title: Access to health programs at the workplace and the reduction of work presenteeism: a population-based cross-sectional study.
abstract: OBJECTIVE
  To examine access to health programs at workplace as a determinant of presenteeism among adults.
  
  
  METHODS
  Data source was a subsample of the 2009-2010 Canadian Community Health Survey. The outcome was self-reported reduced activities at work (presenteeism). The explanatory variable was self-reported access to a health program at workplace. Logistic regression was used to measure the association between outcome and explanatory variables adjusting for potential confounders.
  
  
  RESULTS
  Adjusting for sex, age, education, income, work stress, and chronic conditions, presenteeism was not associated with having access to a health program at workplace (adjusted odds ratio, 1.23; 95% confidence interval, 0.91 to 1.65). The odds of presenteeism were higher in workers who reported high work stress and those with chronic medical conditions.
  
  
  CONCLUSIONS
  This study found that access to health programs at workplace is not significantly associated with a decline in presenteeism.
authors.affiliation: From the School of Population and Public Health (Dr Bustillos), University of British Columbia, Vancouver, British Columbia, Canada; and Occupational Medicine Postgraduate Program (Dr Trigoso), Faculty of Medicine, Cayetano Heredia University, Lima, Peru.
authors.forename: Arnaldo Sanchez
authors.initials: AS
authors.lastname: Bustillos
authors.forename: Oswaldo Ortiz
authors.initials: OO
authors.lastname: Trigoso
mesh_terms: D000328:Adult; D000368:Aged; D002170:Canada; D003430:Cross-Sectional Studies; D004522:Educational Status; D004526:Efficiency; D005260:Female; D006293:Health Promotion; D006297:Health Services Accessibility; D006306:Health Surveys; D006801:Humans; D007182:Income; D008297:Male; D008875:Middle Aged; D016272:Occupational Health; D057566:Self Report; D018582:Sick Leave; D013315:Stress, Psychological / Q000523:psychology; D014937:Work / Q000523:psychology*; D017132:Workplace / Q000523:psychology; D055815:Young Adult