ArticleScandinavian journal of work, environment & health2022
Chronic disorders, work-unit leadership quality and long-term sickness absence among 33 025 public hospital employees.
Article in Scandinavian journal of work, environment & health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 13 citations in OpenAlex.
- Cluster Analysis Reveals Subgroups with Different Risk Profiles and Sickness Absence Patterns in an Occupational Health Cohort.Journal of occupational rehabilitation · 2026Article
- Machine learning prediction of long-term sickness absence due to mental disorders using Brief Job Stress Questionnaire data.Scientific reports · 2025Article
- Impact of workplace factors on long-term sickness absence: A retrospective observational study comparing mental and physical illnesses.PCN reports : psychiatry and clinical neurosciences · 2025Article
- Impact of the COVID-19 pandemic on long-term sickness absences due to mental disorders in public servants: a retrospective observational study.BMC public health · 2025Observational
- Impact of decentralized management on sickness absence in hospitals: a two-wave cohort study of frontline managers in Danish hospital wards.BMC health services research · 2024Article
- Experiences of occupational nurses regarding non-adherent mineworkers with chronic illnesses.Health SA = SA Gesondheid · 2024Article
- Social and health care top managers' perceptions and aims of strategic work ability management in the midst of change.Work (Reading, Mass.) · 2024Article
- Ward-level leadership quality and prospective low-back pain of eldercare workers: do resident handlings mediate the association?International archives of occupational and environmental health · 2023Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to examine the association between work-unit level leadership quality and individual-level long-term sickness absence (LTSA) in the hospital sector and effect modification by chronic disorders.
methodsThis longitudinal analysis included 33 025 Danish public hospital employees who were followed-up for one year after baseline in March 2014. Leadership quality was assessed by questionnaire with mean responses aggregated by work-unit and characterized in tertiles. LTSA during follow-up was determined from employer records. Chronic disorders at baseline was assessed from the Danish hospital and prescription registers. We performed multilevel logistic regression to estimate odds ratios (OR) and 95% confidence intervals (CI) adjusting for potential confounders. We evaluated interaction between chronic illness and low leadership quality on multiplicative and additive scales.
resultsWe identified employees as healthy (60.8%) or with somatic (31.6%), mental (3.3%), or both somatic and mental (4.3%) disorders. During follow-up, 6% of employees registered a LTSA. Medium and high leadership quality were associated with lower risk of LTSA with OR of 0.84 (95% CI 0.76-0.94) and 0.73 (95% CI 0.65-0.82) respectively, compared to low leadership quality. Associations were similar for healthy employees and employees with only somatic disorders, whereas no association was observed for employees with mental disorders (in presence or absence of somatic disorders). No statistically significant (α=0.05) interactions between leadership quality and chronic disorders on LTSA were observed.
conclusionThe findings suggest that the quality of leadership in work units is associated with risk of long-term sick leave in the Danish public hospital sector and that strong leadership protects employees against LTSA.
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