Presenteeism Among Health Care Personnel With COVID-19.
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Crosby James C, Santos Leon Eliezer, Chinnock Brian, Harland Karisa K, Krishnadasan Anusha, Mohr Nicholas M, Plumb Ian D, Briggs Hagen Melissa, Wallace Kelli, Talan David A, Project PREVENT Network, Zepeski Anne, Young Tracy, Smithline Howard A, Lee Lilly C, Lim Stephen C, Moran Gregory J, Steele Mark T, Beiser David G, Haran John P, Hou Peter C, Faine Brett, Nandi Utsav, Schrading Walter A, Chipman Anne, LoVecchio Frank, Powers Alysia, Uribe Lisandra, Pathmarajah Kavitha, Hashimoto Dean M, Namias Chloe, Kean Efrat, Krebs Elizabeth, Stubbs Amy, Roy Sara, Solis Lucia, Mulrow Mary, Graff Nathan, Tozloski Jillian M, Mower William, Caldera Jacqueline, Huber Michelle, Hampton Jacob, Lopes Abigail, Elkort Katherine, Eucker Stephanie A, Kingsbury Carla, Femling Jonathan, Bussmann Silas, Yee Jane, Stuppy Joseph, Rothman Richard E, Dashler Gaby, Curlin Marcel E, Wahedi Mastura, Kemble Laurie
Аннотация
OBJECTIVES: To determine the frequency of presenteeism among HCP with symptomatic COVID-19, and to evaluate the demographic, occupational, and clinical factors associated with it.
DESIGN, SETTING, AND PARTICIPANTS: This is an observational cohort study that uses data from the Preventing Emerging Infections Through Vaccine Effectiveness Testing (PREVENT) project: a test-negative, case-control vaccine effectiveness study that enrolled HCP who had COVID-19 symptoms at 24 academic medical centers from December 2020 through April 2024.
EXPOSURE: Exposures include demographic, occupational, and clinical characteristics of participants.
MAIN OUTCOMES AND MEASURES: Having confirmed symptomatic COVID-19 infection and reporting presenteeism; overall frequency of presenteeism through the study period and the association of the exposure characteristics with presenteeism, adjusting for confounders using 3 multivariable models. Presenteeism was defined as HCP who did not stop working during their illness, but the study did not differentiate whether they continued working remotely.
RESULTS: A total of 3721 HCP were included in the analysis (2842 [76.4%] aged 18-49 years; 2993 [80.4%] female; 278 [7.5%] Asian, 406 [10.9%] Black, and 2912 [78.3%] White). Overall, 293 (7.9%) reported presenteeism during the study period, and the frequency of presenteeism increased each year of the study period (from 1 of 73 [1.4%] in 2020 to 16 of 105 [15.2%] in 2024). Presenteeism was associated with HCP who have minimal patient contact (adjusted odds ratio [aOR], 3.73; 95% CI, 2.39-4.37), a graduate or professional degree (aOR, 1.90; 95% CI, 1.45-2.50), and income over $100 000 (aOR, 1.74; 95% CI, 1.12-2.69).
CONCLUSION AND RELEVANCE: In this observational cohort study of 3721 HCP, there was an increasing frequency of presenteeism from 2020 through 2024, and job role and socioeconomic factors were associated. More studies are needed to understand the rationale behind the decision to continue working and the exact causes of presenteeism's rising incidence among HCP with COVID-19.