Multilevel analysis of workplace and individual risk factors for long-term sickness absence

J Occup Environ Med. 2006 Sep;48(9):923-9. doi: 10.1097/01.jom.0000229783.04721.d2.


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.

Publication types

  • Multicenter Study

MeSH terms

  • Absenteeism*
  • Adult
  • Denmark / epidemiology
  • Female
  • Health Behavior
  • Humans
  • Logistic Models
  • Male
  • Occupational Diseases / epidemiology*
  • Prospective Studies
  • Registries
  • Risk Factors*
  • Social Support