Leadership quality and risk of long-term sickness absence among 53,157 employees of the Danish workforce

Jeppe Karl Sørensen; Elisabeth Framke; Thomas Clausen; Anne Helene Garde; Nina Føns Johnsen; Jesper Kristiansen; Ida E H Madsen; Mads Nordentoft; Reiner Rugulies

doi:10.1097/JOM.0000000000001879

Leadership quality and risk of long-term sickness absence among 53,157 employees of the Danish workforce

Jeppe Karl Sørensen, Elisabeth Framke, Thomas Clausen, Anne Helene Garde, Nina Føns Johnsen, Jesper Kristiansen, Ida E H Madsen, Mads Nordentoft, Reiner Rugulies

Research output: Contribution to journal › Journal article › Research › peer-review

Abstract

OBJECTIVE: To examine whether low leadership quality predicts long-term sickness absence (LTSA) in Denmark.

METHODS: Using Cox models, we estimated the association between exposure to low leadership quality and onset of register based LTSA (≥6 weeks) during 12-months follow-up among 53,157 employees without previous LTSA.

RESULTS: During 51,155 person-years, we identified 2,270 cases of LTSA. Low leadership quality predicted LTSA with a dose-response pattern after adjustment for confounders. The hazard ratio (HR) of LTSA in the lowest compared to the highest quartile of leadership quality was 1.61 (95% CI: 1.43-1.82). Further, change from high to low leadership quality over time predicted risk of LTSA (HR = 1.42, 95% CI: 1.02-1.97) compared to persistent high leadership quality.

CONCLUSIONS: Exposure to low leadership quality is a risk factor of LTSA in the Danish workforce.

Original language	English
Journal	Journal of Occupational and Environmental Medicine
Volume	62
Issue number	8
Pages (from-to)	557-565
ISSN	1076-2752
DOIs	https://doi.org/10.1097/JOM.0000000000001879
Publication status	Published - 22 Apr 2020

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10.1097/JOM.0000000000001879

Psychosocial work environment, diabetes, sickness absence and disability pension in the Danish workforce (PSA-DISPO)
Rugulies, R. (Project Manager), Nordentoft, M. (Project Participant), Madsen, I. E. H. (Project Participant), Framke, E. (Project Participant), Sørensen, J. K. B. (Project Participant) & Dalsager, L. (Project Participant)
01/10/2016 → 31/12/2021
Project: Research

Cite this

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title = "Leadership quality and risk of long-term sickness absence among 53,157 employees of the Danish workforce",

abstract = "OBJECTIVE: To examine whether low leadership quality predicts long-term sickness absence (LTSA) in Denmark.METHODS: Using Cox models, we estimated the association between exposure to low leadership quality and onset of register based LTSA (≥6 weeks) during 12-months follow-up among 53,157 employees without previous LTSA.RESULTS: During 51,155 person-years, we identified 2,270 cases of LTSA. Low leadership quality predicted LTSA with a dose-response pattern after adjustment for confounders. The hazard ratio (HR) of LTSA in the lowest compared to the highest quartile of leadership quality was 1.61 (95% CI: 1.43-1.82). Further, change from high to low leadership quality over time predicted risk of LTSA (HR = 1.42, 95% CI: 1.02-1.97) compared to persistent high leadership quality.CONCLUSIONS: Exposure to low leadership quality is a risk factor of LTSA in the Danish workforce.",

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doi = "10.1097/JOM.0000000000001879",

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T1 - Leadership quality and risk of long-term sickness absence among 53,157 employees of the Danish workforce

AU - Sørensen, Jeppe Karl

AU - Framke, Elisabeth

AU - Clausen, Thomas

AU - Garde, Anne Helene

AU - Johnsen, Nina Føns

AU - Kristiansen, Jesper

AU - Madsen, Ida E H

AU - Nordentoft, Mads

AU - Rugulies, Reiner

PY - 2020/4/22

Y1 - 2020/4/22

N2 - OBJECTIVE: To examine whether low leadership quality predicts long-term sickness absence (LTSA) in Denmark.METHODS: Using Cox models, we estimated the association between exposure to low leadership quality and onset of register based LTSA (≥6 weeks) during 12-months follow-up among 53,157 employees without previous LTSA.RESULTS: During 51,155 person-years, we identified 2,270 cases of LTSA. Low leadership quality predicted LTSA with a dose-response pattern after adjustment for confounders. The hazard ratio (HR) of LTSA in the lowest compared to the highest quartile of leadership quality was 1.61 (95% CI: 1.43-1.82). Further, change from high to low leadership quality over time predicted risk of LTSA (HR = 1.42, 95% CI: 1.02-1.97) compared to persistent high leadership quality.CONCLUSIONS: Exposure to low leadership quality is a risk factor of LTSA in the Danish workforce.

AB - OBJECTIVE: To examine whether low leadership quality predicts long-term sickness absence (LTSA) in Denmark.METHODS: Using Cox models, we estimated the association between exposure to low leadership quality and onset of register based LTSA (≥6 weeks) during 12-months follow-up among 53,157 employees without previous LTSA.RESULTS: During 51,155 person-years, we identified 2,270 cases of LTSA. Low leadership quality predicted LTSA with a dose-response pattern after adjustment for confounders. The hazard ratio (HR) of LTSA in the lowest compared to the highest quartile of leadership quality was 1.61 (95% CI: 1.43-1.82). Further, change from high to low leadership quality over time predicted risk of LTSA (HR = 1.42, 95% CI: 1.02-1.97) compared to persistent high leadership quality.CONCLUSIONS: Exposure to low leadership quality is a risk factor of LTSA in the Danish workforce.

KW - Sygefravær

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DO - 10.1097/JOM.0000000000001879

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SN - 1076-2752

VL - 62

SP - 557

EP - 565

JO - Journal of Occupational and Environmental Medicine

JF - Journal of Occupational and Environmental Medicine

IS - 8

ER -

Leadership quality and risk of long-term sickness absence among 53,157 employees of the Danish workforce

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Psychosocial work environment, diabetes, sickness absence and disability pension in the Danish workforce (PSA-DISPO)

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