Send to

Choose Destination
See comment in PubMed Commons below
J Occup Environ Med. 2017 May;59(5):480-485. doi: 10.1097/JOM.0000000000000981.

Effect of Chronic Diseases on Work Productivity: A Propensity Score Analysis.

Author information

Department of Chronic Diseases Epidemiology, Yale School of Public Health, New Haven, Connecticut (Drs Fouad and Shebl); and Community Medicine Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt (Drs Fouad, Waheed, Gamal, Amer, Abdellah).



The aim of this study was to evaluate the effect of chronic disease(s) on work productivity.


Using the Health & Work Performance Questionnaire, information was collected from 516 workers on chronic disease status and work productivity. Propensity-score matching was performed to identify matched-pairs of workers.


In the propensity-score matched sample, workers with chronic diseases were more likely to have increased absenteeism and presenteeism rates, 6.34 and 2.36 times the rates if no chronic diseases, respectively. In addition, they had greater odds for getting negative critical work incidents and less odds for positive incidents than none or balanced status. Multimorbidity showed more significant increase in absenteeism and presenteeism rates, as well as increased odds for excess negative critical work incidents.


Chronic disease(s) can significantly reduce work productivity by increasing absenteeism, presenteeism, and net negative critical incidents.

PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Wolters Kluwer
    Loading ...
    Support Center