Association of Contractual and Subjective Job Insecurity With Sickness Presenteeism Among Public Sector Employees

OBJECTIVE:: We examined the associations of contractual job insecurity (fixed-term vs permanent employment contract) and subjectively assessed job insecurity with sickness presenteeism among those who had no sickness absences during the study year. METHODS:: Survey data from a sample of 18,454 Public sector employees were gathered in 2004 (the Finnish Public Sector study). RESULTS:: Fixed-term employees were less likely to report working while ill (odds ratio = 0.88, 95% confidence interval = 0.77 to 0.99) than permanent employees. Subjective insecurity was associated with higher levels of working while ill, and this association was stronger among older employees. These results remained after adjustments for demographics, health-related variables, and optimism. CONCLUSIONS:: Our results suggest that subjective job insecurity might be even more important than contractual insecurity when a public sector employee makes the decision to go to work despite feeling ill.

Elovainio, Marko (author)
Pentti, Jaana (author)
Virtanen, Marianna (author)
Westerlund, HugoKarolinska Institutet,Stockholms universitet,Stressforskningsinstitutet(Swepub:su)hwest (author)
Virtanen, Pekka (author)
Oksanen, Tuula (author)
Kivimäki, Mika (author)
Vahtera, Jussi (author)
Stockholms universitetStressforskningsinstitutet (creator_code:org_t)

In:Journal of Occupational and Environmental Medicine52:8, s. 830-8351076-27521536-5948

By the author/editor: Heponiemi, Tarja; Elovainio, Marko; Pentti, Jaana; Virtanen, Marian ...; Westerlund, Hugo; Virtanen, Pekka; show more...; Oksanen, Tuula; Kivimäki, Mika; Vahtera, Jussi; show less...

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