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Being a frontline worker in a health emergency: Healthcare workers’ absences and health during the COVID-19 pandemic

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  • Gjefsen, Hege
  • Grøsland, Mari
  • Grøtting, Maja W.
  • Reme, Bjørn-Atle

Abstract

This paper examines the impact of the COVID-19 pandemic on the health and absenteeism of healthcare workers. Our findings show an increase in sick leave due to non-COVID-19-related illness and mental health-related consultations in primary care. Additionally, we observe a rise in the use of prescription medications for mental health issues, though this result is less certain due to a shorter observation period. The adverse effects are particularly pronounced among lower-status occupational roles and in regions with higher infection rates. However, the moderate difference in effects across areas with varying levels of infection rates suggests that, beyond the direct impact of treating COVID-19 patients, stringent infection control measures may have contributed to the adverse effects. While these effects appear to be largely transitory, we estimate the cost of increased sick leave due to non-COVID-19-related illness among healthcare workers during the pandemic to be approximately 45 million EUR.

Suggested Citation

  • Gjefsen, Hege & Grøsland, Mari & Grøtting, Maja W. & Reme, Bjørn-Atle, 2025. "Being a frontline worker in a health emergency: Healthcare workers’ absences and health during the COVID-19 pandemic," Labour Economics, Elsevier, vol. 96(C).
  • Handle: RePEc:eee:labeco:v:96:y:2025:i:c:s092753712500051x
    DOI: 10.1016/j.labeco.2025.102727
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    1. repec:hal:journl:hal-04979479 is not listed on IDEAS
    2. Cygan-Rehm, Kamila & Wunder, Christoph, 2018. "Do working hours affect health? Evidence from statutory workweek regulations in Germany," Labour Economics, Elsevier, vol. 53(C), pages 162-171.
    3. Hoey, Sam & Peeters, Thomas & van Ours, Jan C., 2023. "The impact of absent co-workers on productivity in teams," Labour Economics, Elsevier, vol. 83(C).
    4. Johansson, Per & Palme, Marten, 1996. "Do economic incentives affect work absence? Empirical evidence using Swedish micro data," Journal of Public Economics, Elsevier, vol. 59(2), pages 195-218, February.
    5. Claire Oliveira & Makeila Saka & Lauren Bone & Rowena Jacobs, 2023. "The Role of Mental Health on Workplace Productivity: A Critical Review of the Literature," Applied Health Economics and Health Policy, Springer, vol. 21(2), pages 167-193, March.
    6. Hesselius, Patrik & Johansson, Per & Nilsson, Peter, 2009. "Sick of your colleagues' absence?," Working Paper Series 2009:2, IFAU - Institute for Evaluation of Labour Market and Education Policy.
    7. Bonin, Holger & Dohmen, Thomas & Falk, Armin & Huffman, David & Sunde, Uwe, 2007. "Cross-sectional earnings risk and occupational sorting: The role of risk attitudes," Labour Economics, Elsevier, vol. 14(6), pages 926-937, December.
    8. Fouarge, Didier & Kriechel, Ben & Dohmen, Thomas, 2014. "Occupational sorting of school graduates: The role of economic preferences," Journal of Economic Behavior & Organization, Elsevier, vol. 106(C), pages 335-351.
    9. Alberto Abadie, 2005. "Semiparametric Difference-in-Differences Estimators," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 72(1), pages 1-19.
    10. Caterina Schug & Franziska Geiser & Nina Hiebel & Petra Beschoner & Lucia Jerg-Bretzke & Christian Albus & Kerstin Weidner & Eva Morawa & Yesim Erim, 2022. "Sick Leave and Intention to Quit the Job among Nursing Staff in German Hospitals during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(4), pages 1-15, February.
    11. Raffaele Palladino & Michelangelo Mercogliano & Claudio Fiorilla & Alessandro Frangiosa & Sabrina Iodice & Stefano Sanduzzi Zamparelli & Emma Montella & Maria Triassi & Alessandro Sanduzzi Zamparelli, 2022. "Association between COVID-19 and Sick Leave for Healthcare Workers in a Large Academic Hospital in Southern Italy: An Observational Study," IJERPH, MDPI, vol. 19(15), pages 1-8, August.
    12. Nathalie Havet & Morgane Plantier, 2023. "The links between difficult working conditions and sickness absences in the case of French workers," LABOUR, CEIS, vol. 37(1), pages 160-195, March.
    13. Taehyun Ahn, 2016. "Reduction of Working Time: Does It Lead to a Healthy Lifestyle?," Health Economics, John Wiley & Sons, Ltd., vol. 25(8), pages 969-983, August.
    14. Moscelli, G.; & Sayli, M.; & Blanden, J.; & Mello, M.; & Castro-Pires, H.; & Bojke, C.;, 2023. "Non-monetary interventions, workforce retention and hospital quality: evidence from the English NHS," Health, Econometrics and Data Group (HEDG) Working Papers 23/13, HEDG, c/o Department of Economics, University of York.
    15. Knudsen, Hannah K. & Ducharme, Lori J. & Roman, Paul M., 2007. "Job stress and poor sleep quality: Data from an American sample of full-time workers," Social Science & Medicine, Elsevier, vol. 64(10), pages 1997-2007, May.
    16. Kamila Cygam-Rehm & Christoph Wunder, 2018. "Do Working Hours Affect Health? Evidence from Statutory Workweek Regulations in Germany," SOEPpapers on Multidisciplinary Panel Data Research 967, DIW Berlin, The German Socio-Economic Panel (SOEP).
    17. King, Gary & Nielsen, Richard, 2019. "Why Propensity Scores Should Not Be Used for Matching," Political Analysis, Cambridge University Press, vol. 27(4), pages 435-454, October.
    18. Sato, Kaori & Kuroda, Sachiko & Owan, Hideo, 2020. "Mental health effects of long work hours, night and weekend work, and short rest periods," Social Science & Medicine, Elsevier, vol. 246(C).
    19. Jacob Bastian, 2020. "The Rise of Working Mothers and the 1975 Earned Income Tax Credit," American Economic Journal: Economic Policy, American Economic Association, vol. 12(3), pages 44-75, August.
    20. Nathalie Havet & Morgane Plantier, 2023. "The links between difficult working conditions and sickness absences in the case of French workers," Post-Print hal-03964279, HAL.
    21. Kapo Wong & Alan H. S. Chan & S. C. Ngan, 2019. "The Effect of Long Working Hours and Overtime on Occupational Health: A Meta-Analysis of Evidence from 1998 to 2018," IJERPH, MDPI, vol. 16(12), pages 1-22, June.
    22. Mårten Palme & Mats Persson, 2020. "Sick Pay Insurance And Sickness Absence: Some European Cross‐Country Observations And A Review Of Previous Research," Journal of Economic Surveys, Wiley Blackwell, vol. 34(1), pages 85-108, February.
    23. Benhenda, Asma, 2022. "Absence, substitutability and productivity: Evidence from teachers," Labour Economics, Elsevier, vol. 76(C).
    24. Berniell, Inés & Bietenbeck, Jan, 2020. "The effect of working hours on health," Economics & Human Biology, Elsevier, vol. 39(C).
    25. Mundbjerg Eriksen, Tine L. & Hogh, Annie & Hansen, Åse Marie, 2016. "Long-term consequences of workplace bullying on sickness absence," Labour Economics, Elsevier, vol. 43(C), pages 129-150.
    26. Mariesa A. Herrmann & Jonah E. Rockoff, 2012. "Worker Absence and Productivity: Evidence from Teaching," Journal of Labor Economics, University of Chicago Press, vol. 30(4), pages 749-782.
    27. Martha J. Bailey & Andrew Goodman-Bacon, 2015. "The War on Poverty's Experiment in Public Medicine: Community Health Centers and the Mortality of Older Americans," American Economic Review, American Economic Association, vol. 105(3), pages 1067-1104, March.
    28. Lepinteur, Anthony, 2019. "The shorter workweek and worker wellbeing: Evidence from Portugal and France," Labour Economics, Elsevier, vol. 58(C), pages 204-220.
    29. Raegen T. MILLER & Richard J. MURNANE & John B. WILLETT, 2008. "Do worker absences affect productivity? The case of teachers," International Labour Review, International Labour Organization, vol. 147(1), pages 71-89, March.
    30. Bubonya, Melisa & Cobb-Clark, Deborah A. & Wooden, Mark, 2017. "Mental health and productivity at work: Does what you do matter?," Labour Economics, Elsevier, vol. 46(C), pages 150-165.
    31. Moscelli, Giuseppe & Sayli, Melisa & Blanden, Jo & Mello, Marco & Castro-Pires, Henrique & Bojke, Chris, 2023. "Non-monetary Interventions, Workforce Retention and Hospital Quality: Evidence from the English NHS," IZA Discussion Papers 16379, IZA Network @ LISER.
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