Work Absenteeism and Presenteeism Loss in Patients With Non-Cardiac Chest Pain

J Occup Environ Med. 2018 Sep;60(9):781-786. doi: 10.1097/JOM.0000000000001363.


Objective: To assess work absenteeism and presenteeism, and to identify biopsychosocial predictors of these outcomes in workers with non-cardiac chest pain (NCCP).

Methods: This retrospective cohort study included 375 active workers consulting in an emergency room for NCCP.

Results: About 66% (247/375) of participants reported work absenteeism in the 3 months preceding the consultation, while 36% (134/375) reported presenteeism during the same period. A family income >$29,999, and reporting at least a mild impact of chest pain on family functioning, social functioning, or physical activities, were associated with work absenteeism. Presenteeism was associated with younger age, symptoms of depression, and heart-focused anxiety.

Conclusions: Work absenteeism and presenteeism are highly prevalent among patients with NCCP. Family income and impacts of NCCP on functioning, are associated with increased occupational burden in these patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Absenteeism*
  • Adult
  • Age Factors
  • Anxiety / etiology
  • Chest Pain / psychology*
  • Depression / psychology
  • Exercise
  • Family Relations
  • Female
  • Humans
  • Income
  • Male
  • Middle Aged
  • Presenteeism / statistics & numerical data*
  • Retrospective Studies
  • Social Participation

Grant support