Multilevel analysis of workplace and individual risk factors for long-term sickness absence |
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Authors: | Labriola Merete Christensen Karl B Lund Thomas Nielsen Martin Lindhardt Diderichsen Finn |
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Affiliation: | National Institute of Occupational Health, Copenhagen, Denmark. mla@ami.dk |
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Abstract: | OBJECTIVE: The objective of this study was to examine if psychosocial and physical work-environment factors predict long-term sickness absence (>8 weeks) at both the individual and the workplace level. MATERIAL AND METHODS: Data were collected in a prospective study in 52 Danish workplaces. Psychosocial factors were aggregated as workplace means. We used multilevel logistic regression models with psychosocial factors as predictors of long-term sickness absence over 5 years based on data from a national absence register. RESULTS: Long-term sickness absence was predicted by physical work-environment factors at the individual level and psychosocial work environment factors at the workplace level. Interaction between the individual physical and workplace-level psychosocial risk factors was found. CONCLUSION: Workplace-based absence reduction interventions can be enhanced by concurrently addressing the individual and the workplace level. |
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