UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Organisational downsizing, sickness absence, and mortality: 10-town prospective cohort study

Vahtera, J; Kivimaki, M; Pentti, J; Linna, A; Virtanen, M; Virtanen, P; Ferrie, JE; (2004) Organisational downsizing, sickness absence, and mortality: 10-town prospective cohort study. BRIT MED J , 328 (7439) 555 - 558. 10.1136/bmj.37972.496262.0D. Green open access

[img]
Preview
PDF
5273.pdf

Download (257kB)

Abstract

Objective To examine whether downsizing, the reduction of personnel in organisations, is a predictor of increased sickness absence and mortality among employees.Design Prospective cohort study over 7.5 years of employees grouped into categories on the basis of reductions of personnel in their occupation and workplace: no downsizing (< 8% reduction), minor downsizing (8-18%), and major downsizing (> 18%).Setting Four towns in Finland.Participants 5909 male and 16 521 female municipal employees, aged 19-62 years, who kept their jobs.Main outcome measures Annual sickness absence rate based on employers' records before and after downsizing by employment contract; all cause and cause specific mortality obtained from the national mortality register.Results Major downsizing was associated with an increase in sickness absence (P for trend < 0.001) in permanent employees but not in temporary employees. The extent of downsizing was also associated with cardiovascular deaths (P for trend < 0.01) but not with deaths from other causes. Cardiovascular mortality was 2.0 (95% confidence interval 1.0 to 3.9) times higher after major downsizing than after no downsizing. Splitting the follow up period into two halves showed a 5.1 (1.4 to 19.3) times increase in cardiovascular mortality for major downsizing during the first four years after downsizing. The corresponding hazard ratio was 1.4 (0.6 to 3.1) during the second half of follow up.Conclusion Organisational downsizing may increase sickness absence and the risk of death from cardiovascular disease in employees who keep their jobs.

Type: Article
Title: Organisational downsizing, sickness absence, and mortality: 10-town prospective cohort study
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/bmj.37972.496262.0D
Keywords: CORONARY-HEART-DISEASE, WHITEHALL-II, HEALTH, WORK, EMPLOYEES, EMPLOYMENT, STRESS, RISK, MEN
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery.ucl.ac.uk/id/eprint/5273
Downloads since deposit
462Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item