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  • Title: Association of contractual and subjective job insecurity with sickness presenteeism among public sector employees.
    Author: Heponiemi T, Elovainio M, Pentti J, Virtanen M, Westerlund H, Virtanen P, Oksanen T, Kivimäki M, Vahtera J.
    Journal: J Occup Environ Med; 2010 Aug; 52(8):830-5. PubMed ID: 20657303.
    Abstract:
    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.
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