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J Occup Environ Med. 2018 Sep;60(9):781-786. doi: 10.1097/JOM.0000000000001363.

Work Absenteeism and Presenteeism Loss in Patients With Non-Cardiac Chest Pain.

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School of Psychology, Faculty of Social Sciences, University Laval, Quebec City, Quebec, Canada (Mr Félin-Germain, Dr Denis, Dr Foldes-Busque); Research Center of the University Affiliated Hospital Hôtel-Dieu de Lévis, Chaudière-Appalaches Integrated Center for Health and Social Services, Levis, Quebec, Canada (Mr Félin-Germain, Dr Denis, Mr Turcotte, Dr Fleet, Dr Archambault, Dr Foldes-Busque); Department of Family Medicine and Emergency Medicine, Faculty of Medicine (Dr Fleet, Dr Archambault), Laval University; Research Center of the Québec University Hospital (CHU), St-Sacrement Hospital, Quebec City, Quebec, Canada (Dr Dionne).



To assess work absenteeism and presenteeism, and to identify biopsychosocial predictors of these outcomes in workers with non-cardiac chest pain (NCCP).


This retrospective cohort study included 375 active workers consulting in an emergency room for NCCP.


About 66% (247/375) of participants reported work absenteeism in the 3 months preceding the consultation, while 36% (134/375) reported presenteeism during the same period. A family income >$29,999, and reporting at least a mild impact of chest pain on family functioning, social functioning, or physical activities, were associated with work absenteeism. Presenteeism was associated with younger age, symptoms of depression, and heart-focused anxiety.


Work absenteeism and presenteeism are highly prevalent among patients with NCCP. Family income and impacts of NCCP on functioning, are associated with increased occupational burden in these patients.

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