Mohd Emeran, Nurul Ain
(2015)
The association between chronic disease and work productivity among public health staff in Kota Bharu district.
Masters thesis, Universiti Sains Malaysia.
Abstract
Work productivity of public health staff is as much as crucial as other production
labor force to ensure the empowerment of healthy nation, healthy human capitals
thus contribute to high economic growth of our country since they are involved in
promotion of healthy lifestyle, control and prevention of communicable and noncommunicable
diseases. The objective of this study was to determine the proportion
of chronic diseases and its association with work productivity among public health
staff in Kota Bharu District. This is a cross sectional study done among 363 public
health staffs using pro forma checklist which consist of socio-demographic data,
status of chronic diseases, annual and medical leaves data and measuring
presenteeism level using Stanford Presenteeism Scale questionnaire. The study
showed the prevalence of dyslipidemia was 19.3%, hypertension 16.0%, asthma
12.7%, diabetes mellitus 11.6% and arthritis 5.0%. About 70% of staffs reported to
have low work productivity for the past one year. There were 89% of staffs reported
with high presenteeism, 62.5% absenteeism, and 1.4% with high sickness absence.
Multiple logistic regression analysis showed that dyslipidemia (AOR 11.86, 95% CI:
2.76, 50.50; p = 0.001), hypertension (AOR 3.43, 95% CI: 1.13, 10.35; p = 0.029)
and diabetes mellitus (AOR 5.40, 95% CI: 1.54, 18.99; p = 0.009) were significantly
associated with low work productivity. However, there was no significant association
was found between asthma, arthritis and other chronic diseases with low work
productivity. This study demonstrated that chronic diseases can contribute to low
work productivity affecting the quality of public health program.
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