Daily presenteeism fluctuates substantially among Japanese workers while converging with retrospective WHO-HPQ scores.

IF 2.8 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Occupational Health Pub Date : 2026-01-06 DOI:10.1093/joccuh/uiag041

Shohei Dobashi, Shuko Hotoge, Yujia Huo, Ayako Kikuchi, Hisashi Yoshimoto

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引用次数: 0

Abstract

Objectives: Presenteeism is commonly assessed using retrospective instruments such as the World Health Organization Health and Work Performance Questionnaire (WHO-HPQ); however, how daily presenteeism assessed using experience sampling relates to these standard measures remains unclear. This study quantified within-person variability in daily presenteeism assessed using experience sampling methods (ESMs) among Japanese workers, while also examining its convergence with retrospective WHO-HPQ presenteeism.

Methods: This observational study enrolled 94 white-collar employees; 93 were included in the final analysis after exclusion of 1 participant because of missing data. Participants completed daily work performance assessments on 19 weekdays using a mobile-based ESM approach. Aggregated daily presenteeism scores were compared with retrospective WHO-HPQ presenteeism scores assessed over the preceding 4 weeks. Convergence was evaluated using Spearman rank correlation coefficient, and agreement was examined using Bland-Altman analysis. Within-person variability was quantified using the coefficient of variation (CV) and intraclass correlation coefficient (ICC).

Results: Mean daily absolute presenteeism scores were strongly correlated with retrospective WHO-HPQ presenteeism scores (Spearman rs = 0.783, P < .001). Bland-Altman analysis showed minimal systematic differences on average, despite substantial individual-level variability. Daily presenteeism exhibited substantial variability, with a CV of 42.2% (95% CI, 36.7-47.6) and an ICC of 0.431.

Conclusions: Daily presenteeism converged with retrospective WHO-HPQ presenteeism while capturing substantial within-person variability that is not fully reflected in retrospective assessments. These findings support interpreting presenteeism as a dynamically fluctuating state and highlight the importance of selecting measures with appropriate temporal resolution.

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日本工人的每日出勤率大幅波动，但与世卫组织- hpq回顾性评分趋同。

目的：通常使用回顾性工具评估出勤情况，如世界卫生组织健康和工作绩效问卷（WHO-HPQ）；然而，如何使用经验抽样评估日常出勤与这些标准措施的关系尚不清楚。本研究使用经验抽样方法（ESM）对日本工人的日常出勤率进行了量化，同时还检查了其与世卫组织- hpq回顾性出勤率的趋同性。方法：采用观察性研究招募了94名白领员工；因资料缺失而排除1名受试者后，93例纳入最终分析。参与者使用基于移动设备的ESM方法在19个工作日完成了日常工作绩效评估。将汇总的每日出勤得分与前四周评估的回顾性WHO-HPQ出勤得分进行比较。使用Spearman等级相关系数评估收敛性，使用Bland-Altman分析检查一致性。使用变异系数（CV）和类内相关系数（ICC）量化人内变异性。结果：平均每日绝对出勤得分与回顾性WHO-HPQ出勤得分密切相关（Spearman’s rs = .783, P < .001）。Bland-Altman分析显示，尽管存在大量的个体水平差异，但平均而言，系统差异很小。每日出勤表现出很大的可变性，CV为42.2%(95%可信区间：36.7-47.6)，ICC为0.431。结论：每日出勤与回顾性WHO-HPQ出勤趋同，同时捕获了回顾性评估中未充分反映的大量个人内部变异性。这些发现支持将出勤解释为一种动态波动状态，并强调了选择具有适当时间分辨率的测量方法的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Occupational Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

3.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The scope of the journal is broad, covering toxicology, ergonomics, psychosocial factors and other relevant health issues of workers, with special emphasis on the current developments in occupational health. The JOH also accepts various methodologies that are relevant to investigation of occupational health risk factors and exposures, such as large-scale epidemiological studies, human studies employing biological techniques and fundamental experiments on animals, and also welcomes submissions concerning occupational health practices and related issues.