Saf Health Work.  2022 Jun;13(2):201-206. 10.1016/j.shaw.2022.01.006.

Burnout and Long-term Sickness Absence From the Teaching Function: A Cohort Study

Affiliations
  • 1Department of Nursing, Instituto Federal Do Paraná, Londrina, Brazil
  • 2Health and Social Research Centre, Universidad de Castilla-La Mancha, Cuenca, Spain
  • 3Department of Public Health, Universidade Federal Do Mato Grosso, Cuiabá, Brazil
  • 4Department of Public Health, Universidade Estadual de Londrina, Londrina, Brazil

Abstract

Background
The present objective was to verify whether burnout (emotional exhaustion [EE], depersonalization [DP] and low professional efficacy [PE]) is a risk factor for long-term sickness absence (LTSA; ≥30 consecutive days) from the teaching role.
Methods
This was a prospective cohort study with two years of follow-up that investigated 509 elementary and high-school teachers. Burnout was identified by Maslach Burnout Inventory. Poisson regression with robust variance was used to adjust for possible confounders.
Results
The incidence of LTSA was 9.4%. High EE levels were associated with LTSA in the crude analysis, but the association lost statistical significance after adjustments (for sex, age, perception of work-life balance, general self-rated health, chronic pain and depression). High DP levels were associated with this outcome, even after all adjustments (relative risk = 1.80; 95% confidence interval: 1.05–3.09). Low PE levels were not related to LTSA.
Conclusion
The results reinforce the need to improve teachers' work conditions to reduce burnout, particularly DP, and its consequences.

Keyword

Absenteeism; Burnout; Longitudinal studies; Occupational health
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