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Published in: International Archives of Occupational and Environmental Health 7/2013

01-10-2013 | Original Article

A one-item workability measure mediates work demands, individual resources and health in the prediction of sickness absence

Authors: Sannie Vester Thorsen, Hermann Burr, Finn Diderichsen, Jakob Bue Bjorner

Published in: International Archives of Occupational and Environmental Health | Issue 7/2013

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Abstract

Objectives

The study tested the hypothesis that a one-item workability measure represented an assessment of the fit between resources (the individuals’ physical and mental health and functioning) and workplace demands and that this resource/demand fit was a mediator in the prediction of sickness absence. We also estimated the relative importance of health and work environment for workability and sickness absence.

Methods

Baseline data were collected within a Danish work and health survey (3,214 men and 3,529 women) and followed up in a register of sickness absence. Probit regression analysis with workability as mediator was performed for a binary outcome of sickness absence. The predictors in the analysis were as follows: age, social class, physical health, mental health, number of diagnoses, ergonomic exposures, occupational noise, exposure to risks, social support from supervisor, job control and quantitative demands.

Results

High age, poor health and ergonomic exposures were associated with low workability and mediated by workability to sickness absence for both genders. Low social class and low quantitative demands were associated with low workability and mediated to sickness absence among men. The mediated part was from 11 to 63 % of the total effect for the significant predictors.

Conclusion

Workability mediated health, age, social class and ergonomic exposures in the prediction of sickness absence. The health predictors had the highest association with both workability and sickness absence; physical work environment was higher associated with the outcomes than psychosocial work environment. However, the explanatory value of the predictors for the variance in the model was low.
Literature
go back to reference Ahlstrom L, Hagberg M, Grimby-Ekman A, Dellve L (2010) The work ability index and single-item question: associations with sick leave, symptoms, and health—a prospective study of women on long-term sick leave. Scand J Work Environ Health 36:404–412CrossRef Ahlstrom L, Hagberg M, Grimby-Ekman A, Dellve L (2010) The work ability index and single-item question: associations with sick leave, symptoms, and health—a prospective study of women on long-term sick leave. Scand J Work Environ Health 36:404–412CrossRef
go back to reference Alavinia SM, van den Berg TIJ, van Duivenbooden C, Elders LAM, Burdorf A (2009) Impact of work-related factors, lifestyle, and work ability on sickness absence among Dutch construction workers. Scand J Work Environ Health 35:325–333CrossRef Alavinia SM, van den Berg TIJ, van Duivenbooden C, Elders LAM, Burdorf A (2009) Impact of work-related factors, lifestyle, and work ability on sickness absence among Dutch construction workers. Scand J Work Environ Health 35:325–333CrossRef
go back to reference Batt-Rawden K, Tellnes G (2012) Social causes to sickness absence among men and women with ental illnesses. Psychology 3:315–321CrossRef Batt-Rawden K, Tellnes G (2012) Social causes to sickness absence among men and women with ental illnesses. Psychology 3:315–321CrossRef
go back to reference Burr H, Bjorner JB, Kristensen TS, Tuchsen F, Bach E (2003) Trends in the Danish work environment in 1990–2000 and their associations with labor-force changes. Scand J Work Environ Health 29:270–279CrossRef Burr H, Bjorner JB, Kristensen TS, Tuchsen F, Bach E (2003) Trends in the Danish work environment in 1990–2000 and their associations with labor-force changes. Scand J Work Environ Health 29:270–279CrossRef
go back to reference Burr H, Pedersen J, Hansen JV (2011) Work environment as predictor of long-term sickness absence: linkage of self-reported DWECS data with the DREAM register. Scand J Public Health 39:147–152CrossRef Burr H, Pedersen J, Hansen JV (2011) Work environment as predictor of long-term sickness absence: linkage of self-reported DWECS data with the DREAM register. Scand J Public Health 39:147–152CrossRef
go back to reference Camilli G (1994) Origin of the scaling constant D = 1.7 in item response theory. J Educ Behav Stat 19:293–295 Camilli G (1994) Origin of the scaling constant D = 1.7 in item response theory. J Educ Behav Stat 19:293–295
go back to reference Christensen KB, Lund T, Labriola M, Villadsen E, Bultmann U (2007) The fraction of long-term sickness absence attributable to work environmental factors: prospective results from the Danish Work Environment Cohort Study. Occup Environ Med 64:487–489CrossRef Christensen KB, Lund T, Labriola M, Villadsen E, Bultmann U (2007) The fraction of long-term sickness absence attributable to work environmental factors: prospective results from the Danish Work Environment Cohort Study. Occup Environ Med 64:487–489CrossRef
go back to reference Eriksen W, Bruusgaard D, Knardahl S (2003) Work factors as predictors of sickness absence: a three month prospective study of nurses’ aides. Occup Environ Med 60:271–278CrossRef Eriksen W, Bruusgaard D, Knardahl S (2003) Work factors as predictors of sickness absence: a three month prospective study of nurses’ aides. Occup Environ Med 60:271–278CrossRef
go back to reference Eskelinen L, Kohvakka A, Merisalo T, Hurri H, Wagar G (1991) Relationship between the self-assessment and clinical-assessment of health-status and work ability. Scand J Work Environ Health 17:40–47 Eskelinen L, Kohvakka A, Merisalo T, Hurri H, Wagar G (1991) Relationship between the self-assessment and clinical-assessment of health-status and work ability. Scand J Work Environ Health 17:40–47
go back to reference Feveile H, Olsen O, Burr H, Bach E (2007) Danish work environment cohort study 2005: from idea to sampling design. Stat Transit New Series 8:441–458 Feveile H, Olsen O, Burr H, Bach E (2007) Danish work environment cohort study 2005: from idea to sampling design. Stat Transit New Series 8:441–458
go back to reference Gamperiene M, Nygard JF, Sandanger I, Lau B, Bruusgaard D (2008) Self-reported work ability of Norwegian women in relation to physical and mental health, and to the work environment. J Occup Med Toxicol 3:8CrossRef Gamperiene M, Nygard JF, Sandanger I, Lau B, Bruusgaard D (2008) Self-reported work ability of Norwegian women in relation to physical and mental health, and to the work environment. J Occup Med Toxicol 3:8CrossRef
go back to reference Hayes AF (2009) Beyond Baron and Kenny: statistical mediation analysis in the New Millennium. Commun Monogr 76:408–420CrossRef Hayes AF (2009) Beyond Baron and Kenny: statistical mediation analysis in the New Millennium. Commun Monogr 76:408–420CrossRef
go back to reference Hjollund NH, Larsen FB, Andersen JH (2007) Register-based follow-up of social benefits and other transfer payments: accuracy and degree of completeness in a Danish interdepartmental administrative database compared with a population-based survey. Scand J Public Health 35:497–502CrossRef Hjollund NH, Larsen FB, Andersen JH (2007) Register-based follow-up of social benefits and other transfer payments: accuracy and degree of completeness in a Danish interdepartmental administrative database compared with a population-based survey. Scand J Public Health 35:497–502CrossRef
go back to reference Holtermann A, Hansen JV, Burr H, Sogaard K (2010) Prognostic factors for long-term sickness absence among employees with neck-shoulder and low-back pain. Scand J Work Environ Health 36:34–41CrossRef Holtermann A, Hansen JV, Burr H, Sogaard K (2010) Prognostic factors for long-term sickness absence among employees with neck-shoulder and low-back pain. Scand J Work Environ Health 36:34–41CrossRef
go back to reference Ilmarinen J (2009) Work ability-a comprehensive concept for occupational health research and prevention. Scand J Work Environ Health 35:1–5CrossRef Ilmarinen J (2009) Work ability-a comprehensive concept for occupational health research and prevention. Scand J Work Environ Health 35:1–5CrossRef
go back to reference Janssen N, Kant IJ, Swaen GMH, Janssen PPM, Schroer CAP (2003) Fatigue as a predictor of sickness absence: results from the Maastricht cohort study on fatigue at work. Occup Environ Med 60(Suppl 1):i71–i76CrossRef Janssen N, Kant IJ, Swaen GMH, Janssen PPM, Schroer CAP (2003) Fatigue as a predictor of sickness absence: results from the Maastricht cohort study on fatigue at work. Occup Environ Med 60(Suppl 1):i71–i76CrossRef
go back to reference Karasek RA (1979) Job demands, job decision latitude, and mental strain: implications for job redesign. Adm Sci Q 24:285–308CrossRef Karasek RA (1979) Job demands, job decision latitude, and mental strain: implications for job redesign. Adm Sci Q 24:285–308CrossRef
go back to reference Kessler RC, Barber C, Beck A, Berglund P, Cleary PD, McKenas D et al (2003) The world health organization health and work performance questionnaire (HPQ). J Occup Environ Med 45:156–174CrossRef Kessler RC, Barber C, Beck A, Berglund P, Cleary PD, McKenas D et al (2003) The world health organization health and work performance questionnaire (HPQ). J Occup Environ Med 45:156–174CrossRef
go back to reference Kristensen TS, Bjorner JB, Christensen KB, Borg V (2004) The distinction between work pace and working hours in the measurement of quantitative demands at work. Work Stress 18:305–322CrossRef Kristensen TS, Bjorner JB, Christensen KB, Borg V (2004) The distinction between work pace and working hours in the measurement of quantitative demands at work. Work Stress 18:305–322CrossRef
go back to reference Laaksonen M, Mastekaasa A, Martikainen P, Rahkonen O, Piha K, Lahelma E (2010) Gender differences in sickness absence—the contribution of occupation and workplace. Scand J Work Environ Health 36:394–403CrossRef Laaksonen M, Mastekaasa A, Martikainen P, Rahkonen O, Piha K, Lahelma E (2010) Gender differences in sickness absence—the contribution of occupation and workplace. Scand J Work Environ Health 36:394–403CrossRef
go back to reference Lindberg P, Josephson M, Alfredsson L, Vingard E (2009) Comparisons between five self-administered instruments predicting sick leaves in a 4-year follow-up. Int Arch Occup Environ Health 82:227–234CrossRef Lindberg P, Josephson M, Alfredsson L, Vingard E (2009) Comparisons between five self-administered instruments predicting sick leaves in a 4-year follow-up. Int Arch Occup Environ Health 82:227–234CrossRef
go back to reference Lund T, Labriola M, Christensen KB, Bultmann U, Villadsen E, Burr H (2005) Psychosocial work environment exposures as risk factors for long-term sickness absence among Danish employees: results from DWECS/DREAM. J Occup Environ Med 47:1141–1147CrossRef Lund T, Labriola M, Christensen KB, Bultmann U, Villadsen E, Burr H (2005) Psychosocial work environment exposures as risk factors for long-term sickness absence among Danish employees: results from DWECS/DREAM. J Occup Environ Med 47:1141–1147CrossRef
go back to reference Lund T, Labriola M, Christensen KB, Bultmann U, Villadsen E (2006) Physical work environment risk factors for long term sickness absence: prospective findings among a cohort of 5357 employees in Denmark. BMJ 332:449–452CrossRef Lund T, Labriola M, Christensen KB, Bultmann U, Villadsen E (2006) Physical work environment risk factors for long term sickness absence: prospective findings among a cohort of 5357 employees in Denmark. BMJ 332:449–452CrossRef
go back to reference MacKinnon DP, Fairchild AJ (2009) Current directions in mediation analysis. Curr Dir Psychol Sci 18:16–20CrossRef MacKinnon DP, Fairchild AJ (2009) Current directions in mediation analysis. Curr Dir Psychol Sci 18:16–20CrossRef
go back to reference Martinez MC, Latorre Mdo R (2006) Health and work ability among office workers. Rev Saude Publica 40:851–858CrossRef Martinez MC, Latorre Mdo R (2006) Health and work ability among office workers. Rev Saude Publica 40:851–858CrossRef
go back to reference Melchior M, Niedhammer I, Berkman LF, Goldberg M (2003) Do psychosocial work factors and social relations exert independent effects on sickness absence? A six year prospective study of the GAZEL cohort. J Epidemiol Community Health 57:285–293CrossRef Melchior M, Niedhammer I, Berkman LF, Goldberg M (2003) Do psychosocial work factors and social relations exert independent effects on sickness absence? A six year prospective study of the GAZEL cohort. J Epidemiol Community Health 57:285–293CrossRef
go back to reference Muthén BO (2004) Mplus technical appendices. 2–3 Muthén BO (2004) Mplus technical appendices. 2–3
go back to reference Nielsen J (1999) Employability and workability among Danish employees. Exp Aging Res 25:393–397CrossRef Nielsen J (1999) Employability and workability among Danish employees. Exp Aging Res 25:393–397CrossRef
go back to reference Preacher KJ, Hayes AF (2004) SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behav Res Methods Instrum Comput 36:717–731CrossRef Preacher KJ, Hayes AF (2004) SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behav Res Methods Instrum Comput 36:717–731CrossRef
go back to reference Rotenberg L, Portela LF, Banks B, Griep RH, Fischer FM, Landsbergis P (2008) A gender approach to work ability and its relationship to professional and domestic work hours among nursing personnel. Appl Ergon 39:646–652CrossRef Rotenberg L, Portela LF, Banks B, Griep RH, Fischer FM, Landsbergis P (2008) A gender approach to work ability and its relationship to professional and domestic work hours among nursing personnel. Appl Ergon 39:646–652CrossRef
go back to reference Salonen P, Arola H, Nygard CH, Huhtala H, Koivisto M (2003) Factors associated with premature departure from working life among ageing food industry employees. Occup Med Oxford 53:65–68CrossRef Salonen P, Arola H, Nygard CH, Huhtala H, Koivisto M (2003) Factors associated with premature departure from working life among ageing food industry employees. Occup Med Oxford 53:65–68CrossRef
go back to reference Sell L, Faber A, Søgaard K (2008) Impacts from occupational risk factors on self reported reduced work ability among Danish wage earners. In: Masaharu K (ed) Promotion of workability towards productive aging: selected papers of the 3rd international symposium on workability, Hanoi, 22–24 October. Taylor and Francis, London, pp 105–112 Sell L, Faber A, Søgaard K (2008) Impacts from occupational risk factors on self reported reduced work ability among Danish wage earners. In: Masaharu K (ed) Promotion of workability towards productive aging: selected papers of the 3rd international symposium on workability, Hanoi, 22–24 October. Taylor and Francis, London, pp 105–112
go back to reference Sell L, Bultmann U, Rugulies R, Villadsen E, Faber A, Sogaard K (2009) Predicting long-term sickness absence and early retirement pension from self-reported work ability. Int Arch Occup Environ Health 82:1133–1138CrossRef Sell L, Bultmann U, Rugulies R, Villadsen E, Faber A, Sogaard K (2009) Predicting long-term sickness absence and early retirement pension from self-reported work ability. Int Arch Occup Environ Health 82:1133–1138CrossRef
go back to reference Sigg R, De-Luigi V (2007) The success of policies aimed at extending working life. In: Development and trends: supporting dynamic social security, pp 51–60 Sigg R, De-Luigi V (2007) The success of policies aimed at extending working life. In: Development and trends: supporting dynamic social security, pp 51–60
go back to reference Sjogren-Ronka T, Ojanen MT, Leskinen EK, Tmustalampi ST, Malkia EA (2002) Physical and psychosocial prerequisites of functioning in relation to work ability and general subjective well-being among office workers. Scand J Work Environ Health 28:184–190CrossRef Sjogren-Ronka T, Ojanen MT, Leskinen EK, Tmustalampi ST, Malkia EA (2002) Physical and psychosocial prerequisites of functioning in relation to work ability and general subjective well-being among office workers. Scand J Work Environ Health 28:184–190CrossRef
go back to reference Taimela S, Laara E, Malmivaara A, Tiekso J, Sintonen H, Justen S et al (2007) Self-reported health problems and sickness absence in different age groups predominantly engaged in physical work. Occup Environ Med 64:739–746CrossRef Taimela S, Laara E, Malmivaara A, Tiekso J, Sintonen H, Justen S et al (2007) Self-reported health problems and sickness absence in different age groups predominantly engaged in physical work. Occup Environ Med 64:739–746CrossRef
go back to reference Tengland PA (2011) The concept of work ability. J Occup Rehabil 21:275–285CrossRef Tengland PA (2011) The concept of work ability. J Occup Rehabil 21:275–285CrossRef
go back to reference Tuomi K, Huuhtanen P, Nykyri E, Ilmarinen J (2001) Promotion of work ability, the quality of work and retirement. Occup Med Oxford 51:318–324CrossRef Tuomi K, Huuhtanen P, Nykyri E, Ilmarinen J (2001) Promotion of work ability, the quality of work and retirement. Occup Med Oxford 51:318–324CrossRef
go back to reference Vahtera J, Kivimaki M, Pentti J, Theorell T (2000) Effect of change in the psychosocial work environment on sickness absence: a seven year follow up of initially healthy employees. J Epidemiol Community Health 54:484–493CrossRef Vahtera J, Kivimaki M, Pentti J, Theorell T (2000) Effect of change in the psychosocial work environment on sickness absence: a seven year follow up of initially healthy employees. J Epidemiol Community Health 54:484–493CrossRef
go back to reference van den Berg TIJ, Elders LAM, de Zwart BCH, Burdorf A (2009) The effects of work-related and individual factors on the Work Ability Index: a systematic review. Occup Environ Med 66:211–220CrossRef van den Berg TIJ, Elders LAM, de Zwart BCH, Burdorf A (2009) The effects of work-related and individual factors on the Work Ability Index: a systematic review. Occup Environ Med 66:211–220CrossRef
go back to reference van den Berg TI, Robroek SJ, Plat JF, Koopmanschap MA, Burdorf A (2011) The importance of job control for workers with decreased work ability to remain productive at work. Int Arch Occup Environ Health 84:705–712CrossRef van den Berg TI, Robroek SJ, Plat JF, Koopmanschap MA, Burdorf A (2011) The importance of job control for workers with decreased work ability to remain productive at work. Int Arch Occup Environ Health 84:705–712CrossRef
Metadata
Title
A one-item workability measure mediates work demands, individual resources and health in the prediction of sickness absence
Authors
Sannie Vester Thorsen
Hermann Burr
Finn Diderichsen
Jakob Bue Bjorner
Publication date
01-10-2013
Publisher
Springer Berlin Heidelberg
Published in
International Archives of Occupational and Environmental Health / Issue 7/2013
Print ISSN: 0340-0131
Electronic ISSN: 1432-1246
DOI
https://doi.org/10.1007/s00420-012-0807-z

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