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Purpose The purpose of this paper is to investigate the relationship of stressful life events and health related events with sickness absenteeism and presenteeism (attending work while ill or injured). Design/methodology/approach A web‐based survey was conducted within a public service organization which had just undergone a significant downsizing, where the workforce was reduced by over 30 per cent. Findings The findings indicated that stressful life events were significantly associated with both presenteeism and absenteeism, to the same degree. Research limitations/implications These results extend previous research in suggesting that employees are substituting presenteeism for absenteeism. However, different health risks (chronic conditions vs needing counselling support) were more likely to predict absenteeism than presenteeism. Originality/value By supporting a substitution hypothesis, the present study suggests that both presenteeism and absenteeism are important measures of employee health and organizational productivity.
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MacGregor et al. (2008) studied this question.
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