ArticleJournal of occupational health2026
Decreasing prevalence in sickness presenteeism before, during, and after the COVID-19 pandemic: evidence from repeated Korean national surveys.
Article in Journal of occupational health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesThis study aimed to investigate the association between the coronavirus disease 2019 (COVID-19) pandemic and sickness presenteeism by directly comparing data collected before, during, and after the pandemic.
methodsWe analyzed data from the fifth (conducted before the pandemic: July 2017 to November 2017), sixth (conducted during the pandemic: October 2020 to April 2021), and seventh (conducted after the pandemic: July 2023 to November 2023) Korean Working Conditions Surveys, comprising 114 140 workers. The primary outcome was self-reported sickness presenteeism, defined as attending work despite illness over the past 12 months. Logistic regression models were used to estimate the association between the COVID-19 period and sickness presenteeism after adjusting for demographic characteristics.
resultsThe prevalence of sickness presenteeism significantly decreased from 20.9% (before the pandemic) to 17.2% (during the pandemic), and it further decreased to 6.9% (after the pandemic). After adjusting for demographic and workplace characteristics, the odds of sickness presenteeism were significantly lower during the pandemic (odds ratio [OR] 0.84; 95% CI, 0.80-0.87) than before. Furthermore, the odds further decreased after the pandemic (OR 0.35; 95% CI, 0.33-0.37) relative to during the pandemic.
conclusionsSickness presenteeism decreased across the COVID-19 pandemic periods in South Korea. This decrease was observed in relation to the implementation of government-mandated sick leave policies for infectious disease control, suggesting an association between policy enforcement and decreasing sickness presenteeism.
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