ArticleInternational journal of environmental research and public health2020
Interaction Effects of Physical and Psychosocial Working Conditions on Risk for Sickness Absence: A Prospective Study of Nurses and Care Assistants in Sweden.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- A Systematic Review and Evaluation of the Tools Measuring Work-Related Psychosocial Factors in Prospective Research on Sickness Absence of Health Care Workers.Journal of occupational rehabilitation · 2026Pooled it
- Shift work and medically certified sickness absence due to common mental disorders among nursing staff: a prospective cohort study.European journal of public health · 2026Article
- The role of job satisfaction on the association between perceived person-centred care and stress of conscience: a moderated mediation analysis of cross-sectional data from primary care professionals.BMC primary care · 2026Article
- Sick leave due to musculoskeletal disorders: A prospective cohort study.International journal of nursing studies advances · 2025Article
- Nurse staffing configurations and sickness absence in English intensive care units: A longitudinal observational study.International journal of nursing studies advances · 2025Article
- Occupational stress and social support among nurses.Frontiers in public health · 2025Article
- Mediating effect of working conditions on the association between education and early labour market exit: a cohort study of Swedish men.Occupational and environmental medicine · 2024Article
- Comprehensive evaluation of the impact of workplace exposures on physician-certified sick leave in the general working population.BMC public health · 2024Article
- Correlations between well-being of nurses and psychosocial working conditions - a descriptive cross-sectional study.Frontiers in public health · 2024Article
- Combined exposure to heavy physical workload and low job control and the risk of disability pension: A cohort study of employed men and women in Sweden.International archives of occupational and environmental health · 2023Article
- Profiles of women who have suffered occupational accidents in cleaning: perceived health, psychosocial risks, and personality variables.International archives of occupational and environmental health · 2023Article
- Working conditions and mental health functioning among young public sector employees.Scandinavian journal of public health · 2023Article
- Acceptance of care technologies to support activities of daily living by middle-aged and older adults in Japan: A cross-sectional study.International journal of nursing studies advances · 2021Article
- 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
- Diagnosis-Specific Work Disability before and after Lumbar Spine Decompression Surgery-A Register Study from Sweden.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Employees in health and social care are often simultaneously exposed to both physical and psychosocial challenges that may increase their risk for sickness absence. The study examines interaction effects of physical and psychosocial work conditions on the future risk for sickness absence among nurses and care assistants in Sweden. The study was based on 14,372 participants in any of the Swedish Work Environment Surveys conducted during the years 1993-2013 with linked register information on background factors and compensated sickness absence. Adjusted hazard ratio (HR), stratified by occupation, and measures of additive interaction effects were estimated. The combinations of high psychosocial job demands and heavy physical work and strenuous postures, respectively, significantly increased the risks for sickness absence among nurses (HR 1.43; CI 1.09-1.88 and HR 1.42; CI 1.16-1.74, respectively), as well as among care assistants (HR 1.51; CI 1.36-1.67 and HR 1.49; CI 1.36-1.63, respectively). The combinations of low job control and both heavy physical work (HR 1.44; CI 1.30-1.60) and strenuous postures (HR 1.42; CI 1.30-1.56) were also associated with excess risk for sickness absence among care assistants. We also found interaction effects among care assistants but not among nurses. The results indicate that the high sickness absence rate among care workers in Sweden can be reduced if the simultaneous exposures of high psychosocial and high physical challenges are avoided. Management policies for reduced time pressure, improved lifting aids, and measures to avoid awkward work postures are recommended. For care assistants, increased influence over work arrangements is likely to lower their sickness absence risk.
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Registered trials
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