Determinants of health-related productivity loss: Investigating the link between workaholic tendencies and presenteeism in the public sector

Authors

  • Karomah Devi Astriningrum Program of Public Health, Faculty of Health Sciences, Universitas Pembangunan Nasional “Veteran” Jakarta, Jakarta, Special Capital Region of Jakarta 12450, Indonesia

DOI:

https://doi.org/10.61511/ajteoh.v3i2.2026.2405

Keywords:

determinant, presenteeism, workaholic, health-related productivity

Abstract

Background: Presenteeism is the behavior of workers who are present to do their work when they experience health problems. Presenteeism behavior is quite worrying because it can harm the company and also worsen health. This research aims to determine the most dominant factors in the level of presenteeism at Institution X in 2023. Methods: The research used a cross-sectional study design and data was obtained directly by filling out a questionnaire (primary data). The research was conducted in November – December 2023 using a sample of 205 PPNPN employees at a Non-Ministerial Government Institution in Central Jakarta. Data analysis used the Chi-Square and Multiple Logistic Regression tests to achieve research objectives. Findings: Univariate analysis revealed that 59.5% of employees experienced high presenteeism, while 67.3% exhibited workaholic tendencies. After being controlled for job satisfaction, the analysis results show that workaholic ($P < 0.001$; POR = 3.703; 95% CI = 1.8–7.6) is the factor that dominates the level of presenteeism. Furthermore, the analysis confirmed that demographic characteristics (gender, age, education, and marital status) and job insecurity did not have a significant relationship with presenteeism levels ($P > 0.05$). Conclusion: The existence of presenteeism behavior can be a concern for institutions to create a good work environment so that the prevalence of presenteeism can decrease and employees maintain productivity without harming their health. Novelty/Originality of this article: This study identifies workaholism as the most dominant factor influencing presenteeism among non-ministerial government employees, highlighting the importance of addressing workplace culture in mitigating health-related productivity loss.

References

Agina, M. F., & Abuelnasr, A. E. (2021). Presenteeism of Restaurants Employees: Interaction Effects of Responsible Leadership, Organizational Commitment and Turnover Intentions. Journal of Association of Arab Universities (JAAUTH), 21(5), 131–155. https://jaauth.journals.ekb.eg/

Andreassen, C. S., Griffiths, M. D., Hetland, J., & Pallesen, S. (2012). Development of a Work Addiction Scale. Scandinavian Journal of Psychology, 53(3), 265–272. https://doi.org/10.1111/j.1467-9450.2012.00947.x

Andreassen, C. S., Hetland, J., & Pallesen, S. (2010). The Relationship Between “Workaholism”, Basic Needs Satisfaction at Work and Personality. European Journal of Personality, 24(1), 3–17. https://doi.org/10.1002/per.737

Aprilia, N. (2021). Presenteeism pada Guru Sekolah Dasar. Jurnal Ecopsy, 8(1), 52–65. https://doi.org/10.20527/ecopsy.2021.02.005

Aprilia, N., Maghfiroh, I. P., & Wahyuni, S. (2020). Presenteeism Among Elementary School Teacher: The Role of Principal Support. Jurnal Pendidikan Guru Sekolah Dasar, 9(3), 367–376. https://doi.org/10.33578/jpfkip.v9i1.7891

Aronsson, G., Gustafsson, K., & Dallner, M. (2000). Sick but yet at work. An empirical study of sickness presenteeism. J Epidemiol Community Health, 54, 502–509. https://doi.org/10.1136/jech.54.7.502

Ashford, S. J., Lee, C., & Bobko, P. (1989). Content, Causes, and Consequences of Job Insecurity: A Theory-Based Measure and Substantive Test. Academy of Management Journal, 32(4), 803–829. https://doi.org/10.2307/256569

Bakker, A. B., Demerouti, E., & Burke, R. (2009). Workaholism and Relationship Quality: A Spillover-Crossover Perspective. Journal of Occupational Health Psychology, 14(1), 23–33. https://doi.org/10.1037/a0013290

Bekker, M. H. J., Rutte, C. G., & Rijswijk, K. (2009). Sickness Absence: A Gender-Focused Review. Psychology, Health and Medicine, 14(4), 405–418. https://doi.org/10.1080/13548500903012830

Brahmasari, I. A., & Suprayetno, A. (2008). Pengaruh Motivasi Kerja, Kepemimpinan dan Budaya Organisasi Terhadap Kepuasan Kerja Karyawan serta Dampaknya pada Kinerja Perusahaan (Studi kasus pada PT. Pei Hai International Wiratama Indonesia). Jurnal Manajemen Dan Kewirausahaan, 10(2), 124–135. https://jurnalmanajemen.petra.ac.id/index.php/man/article/view/17039

Centre for Mental Health. (2017). Mental Health at Work: The Business Costs Ten Years on. Centre for Mental Health.

Chartered Institute of Personnel and Development. (2022). Survey Report Health and Wellbeing at Work 2022. Chartered Institute of Personnel and Development.

Cooper, C. L., & Lu, L. (2016). Presenteeism as a global phenomenon: Unraveling the psychosocial mechanisms from the perspective of social cognitive theory. Cross Cultural and Strategic Management, 23(2), 216–231. https://doi.org/10.1108/CCSM-09-2015-0106

Eugenea, P., Soetikno, N., & Roswiyani, R. (2021). The Childhood of Workaholic Managers and Professional Workers. Proceedings of the 1st Tarumanagara International Conference on Medicine and Health, 41. https://doi.org/https://doi.org/10.2991/ahsr.k.211130.028

EWCTS. (2021). European Working Conditions Telephone Survey 2021. Eurofound.

Garrow, V. (2016). Presenteeism: A review of current thinking. Institute for Employment Studies (IES) Report.

Girardi, D., Falco, A., Piccirelli, A., Dal Corso, L., Bortolato, S., & De Carlo, A. (2015). Perfectionism and Presenteeism Among Managers of A Service Organization: The Mediating Role of Workaholism. TPM - Testing, Psychometrics, Methodology in Applied Psychology, 22(4), 507–521. https://doi.org/10.4473/TPM22.4.5

Hackman, J. R., & Oldham, G. R. (1975). Development of the Job Diagnostic Survey. Journal of Applied Psychology, 60(2), 159–170. https://psycnet.apa.org/doi/10.1037/h0076546

Hemp, P. (2004). Presenteeism: At Work-But Out of It. Harvard Business Review, 82(10), 49–155. https://hbr.org/2004/10/presenteeism-at-work-but-out-of-it

Janssens, H., Clays, E., De Clercq, B., De Bacquer, D., Casini, A., Kittel, F., & Braeckman, L. (2016). Association between Psychosocial Characteristics of Work and Presenteeism: A cross-sectional study. International Journal of Occupational Medicine and Environmental Health, 29(2), 331–344. https://doi.org/10.13075/ijomeh.1896.00588

Johns, G. (2010). Presenteeism in the workplace: A review and research agenda. Journal of Organizational Behavior, 31(4), 519–542. https://doi.org/10.1002/job.630

Johns, G. (2011). Attendance Dynamics at Work: The Antecedents and Correlates of Presenteeism, Absenteeism, and Productivity Loss. Journal of Occupational Health Psychology, 16(4), 483–500. https://doi.org/10.1037/a0025153

Jung, S. W., Lee, J. H., & Lee, K. J. (2020). Assessing the Association Between Emotional Labor and Presenteeism Among Nurses in Korea: Cross-sectional Study Using the 4th Korean Working Conditions Survey. Safety and Health at Work, 11(1), 103–108. https://doi.org/10.1016/j.shaw.2019.12.002

Karanika-Murray, M., & Biron, C. (2020). The Health-Performance Framework of Presenteeism: Towards understanding an adaptive behaviour. Human Relations, 73(2), 242–261. https://doi.org/10.1177/0018726719827081

Karanika-Murray, M., Biron, C., Hervieux, V., Whysall, Z., & Chen, H. (2021). Managing Presenteeism to Optimize Health and Performance. In The SAGE Handbook of Organizational Wellbeing (pp. 232–247). SAGE Publications Ltd. https://doi.org/10.4135/9781529757187.n16

Koopman, C., Pelletier, K. R., Murray, J. F., Sharda, C. E., Berger, M. L., Turpin, R. S., Hackleman, P., Gibson, P., Holmes, D. M., & Bendel, T. (2002). Stanford Presenteeism Scale: Health status and Employee Productivity. Journal of Occupational and Environmental Medicine, 44(1), 14–20. https://doi.org/10.1097/00043764-200201000-00004

Kwon, M. J. (2020). Occupational Health Inequalities by Issues on Gender and Social Class in Labor Market: Absenteeism and Presenteeism Across 26 OECD Countries. Frontiers in Public Health, 8. https://doi.org/10.3389/fpubh.2020.00084

Linda, L., Adi, N. P., Werdhani, R. A., Soemarko, D. S., & Friska, D. (2023). Presenteeism among Healthcare Workers in Samarinda and Related Factors - Study Using Stanford Presenteeism Scale 6 (SPS-6) Questionnaire Modified in Indonesian. https://doi.org/10.21203/rs.3.rs-3081399/v1

Lingga, D. P. (2021). Analisis Faktor Motivasi dan Kepuasan Kerja Berdasarkan Metode JDS (Job Diagnostic Survey) dan MSQ (Minnesota Satisfaction Questionnaire). Universitas Medan Area.

Luksyte, A., Unsworth, K. L., Avery, D. R., Cordery, J. L., & Seah, J. (2022). Gender Differences in The Relationship between Presenteeism and Extra-Role Behaviors. Journal of Organizational Behavior, 1–16. https://doi.org/10.1002/job.2651

Magalhães, S., Barbosa, J., & Borges, E. (2022). Presenteeism in Non-Academic Staff in a Public University Context: Prevalence, Associated Factors, and Reasons to Work While Sick during the COVID-19 Pandemic. International Journal of Environmental Research and Public Health, 19(22). https://doi.org/10.3390/ijerph192214966

Maulana, S. (2012). Hubungan antara Job Insecurity dan Work Engagement pada Dosen Non-Pegawai Negeri Sipil (PNS) Universitas Indonesia. Universitas Indonesia.

Mazzetti, G., Vignoli, M., Schaufeli, W. B., & Guglielmi, D. (2019). Work addiction and presenteeism: The buffering role of managerial support. International Journal of Psychology, 54(2), 174–179. https://doi.org/10.1002/ijop.12449

Min, A., Kang, M., & Hong, H. C. (2021). Sickness Presenteeism in Shift and Non-Shift Nurses: Using the Fifth Korean Working Conditions Survey. International Journal of Environmental Research and Public Health, 18(6), 1–12. https://doi.org/10.3390/ijerph18063236

Nahar, A. (2018). Workplace Presenteeism. Global Journal of Enterprise Information System, 10(2), 74–80. https://doi.org/10.18311/gjeis/2018/23113

Ornek, O. K., & Kolac, N. (2020). Quality of Life in Employee with Workaholism. In Occupational Wellbeing. https://doi.org/10.5772/intechopen.95353

Pertiwi, P. K., & Mulyana, O. P. (2019). Perbedaan Komitmen Organisasi Ditinjau dari Jenis Kelamin dan Status Pernikahan pada Perawat Rumah Sakit “X” Gresik. Jurnal Penelitian Psikologi, 6(4). https://ejournal.unesa.ac.id/index.php/character/article/download/41288/35607/64047

Polishchuk, O., Koltunovych, T., Andrieieva, Y., Heisonyuk, N., & Oliinyk, M. (2022). Job Satisfaction and Professional Burnout of Preschool Teachers. Revista Romaneasca Pentru Educatie Multidimensionala, 14(4), 325–352. https://doi.org/10.18662/rrem/14.4/644

Pranitasari, D., & Khotimah, K. (2021). Analisis Disiplin Kerja Karyawan. Jurnal Akuntansi Dan Manajemen, 18(01). http://repository.stei.ac.id/4602/1/Analisis%20Disiplin%20Kerja%20Karyawan.pdf

Rawung, D. T. (2020). Bahan Ajar Metode Sampling. PUSDIKLAT BPS RI.

Rodríguez-Cifuentes, F., Fernández-Salinero, S., Moriano, J. A., & Topa, G. (2020). Presenteeism, Overcommitment, Workplace Bullying, and Job Satisfaction: A Moderated Mediation Relationship. International Journal of Environmental Research and Public Health, 17(22), 1–13. https://doi.org/10.3390/ijerph17228616

Santoso, S. (2003). Mengatasi Berbagai Masalah Statistik dengan SPSS Versi 11.5 (1st ed.). PT Elex Media Komputindo.

Seybold, K. C., & Salomone, P. R. (1994) Causes and Counseling Approaches. Journal of Counseling & Development, 73(1), 4–9. https://doi.org/10.1002/j.1556-6676.1994.tb01702.x

Shan, G., Wang, S., Wang, W., Guo, S., & Li, Y. (2021). Presenteeism in Nurses: Prevalence, Consequences, and Causes from the Perspectives of Nurses and Chief Nurses. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.584040

Siyoto, S., & Sodik, M. A. (2015). Dasar Metodologi Penelitian (Ayup, Ed.). Literasi Media Publishing.

Sukirman. (2011). Hubungan Kepuasan Kerja dengan Disiplin Kerja karyawan bagian Produksi PT Bintratex Semarang. Jurnal Sosial Dan Budaya, 4(1), 13–23. https://eprints.umk.ac.id/id/eprint/165

Susanto, A., Machasin, & Samsir. (2014). Pengaruh Kompensasi dan Kondisi Kerja terhadap Kepuasan Kerja Karyawan PT. Sentra Karya Cahaya Raya di Pekanbaru. JOM FEKON, 1(2). https://jom.unri.ac.id/index.php/JOMFEKON/article/view/5315

Sussman, S. (2012). Workaholism: A Review. Journal of Addiction Research & Therapy. https://doi.org/10.4172/2155-6105.s6-001

Taifor, N. A., Abdullah, H. S., & Hashim, R. (2011). Incidence and Antecedents of Presenteeism: The case of a Federal Government Ministryin Malaysia. IEEE Colloquium on Humanities, Science and Engineering Research.

Tanama, F. A. (2019). Uji Validitas dan Reliabilitas Kuesioner SPS-6 Sebagai Penilaian Komponen Kesehatan Presenteeismdi Indonesia. Universitas Indonesia.

Toolib, S. N., & Alwi, M. N. R. (2020). Job Satisfaction, Job Demand, Workaholism and Supervisor Support on Presenteeism: A Pilot Study using Structural Equation Modeling Approach. Global Business and Management Research: An International Journal, 12(4). https://www.gbmrjournal.com/pdf/v12n4/V12N4-71.pdf

Tuban, I. G. A. W. P., & Indrawati, K. R. (2017). Hubungan antara Ketidakamanan Kerja dan Etos Kerja pada Karyawan Alih Daya di Bali. Jurnal Psikologi Udayana, 4(1), 50–61. https://dx.doi.org/10.24843/jpu.2017.v04.i01.p06

Vänni, K. J., Neupane, S., Siukola, A. E., Karinen, H. M., Pursio, H. K., Uitti, J., & Nygård, C. H. (2018). The Presenteeism Scale as A Measure of Productivity Loss. Occupational Medicine, 68(8), 512–518. https://doi.org/10.1093/occmed/kqy124

Yunatan, R. O., Gaspersz, V., & Manafe, H. A. (2023). Pengaruh Pendidikan terhadap Kinerja Karyawan di Moderasi Keterlibatan Karyawan. Public Policy: Jurnal Aplikasi Kebijakan Publik Dan Bisnis, 4(1). https://stia-saidperintah.e-journal.id/ppj

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Published

2026-01-28

How to Cite

Astriningrum, K. D. (2026). Determinants of health-related productivity loss: Investigating the link between workaholic tendencies and presenteeism in the public sector. Asian Journal of Toxicology, Environmental, and Occupational Health, 3(2), 109–128. https://doi.org/10.61511/ajteoh.v3i2.2026.2405

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