eCite Digital Repository

Factors associated with presenteeism among employed Australian adults reporting lifetime major depression with 12-month symptoms


Cocker, F and Martin, A and Scott, J and Venn, A and Otahal, P and Sanderson, K, Factors associated with presenteeism among employed Australian adults reporting lifetime major depression with 12-month symptoms , Journal of Affective Disorders, 135, (1-3) pp. 231-240. ISSN 0165-0327 (2011) [Refereed Article]

Restricted - Request a copy

Copyright Statement

The definitive version is available at

Official URL:

DOI: doi:10.1016/j.jad.2011.07.028


Background: Employees experiencing depression can take a sickness absence or continueworking (‘presenteeism’). However, little is known about the factors associatedwith these behaviorswithin this population. This study aimed to determine the relative importance of socio-demographic, financial, work and health-related factors associated with presenteeism. Methods: The 2007 Australian National Survey ofMental Health and Wellbeing provided data from employed individuals reporting lifetime major depression with 12-month symptoms (N=320). Survey adjusted multivariable logistic regression assessed classification of 12-month, depressionrelated presenteeism on the basis of socio-demographic, financial, work and health factors. Results: Acceptable classification of cases was 70% or greater. Classification of cases based on sociodemographic factors, age, sex and marital status, was reasonable (62%). Adding work factors (work hours and occupation type) produced a 1% increase in successfully classified cases (63%). Health factors further increased correctly classified cases (67%).Marital status, housing tenure and co-morbid mental disorders were important indicators of presenteeism behavior. Limitations: Work-related variables were restricted to available measures. Potentially important psychosocial work environment factors were unavailable. Cross-sectional data precluded causal inference. Conclusions: Using available factors,model discrimination did not reach an acceptable level i.e. 70% of presenteeism cases successfully classified. This highlighted the contribution of unmeasured factors to presenteeism behavior. Future research should explore the relative importance of psychosocial work environment and personality factors such as work demands, effort/reward imbalance and conscientiousness. The identified associations between socio-demographic, financial and health factors on work attendance behaviors could inform disease management guidelines for employers via recognition of employees at risk of presenteeism.

Item Details

Item Type:Refereed Article
Keywords:Depression, Absenteeism, Presenteeism, Workplace, Employees, Working population
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Mental health services
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Mental health
UTAS Author:Cocker, F (Dr Fiona Cocker)
UTAS Author:Martin, A (Professor Angela Martin)
UTAS Author:Scott, J (Professor Jenn Scott)
UTAS Author:Venn, A (Professor Alison Venn)
UTAS Author:Otahal, P (Mr Petr Otahal)
UTAS Author:Sanderson, K (Associate Professor Kristy Sanderson)
ID Code:74025
Year Published:2011
Web of Science® Times Cited:30
Deposited By:Menzies Institute for Medical Research
Deposited On:2011-11-08
Last Modified:2017-11-06
Downloads:4 View Download Statistics

Repository Staff Only: item control page