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

Resume

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.

Reference

Sørensen JK, Framke E, Clausen T, Garde AH, Johnsen NF, Kristiansen J, Madsen IEH, Nordentoft M, Rugulies R. Leadership quality and risk of long-term sickness absence among 53,157 employees of the Danish workforce. Journal of Occupational and Environmental Medicine 2020;62(8):557-565.
doi: 10.1097/JOM.0000000000001879

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