Adjustment latitude and attendance requirements as determinants of sickness absence or attendance. Empirical tests of the illness flexibility model
Abstract
This study investigates whether the two dimensions of illness flexibility at work, adjustment latitude and attendance requirements are associated to sickness absence and sickness attendance. Adjustment latitude describes the opportunities people have to reduce or in other ways change their work-effort when ill. Such opportunities can be to choose among work tasks or work at a slower pace. Attendance requirements describe negative consequences of being away from work that can affect either the subject, work mates or a third party. In a cross-sectional design data based on self-reports from a questionnaire from 4924 inhabitants in the county of Stockholm were analysed. The results showed that low adjustment latitude, as predicted, increased women's sickness absence. However, it did not show any relation to men's sickness absence and men's and women's sickness attendance. Attendance requirements were strongly associated to both men's and women's sickness absence and sickness attendance in the predicted way. Those more often required to attend were less likely to be absent and more likely to attend work at illness. As this is the first study of how illness flexibility at work affects behaviour at illness, it was concluded that more studies are needed.
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The themes of motivation Work as income and Work as responsibility have also been described in the Illness Flexibility Model by Johansson and Lundberg.
“The themes of motivation”
From Staying at work with chronic nonspecific musculoskeletal pain: a qualitative study of workers' experiences (2011) · cites this paper as [42]
Sick leave has been linked to motivation, stress and coping, the balance between work demands and capacity, adaptation, or a combination of these.
“Sick leave has been linked to motivation [26,27,29,42,50,51], to stress and coping [25,52], to the balance between work demands and capacity [28,31], to adaptation [30], or to a combination of these [32].”
From Staying at work with chronic nonspecific musculoskeletal pain: a qualitative study of workers' experiences (2011) · cites this paper as [42]
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Sigursteinsdóttir, H., & Rafnsdóttir, G. L. (2015) · Social Science & Medicine · doi:10.1016/j.socscimed.2015.03.023 · Cited by 30 · see citing works
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RetractedKrohne, K., & Magnussen, L. H. (2011) · BMC Research Notes · doi:10.1186/1756-0500-4-70 · Cited by 26 · see citing works
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Pioneers and laggards – Is the effect of gender equality on health dependent on context?
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- Authors
- Johansson, G., & Lundberg, I.
- Affiliations
- Karolinska Institutet (SE)
- Corresponding author
- Johansson, Gun
- ORCID
- Johansson, Gun
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 2004-05
- Volume
- 58
- Issue
- 10
- Pages
- 1857-1868
- ISSN
- 0277-9536 (ISSN-L)
- OpenAlex
- W2034870567
- Cited by
- 255
- References
- 19
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 11 · 2023: 7 · 2022: 12 · 2021: 7 · 2020: 10 · 2019: 11 · 2018: 11 · 2017: 15 · 2016: 9 · 2015: 25 · 2014: 14 · 2013: 23 · 2012: 13
- FWCI
- 9.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- Forskningsrådet för Arbetsliv och Socialvetenskap
- Topics
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Social Sciences › Demography › Retirement, Disability, and Employment
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
- Keywords
- sick leave, attendance requirements, gender differences
- MeSH terms
- Absenteeism, Adult, Aged, Aged, 80 and over, Decision Making, Employment, Female, Humans, Male, Middle Aged, Psychology, Industrial, Surveys and Questionnaires, Risk Factors, Sweden, Logistic Models, Occupational Health, Workplace, Sex Distribution, Sick Leave
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