title: Association of contractual and subjective job insecurity with sickness presenteeism among public sector employees.
abstract: OBJECTIVE
  We examined the associations of contractual job insecurity (fixed-term vs permanent employment contract) and subjectively assessed job insecurity with sickness presenteeism among those who had no sickness absences during the study year.
  
  
  METHODS
  Survey data from a sample of 18,454 Public sector employees were gathered in 2004 (the Finnish Public Sector study).
  
  
  RESULTS
  Fixed-term employees were less likely to report working while ill (odds ratio = 0.88, 95% confidence interval = 0.77 to 0.99) than permanent employees. Subjective insecurity was associated with higher levels of working while ill, and this association was stronger among older employees. These results remained after adjustments for demographics, health-related variables, and optimism.
  
  
  CONCLUSIONS
  Our results suggest that subjective job insecurity might be even more important than contractual insecurity when a public sector employee makes the decision to go to work despite feeling ill.
authors.affiliation: Service System Research Unit, National Institute for Health and Welfare, Helsinki, Finland. tarja.heponiemi@thl.fi
authors.forename: Tarja
authors.initials: T
authors.lastname: Heponiemi
authors.forename: Marko
authors.initials: M
authors.lastname: Elovainio
authors.forename: Jaana
authors.initials: J
authors.lastname: Pentti
authors.forename: Marianna
authors.initials: M
authors.lastname: Virtanen
authors.forename: Hugo
authors.initials: H
authors.lastname: Westerlund
authors.forename: Pekka
authors.initials: P
authors.lastname: Virtanen
authors.forename: Tuula
authors.initials: T
authors.lastname: Oksanen
authors.forename: Mika
authors.initials: M
authors.lastname: Kivimäki
authors.forename: Jussi
authors.initials: J
authors.lastname: Vahtera
mesh_terms: D000041:Absenteeism; D000293:Adolescent; D000328:Adult; D000368:Aged; D001290:Attitude; D003430:Cross-Sectional Studies; D004651:Employment; D005178:Faculty; D005260:Female; D005387:Finland; D006801:Humans; D008297:Male; D008875:Middle Aged; D009726:Nurses; D016272:Occupational Health; D010559:Personnel Management / Q000706:statistics & numerical data*; D017150:Public Sector / Q000706:statistics & numerical data*; D055815:Young Adult