scholarly journals The role of managerial leadership in sickness absence in health and social care: antecedent or moderator in the association between psychosocial working conditions and register-based sickness absence? A longitudinal study based on a swedish cohort

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Johanna Stengård ◽  
Paraskevi Peristera ◽  
Gun Johansson ◽  
Anna Nyberg
Keyword(s):  
Sickness Absence ◽  
Working Conditions ◽  
Workplace Violence ◽  
Structural Equation ◽  
Social Care ◽  
Psychosocial Work ◽  
Work Stressors ◽  
Managerial Leadership ◽  
Psychosocial Working Conditions ◽  
Health And Social Care

Abstract Background The prevalence of sickness absence is particularly high among employees in health and social care, where psychosocial work stressors are pertinent. Managerial leadership is known to affect sickness absence rates, but the role leadership plays in relation to sickness absence is not fully understood; that is, whether poor leadership (i) is associated with sickness absence directly, (ii) is associated with sickness absence indirectly through the establishment of poor psychosocial working conditions, or (iii) whether good leadership rather has a buffering role in the association between work stressors and sickness absence. Methods Four biennial waves from the Swedish Longitudinal Occupational Survey of Health (SLOSH, 2010–2016, N=2333) were used. Autoregressive cross-lagged analyses within a multilevel structural equation modelling (MSEM) framework were conducted to test hypotheses i)–iii), targeting managerial leadership, register-based sickness absence and psychosocial work stressors (high psychological demands, poor decision authority and exposure to workplace violence). Results A direct association was found between poor leadership and sickness absence two years later, but no associations were found between leadership and the psychosocial work stressors. Finally, only in cases of poor leadership was there a statistically significant association between workplace violence and sickness absence. Conclusions Poor managerial leadership may increase the risk of sickness absence among health and social care workers in two ways: first, directly and, second, by increasing the link between workplace violence and sickness absence.

scholarly journals The Role of Managerial Leadership in Sickness Absence in Health and Social Care: Antecedent or Moderator in the Association between Psychosocial working Conditions and Register-based Sickness Absence? A Longitudinal Study based on a Swedish Cohort.

2020 ◽  
Author(s):  
Johanna Stengård ◽  
Paraskevi Peristera ◽  
Gun Johansson ◽  
Anna Nyberg
Keyword(s):  
Sickness Absence ◽  
Working Conditions ◽  
Workplace Violence ◽  
Structural Equation ◽  
Social Care ◽  
Psychosocial Work ◽  
Work Stressors ◽  
Managerial Leadership ◽  
Psychosocial Working Conditions ◽  
Health And Social Care

Abstract Background: The prevalence of sickness absence is particularly high among employees in health and social care, where psychosocial work stressors are pertinent. Managerial leadership is known to affect sickness absence rates, but the role leadership plays in relation to sickness absence is not fully understood; that is, whether poor leadership i) is associated with sickness absence directly, ii) is associated with sickness absence indirectly through the establishment of poor psychosocial working conditions, or iii) whether good leadership rather has a buffering role in the association between work stressors and sickness absence.Methods: Four biennial waves from the Swedish Longitudinal Occupational Survey of Health (SLOSH, 2010–2016, N=2333) were used. Autoregressive cross-lagged analyses within a multilevel structural equation modelling (MSEM) framework were conducted to test hypotheses i)–iii), targeting managerial leadership, register-based sickness absence and psychosocial work stressors (high psychological demands, poor decision authority and exposure to workplace violence).Results: A direct association was found between poor leadership and sickness absence two years later, but no associations were found between leadership and the psychosocial work stressors. Finally, only in cases of poor leadership was there a statistically significant association between workplace violence and sickness absence.Conclusions: Poor managerial leadership may increase the risk of sickness absence among health and social care workers in two ways: first, directly and, second, by increasing the link between workplace violence and sickness absence.

scholarly journals Associations between labour market policies and work stressors

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
T Lunau ◽  
M Rigó
Keyword(s):  
Labour Market ◽  
Working Conditions ◽  
Job Strain ◽  
Negative Impact ◽  
Policy Implications ◽  
Psychosocial Work ◽  
Work Stressors ◽  
Labour Market Policies ◽  
Psychosocial Working Conditions ◽  
European Working

Abstract Background Many studies have shown that psychosocial work stressors have a negative impact on health. It is therefore important to understand how psychosocial work stressors can be reduced. First cross-sectional studies have shown that working conditions are influenced at the political level. With this study, we want to extend the existing studies by specifically looking at the longitudinal dimension and test if changing labour market policies are related to changes in psychosocial work stressors. Methods We used comparative longitudinal survey data from the European Working Conditions Survey (27 countries; years 2005, 2010, 2015). The measure of psychosocial work stressors is based on two established work stress models: job strain and effort-reward imbalance. To measure labour market policies we used information on active (ALMP) and passive labour market policies (PLMP). 64659 participants were eligible for the ERI analysis and 67114 participants for the analyses on job strain. Estimation results are provided by three-level multilevel regressions. Results An increase in ALMP investments lead to a decrease of ERI and therefore to an improvement in psychosocial working conditions. The analyses for the subcomponents showed that these results are mainly driven by reward: an increase in ALMP investments lead to an increase in rewards. We didn't find significant associations between ALMP and job strain and between a change in PLMP measures and the observed work stressors. Discussion The study extends current knowledge with longitudinal information by showing that an increase in ALMP lead to an increase in rewards and a decrease of ERI. These longitudinal analyses are more closely related to a causal interpretation than previous cross-country analyses. The findings of this study may have important policy implications. Our main result suggests that investments into ALMP can improve certain working conditions and therefore improve workers' health. Key messages Psychosocial work stressors have a negative impact on health. Investments into active labour market policies can improve psychosocial working conditions.

scholarly journals Does Exposure to High Job Demands, Low Decision Authority, or Workplace Violence Mediate the Association between Employment in the Health and Social Care Industry and Register-Based Sickness Absence? A Longitudinal Study of a Swedish Cohort

2021 ◽  
Vol 19 (1) ◽  
pp. 53
Author(s):  
Anna Nyberg ◽  
Paraskevi Peristera ◽  
Susanna Toivanen ◽  
Gun Johansson
Keyword(s):  
Sickness Absence ◽  
Workplace Violence ◽  
Social Care ◽  
Predictor Variable ◽  
Job Demands ◽  
Outcome Variable ◽  
Care Industry ◽  
Decision Authority ◽  
Health And Social Care ◽  
Time Point

Background: The aim of this paper was to investigate if job demands, decision authority, and workplace violence mediate the association between employment in the health and social care industry and register-based sickness absence. Methods: Participants from the Swedish Longitudinal Occupational Survey of Health who responded to questionnaires in 2006–2016 (n = 3951) were included. Multilevel autoregressive cross-lagged mediation models were fitted to the data. Employment in the health and social care industry at one time point was used as the predictor variable and register-based sickness absence >14 days as the outcome variable. Self-reported levels of job demands, decision authority, and exposure to workplace violence from the first time point were used as mediating variables. Results: The direct path between employment in the health and social care industry and sickness absence >14 days was, while adjusting for the reverse path, 0.032, p = 0.002. The indirect effect mediated by low decision authority was 0.002, p = 0.006 and the one mediated by exposure to workplace violence was 0.008, p = 0.002. High job demands were not found to mediate the association. Conclusion: Workplace violence and low decision authority may, to a small extent, mediate the association between employment in the health and social care industry and sickness absence.

scholarly journals Joint association of sleep problems and psychosocial working conditions with registered long-term sickness absence. A Danish cohort study

2016 ◽  
Vol 42 (4) ◽  
pp. 299-308 ◽  
Author(s):  
Ida EH Madsen ◽  
Ann D Larsen ◽  
Sannie V Thorsen ◽  
Jan H Pejtersen ◽  
Reiner Rugulies ◽  
...  
Keyword(s):  
Cohort Study ◽  
Sickness Absence ◽  
Working Conditions ◽  
Sleep Problems ◽  
Psychosocial Working Conditions ◽  
Danish Cohort

Joint association of physical and psychosocial working conditions with risk of long-term sickness absence: Prospective cohort study with register follow-up

2020 ◽  
pp. 140349482093642
Author(s):  
Emil Sundstrup ◽  
Lars Louis Andersen
Keyword(s):  
Cohort Study ◽  
Sickness Absence ◽  
Working Conditions ◽  
Physical Work ◽  
Trend Test ◽  
Psychosocial Working Conditions ◽  
Influence At Work ◽  
Emotional Demands

Aims: The interplay between physical and psychosocial working conditions for the risk of developing poor health is not well understood. This study aimed to determine the joint association of physical and psychosocial working conditions with risk of long-term sickness absence (LTSA) in the general working population. Methods: Based on questionnaire responses about physical working conditions and psychosocial working conditions (influence at work, emotional demands, support from colleagues and support from managers) and two-year prospective follow-up in a national register on social transfer payments, we estimated the risk of incident LTSA of >30 days among 9544 employees without previous LTSA from the Danish Work Environment Cohort Study. The analyses were censored for all events of permanent labour market drop-out (retirement, disability pension, immigration or death) and controlled for potential confounders. Results: In the total cohort, more demanding physical working conditions were associated with risk of LTSA in a dose–response fashion (trend test, p<0.0001). The combination of poor overall psychosocial working conditions (index measure of influence at work, emotional demands, support from managers and support from colleagues) and hard physical working conditions showed the highest risk of LTSA. However, poor overall psychosocial working conditions did not interact with physical working conditions in the risk of LTSA ( p=0.9677). Conclusions: The results of this study suggest that workplaces should strive to improve both psychosocial and physical work factors in order to ensure the health of workers.

Do psychosocial working conditions modify the effect of depressive symptoms on long-term sickness absence?

2013 ◽  
pp. n/a-n/a ◽  
Author(s):  
Pernille U. Hjarsbech ◽  
Karl Bang Christensen ◽  
Rikke Voss Andersen ◽  
Vilhelm Borg ◽  
Birgit Aust ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Sickness Absence ◽  
Working Conditions ◽  
Psychosocial Working Conditions

scholarly journals Favorable Working Conditions Related to Health Behavior Among Nurses and Care Assistants in Sweden—A Population-Based Cohort Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Magnus Helgesson ◽  
Staffan Marklund ◽  
Klas Gustafsson ◽  
Gunnar Aronsson ◽  
Constanze Leineweber
Keyword(s):  
Health Behavior ◽  
Work Environment ◽  
Risk Behavior ◽  
Sickness Absence ◽  
Working Conditions ◽  
Good Health ◽  
Health Complaints ◽  
Psychosocial Working Conditions ◽  
Sickness Presence ◽  
Recovery Behavior

Objective: To analyze the associations between favorable physical and psychosocial work factors and health behavior among healthcare employees (nurses and care assistants) with health complaints.Methods: The study was based on seven iterations (2001–2013) of a biennial Swedish work environment survey linked with data from public registers. In all, 7,180 healthcare employees, aged 16–64 years, who had reported health complaints, were included. Health behavior was operationalized through four combinations of sickness absence (SA) and sickness presence (SP): ‘good health behavior' (Low SP/Low SA), ‘recovery behavior' (Low SP/High SA), ‘risk behavior' (High SP/Low SA), and ‘poor health behavior' (High SP/High SA). Odds ratios (OR) were calculated by multinomial logistic regression with 95% confidence intervals (CI).Results: After adjusting for socio-demographic factors, those who rarely worked in strenuous postures had an increased probability of having ‘good health behavior' (OR range: nurses 1.72–2.02; care assistants 1.46–1.75). Those who rarely experienced high job demands had increased odds for having ‘good health behavior' (OR: nurses 1.81; OR range: care assistants 1.67–2.13), while having good job control was found to be related to ‘good health behavior' only among care assistants (OR range 1.30–1.68). In the full model, after also considering differences in health, none of the work environment indicators affected ‘good health behavior' among nursing professionals. Among care assistants, rarely having heavy physical work and having low psychosocial demands remained significantly associated with ‘good health behavior' (OR range: 1.24–1.58) and ‘recovery behavior' (OR range: 1.33–1.70). No associations were found between favorable work environment factors and ‘risk behavior' among the two groups of employees. However, positive assessments of the work situation were associated with ‘good health behavior,' even after controlling for all confounders for both groups (OR range: 1.43–2.69).Conclusions: ‘Good health behavior' and ‘recovery behavior' among care assistants were associated with favorable physical and psychosocial working conditions even when health was considered. This implies that reduced sickness presence and sickness absence among care assistants can be achieved through improved physical and psychosocial working conditions.

scholarly journals Importance of the Working Environment for Early Retirement: Prospective Cohort Study with Register Follow-Up

2021 ◽  
Vol 18 (18) ◽  
pp. 9817
Author(s):  
Emil Sundstrup ◽  
Sannie V. Thorsen ◽  
Reiner Rugulies ◽  
Mona Larsen ◽  
Kristina Thomassen ◽  
...  
Keyword(s):  
Working Conditions ◽  
Older Workers ◽  
Early Retirement ◽  
Physical Work ◽  
Work Demands ◽  
Psychosocial Work Factors ◽  
Psychosocial Work ◽  
Physical Work Demands ◽  
Psychosocial Working Conditions ◽  
Work Factors

Background: This study investigates the role of physical work demands and psychosocial work factors for early retirement among older workers. Methods: Data from three Danish surveys on work environment and health among employed older workers (age 55–59) were merged with a national register containing information on labour market participation. Robust Poisson regression modelled the risk ratios (RR) and 95% confidence intervals (CI) for the association between physical and psychosocial work factors and early retirement, that is, not working after the age of 64. Results: Of the 2800 workers, 53% retired early. High physical work demands (RR 1.33, 95%CI 1.19–1.48), poor overall psychosocial working conditions (RR 1.43, 95%CI 1.26–1.61), and access to early retirement benefits (RR 1.79, 95%CI 1.53–2.10) predicted early retirement. Subgroup analyses revealed that poor overall psychosocial working conditions were a stronger predictor for early retirement among workers with seated jobs than those with physically active jobs. Conclusions: High physical work demands and poor psychosocial working conditions are factors that can push older workers out of the labour market prematurely. Poor psychosocial working conditions seem to be a particularly strong push factor among workers with seated work.

Can a poor psychosocial work environment and insufficient organizational resources explain the higher risk of ill-health and sickness absence in human service occupations? Evidence from a Swedish national cohort

2018 ◽  
Vol 47 (3) ◽  
pp. 310-317 ◽  
Author(s):  
Vanda Aronsson ◽  
Susanna Toivanen ◽  
Constanze Leineweber ◽  
Anna Nyberg
Keyword(s):  
Work Environment ◽  
Sickness Absence ◽  
Workplace Violence ◽  
Psychosocial Work Environment ◽  
Organizational Resources ◽  
Psychosocial Work ◽  
Work Time ◽  
Time Control ◽  
Organizational Resource ◽  
Emotional Demands

Aim: The aim of this study was to investigate differences in burnout, self-rated health (SRH) and sickness absence between human service occupations (HSOs) and other occupations, and whether they can be attributed to differences in psychosocial work environment and organizational resources. Methods: Data were derived from the Swedish Longitudinal Occupational Survey of Health, an approximately representative sample of the Swedish working population ( n = 4408). Employment in HSOs, psychosocial work environment and organizational resources in 2012 predicted relative risks of sickness absence, burnout and suboptimal SRH in 2014 using modified Poisson regressions. The psychosocial work factors’ and organizational resource variables’ relative importance were estimated by adding them to the models one by one, and with population attributable fractions (PAFs). Results: Employment in HSOs was associated with a higher risk of sickness absence and the risk was explained by psychosocial and organizational factors, particularly high emotional demands, low work-time control and exposure to workplace violence. Employment in HSOs was not associated with burnout after sociodemographic factors were adjusted for, and furthermore not with SRH. A lower risk of suboptimal SRH was found in HSOs than in other occupations with equivalent psychosocial work environment and organizational resources. PAFs indicated that psychosocial work environment and organizational resource improvements could lead to morbidity reductions for all outcomes; emotional demands were more important in HSOs. Conclusions: HSOs had higher risks of sickness absence and burnout than other occupations. The most important work factors to address were high emotional demands, low work-time control, and exposure to workplace violence.

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