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

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Article

Vahtera, Jussi ; Kivimäki, Mika ; Pentti, Jaana ; Virtanen, Marianna ; Ferrie, Jane E.

BMJ

2004

328

7439

1-5

enterprise restructuring ; mortality ; sick leave ; health status ; survey

Finland

Occupational risks

http://bmj.bmjjournals.com/

English

Bibliogr.

"The objective was to examine whether downsizing, the reduction of personnel in organisations, is a predictor of increased sickness absence and mortality among employees.
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.
Organisational downsizing may increase sickness absence and the risk of death from cardiovascular disease in employees who keep their jobs."

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