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Muckenhuber, J; Burkert, N; Dorner, TE; Großschädl, F; Freidl, W.
The impact of the HDI on the association of psychosocial work demands with sickness absence and presenteeism.
Eur J Public Health. 2014; 24(5):856-861 Doi: 10.1093/eurpub/ckt132 [OPEN ACCESS]
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Leading authors Med Uni Graz
Muckenhuber Johanna
Co-authors Med Uni Graz
Burkert Nathalie
Dorner Thomas
Freidl Wolfgang
Großschädl Franziska

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The purpose of this study was to determine whether psychosocial work demands have a different impact on sickness absence and presenteeism in countries with a high vs. countries with a low Human Development Index (HDI). This article is based on an analysis of the fifth European Working Conditions Survey. We investigated single items as well as complex constructs and indices. Sickness absence and presenteeism were measured as outcome variables. Following the model of Karasek and Theorell, we measured the HDI at the macro level and psychosocial job demands at the micro level as independent variables. The multivariate multilevel analysis reveals a significant association between the HDI and the number of days recorded for sickness absence. In countries with a higher HDI, people report a lower number of days with sickness absence. Higher psychosocial job demands are associated with poorer health. There are significant cross-level interaction effects between psychosocial job demands and the HDI for these associations. Psychosocial job demands are stronger associated with sickness absence and presenteeism in high-HDI than in low-HDI countries. We argue that Public Health Actions that are connected to work characteristics need to take into consideration the level of HDI of the countries. In low- and high-HDI countries, different actions could be necessary to reach the needs of the working population. © The Author 2013. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.
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Absenteeism -
Adult -
Cross-Sectional Studies -
Educational Status -
Educational Status - epidemiology
Female -
Humans -
Income - statistics & numerical data
Job Satisfaction -
Life Expectancy -
Male -
Quality of Life - psychology
Questionnaires -
Risk Factors -
Sick Leave - statistics & numerical data
Socioeconomic Factors -
Stress, Psychological - epidemiology Stress, Psychological - psychology
Work - psychology Work - statistics & numerical data
Workload - psychology Workload - statistics & numerical data
Workplace - psychology Workplace - statistics & numerical data

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