Dataset Information

Leadership behaviours and health-related early exit from employment: a prospective cohort study of 55 364 employees.

ABSTRACT:

Background

Absence of certain leadership behaviours, such as lack of feedback, recognition and involvement in employee development, has been associated with long-term sickness absence. We tested the hypothesis that absence of eight specific behaviours predicts health-related early exit from employment, and investigated differential effects in subgroups to guide future preventive initiatives.

Methods

Using Cox-proportional hazard modelling, we examined the prospective association between absence of leadership behaviours and health-related early exit from employment in a sample of 55 364 employees during 4.3 years follow-up. Leadership behaviours were measured by employee ratings in national surveys from 2012 to 2016. Exit from employment included disability pension and related measures of health-related early exit, retrieved from a national registry.

Results

We identified 510 cases of health-related early exit from employment during follow-up. A high level of absence of leadership behaviours, was associated with an increased risk of exit from employment (hazard ratio: 1.57, 95% CI: 1.31; 1.89). Subgroup analyses showed that the association between absence of leadership behaviours and exit from employment was similar for women and men and across age groups. The association was stronger for employees with high level of education than for employees with medium/low education, and the association was not observed among employees with a prevalent depressive disorder.

Conclusions

Absence of the eight leadership behaviours is a risk factor for health-related early exit from employment in the Danish workforce. More studies are needed to confirm the results.

SUBMITTER: Sorensen K

PROVIDER: S-EPMC9527957 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

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Publications

Leadership behaviours and health-related early exit from employment: a prospective cohort study of 55 364 employees.

Sørensen Kathrine K Sørensen Jeppe Karl JK Andersen Lars L LL Eskildsen Bruun Julie J Conway Paul Maurice PM Framke Elisabeth E Madsen Ida E H IEH Nielsen Helena Breth HB Nordentoft Mads M Seeberg Karina G V KGV Rugulies Reiner R

European journal of public health 20221001 5

<h4>Background</h4>Absence of certain leadership behaviours, such as lack of feedback, recognition and involvement in employee development, has been associated with long-term sickness absence. We tested the hypothesis that absence of eight specific behaviours predicts health-related early exit from employment, and investigated differential effects in subgroups to guide future preventive initiatives.<h4>Methods</h4>Using Cox-proportional hazard modelling, we examined the prospective association b ...[more]

PMID: 36006031

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Project description:BackgroundEarly exit (drop-out) from drug treatment can mean that drug users do not derive the full benefits that treatment potentially offers. Additionally, it may mean that scarce treatment resources are used inefficiently. Understanding the factors that lead to early exit from treatment should enable services to operate more effectively and better reduce drug related harm. To date, few studies have focused on drop-out during the initial, engagement phase of treatment. This paper describes a mixed method study of early exit from English drug treatment services.MethodsQuantitative data (n = 2,624) was derived from three English drug action team areas; two metropolitan and one provincial. Hierarchical linear modelling (HLM) was used to investigate predictors of early-exit while controlling for differences between agencies. Qualitative interviews were conducted with 53 ex-clients and 16 members of staff from 10 agencies in these areas to explore their perspectives on early exit, its determinants and, how services could be improved.ResultsAlmost a quarter of the quantitative sample (24.5%) dropped out between assessment and 30 days in treatment. Predictors of early exit were: being younger; being homeless; and not being a current injector. Age and injection status were both consistently associated with exit between assessment and treatment entry. Those who were not in substitution treatment were significantly more likely to leave treatment at this stage. There were substantial variations between agencies, which point to the importance of system factors. Qualitative analysis identified several potential ways to improve services. Perceived problems included: opening hours; the service setting; under-utilisation of motivational enhancement techniques; lack of clarity about expectations; lengthy, repetitive assessment procedures; constrained treatment choices; low initial dosing of opioid substitution treatment; and the routine requirement of supervised consumption of methadone.ConclusionEarly exit diminishes the contribution that treatment may make to the reduction of drug related harm. This paper identifies characteristics of people most likely to drop out of treatment prematurely in English drug treatment services and highlights a range of possibilities for improving services.

Dataset Information

Leadership behaviours and health-related early exit from employment: a prospective cohort study of 55 364 employees.

Background

Methods

Results

Conclusions

Publications

Leadership behaviours and health-related early exit from employment: a prospective cohort study of 55 364 employees.

Similar Datasets

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