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Yang, Tianan; Zhu, Mingjing; Xie, Xiyao (2016): The determinants of presenteeism: a comprehensive investigation of stress-related factors at work, health, and individual factors among the aging workforce. In: Journal of Occupational Health, Vol. 58, No. 1: pp. 25-35
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Objectives: The aim of this study was to identify the determinants of presenteeism, taking health and individual factors into account. Methods: A quantitative analysis applying structural equation modelling analysis was conducted on the basis of secondary data from the Health and Retirement Survey (2008 wave), which measured presenteeism and its determinants. Results: Stress related factors at work (beta=-0.35, p<0.001), individual factors (beta=-0.27, p<0.001), and health (beta=0.24, p<0.001) were significantly related to presenteeism. Individual factors were found to be directly correlated with stress-related factors at work (beta=0.22, p<0.001). Significant indirect effects between stress-related factors at work and presenteeism (Sobel z=-6.61;p<0.001) and between individual factors and presentee ism (Sobel z=-4.42;p<0.001), which were mediated by health, were also found. Overall, the final model accounted for 37% (R-2=0.37) of the variance in presenteeism. Conclusions: Our study indicates some important and practical guidelines for employers to avoid the burdens of stress-related presenteeism among their employees. These findings could help select target factors in the design and implementation of effective presenteeism interventions in the aging working population.