenteeism, presenteeism, and LPT were obtained from employees' self-reported data over a 28-day period. Analyses were stratified by sex. Negative binomial models were used to estimate the associations between multimorbidity and LPT. Results: The average health-related total LPT was 1.2 (standard deviation [SD] = 2.4) and 1.7 (SD = 3.5) days for men and women with multimorbidity, respectively. Women (rate ratio [RR] = 2.9, 95% confidence interval [CI] 1.8 to 4.9) and men (RR = 4.4, 95%CI 3.0 to 6.2) with 4+ chronic conditions were significantly more likely to report LPT compared with those without any chronic conditions. Conclusion: We found multimorbidity is of concern within the workforce, with a positive association of multimorbidity and LPT observed, and significant differences in LPT between men and women reporting multimorbidity.