Health, absence, disability, and presenteeism cost estimates of certain physical and mental health conditions affecting U.S. employers

J Occup Environ Med. 2004 Apr;46(4):398-412. doi: 10.1097/01.jom.0000121151.40413.bd.

Abstract

Evidence about the total cost of health, absence, short-term disability, and productivity losses was synthesized for 10 health conditions. Cost estimates from a large medical/absence database were combined with findings from several published productivity surveys. Ranges of condition prevalence and associated absenteeism and presenteeism (on-the-job-productivity) losses were used to estimate condition-related costs. Based on average impairment and prevalence estimates, the overall economic burden of illness was highest for hypertension ($392 per eligible employee per year), heart disease ($368), depression and other mental illnesses ($348), and arthritis ($327). Presenteeism costs were higher than medical costs in most cases, and represented 18% to 60% of all costs for the 10 conditions. Caution is advised when interpreting any particular source of data, and the need for standardization in future research is noted.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Absenteeism
  • Adult
  • Cost of Illness*
  • Data Collection / methods
  • Efficiency, Organizational*
  • Employment / economics*
  • Epidemiology*
  • Humans
  • Middle Aged
  • Models, Econometric
  • Prevalence
  • United States / epidemiology