ArticlePloS one2014
Job strain, health and sickness absence: results from the Hordaland Health Study.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Work-Related Psychosocial Risk and Protective Factors Influencing Workplace Sickness Absence: A Systematic Literature Review.Journal of occupational rehabilitation · 2026Pooled it
- Evaluation of a transdiagnostic psychodynamic online intervention to support return to work: A randomized controlled trial.PloS one · 2017Trial
- Annual risk of long-term sickness absence due to musculoskeletal disorders across the lifespan and the role of physical activity and insomnia symptoms: the HUNT Study.BMC public health · 2025Article
- Plasma Brain-Derived Neurotrophic Factor (BDNF) Levels and BDNF Promoters' DNA Methylation in Workers Exposed to Occupational Stress and Suffering from Psychiatric Disorders.Brain sciences · 2024Article
- Working conditions and mental health functioning among young public sector employees.Scandinavian journal of public health · 2023Article
- Poor psychosocial job conditions increase sickness absence: evidence from the PATH Through Life Mid-Aged Cohort.BMJ open · 2022Article
- The impact of post-traumatic stress on the mental state of university hospital physicians - a cross sectional study.BMC psychiatry · 2022Article
- The changing nature of work - Job strain, job support and sickness absence among care workers and in other occupations in Sweden 1991-2013.SSM - population health · 2021Article
- Measuring job stress in transportation workers: psychometric properties, convergent validity and reliability of the ERI and JCQ among professional drivers.BMC public health · 2021Article
- Approach for Assessing the Prevalence of Psychosocial Risks of Workers in the Greenhouse Construction Industry in South-Eastern Spain.International journal of environmental research and public health · 2021Article
- Rewards of Compassion: Dispositional Compassion Predicts Lower Job Strain and Effort-Reward Imbalance Over a 11-Year Follow-Up.Frontiers in psychology · 2021Article
- The influence of specific aspects of occupational stress on security guards' health and work ability: detailed extension of a previous study.Arhiv za higijenu rada i toksikologiju · 2020Article
- Sleep disturbance and work-related mental strain: A national prospective cohort study of the prediction of subsequent long-term sickness absence, disability pension and mortality.Scandinavian journal of public health · 2020Article
- Cross-Sectional Survey of Mental Health Risk Factors and Comparison of theInternational journal of environmental research and public health · 2019Article
- Plasma Brain-Derived Neurotrophic Factor (BDNF) and serum cortisol levels in a sample of workers exposed to occupational stress and suffering from Adjustment Disorders.Brain and behavior · 2019Article
- Quality of Life and Health among People Living in an Industrial Area of Poland.International journal of environmental research and public health · 2019Article
- The Role of Work-Related Factors in the Development of Psychological Distress and Associated Mental Disorders: Differential Views of Human Resource Managers, Occupational Physicians, Primary Care Physicians and Psychotherapists in Germany.International journal of environmental research and public health · 2018Article
- Retrospectively assessed psychosocial working conditions as predictors of prospectively assessed sickness absence and disability pension among older workers.BMC public health · 2018Article
- Sickness absence among municipal workers in a Brazilian municipality: a secondary data analysis.BMC research notes · 2017Article
- Association of Amplitude and Stability of Circadian Rhythm, Sleep Quality, and Occupational Stress with Sickness Absence among a Gas Company Employees-A Cross Sectional Study from Iran.Safety and health at work · 2017Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectivesWhile it is generally accepted that high job strain is associated with adverse occupational outcomes, the nature of this relationship and the causal pathways involved are not well elucidated. We aimed to assess the association between job strain and long-term sickness absence (LTSA), and investigate whether any associations could be explained by validated health measures.
methodsData from participants (n = 7346) of the Hordaland Health Study (HUSK), aged 40-47 at baseline, were analyzed using multivariate Cox regression to evaluate the association between job strain and LTSA over one year. Further analyses examined whether mental and physical health mediated any association between job strain and sickness absence.
resultsA positive association was found between job strain and risk of a LTSA episode, even controlling for confounding factors (HR = 1.64 (1.36-1.98); high job strain exposure accounted for a small proportion of LTSA episodes (population attributable risk 0.068). Further adjustments for physical health and mental health individually attenuated, but could not fully explain the association. In the fully adjusted model, the association between high job strain and LTSA remained significant (HR = 1.30 (1.07-1.59)).
conclusionHigh job strain increases the risk of LTSA. While our results suggest that one in 15 cases of LTSA could be avoided if high job strain were eliminated, we also provide evidence against simplistic causal models. The impact of job strain on future LTSA could not be fully explained by impaired health at baseline, which suggests that factors besides ill health are important in explaining the link between job strain and sickness absence.
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