Association of contractual and subjective job insecurity with sickness presenteeism among public sector employees

J Occup Environ Med. 2010 Aug;52(8):830-5. doi: 10.1097/JOM.0b013e3181ec7e23.


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.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Absenteeism
  • Adolescent
  • Adult
  • Aged
  • Attitude*
  • Cross-Sectional Studies
  • Employment*
  • Faculty
  • Female
  • Finland
  • Humans
  • Male
  • Middle Aged
  • Nurses
  • Occupational Health
  • Personnel Management / statistics & numerical data*
  • Public Sector / statistics & numerical data*
  • Young Adult