Insomnia and absenteeism at work. Who pays the cost?

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Titre du document / Document title

Insomnia and absenteeism at work. Who pays the cost?

Auteur(s) / Author(s)

GODET-CAYRE Virginie^{(1 2)} ; PELLETIER-FLEURY Nathalie⁽¹⁾ ; LE VAILLANT Marc⁽¹⁾ ; DINET Jérome⁽²⁾ ; MASSUEL Marie-Anne⁽²⁾ ; LEGER Damien⁽³⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾INSERM U 537, Centre for Health Economics and Administration Research, Le Kremlin-Bicêtre, FRANCE
⁽²⁾Sanofi -Aventis France, Paris, FRANCE
⁽³⁾Hôtel-Dieu Hospital, Paris, FRANCE

Résumé / Abstract

Study Objective: To estimate the costs of insomnia-associated work absenteeism and to analyze how these costs are shared between the different payers: the national health insurance system, employers, and employees. Design: Retrospective cohort study over a 2-year period. Setting: The Paris Ile de France region. Patients: Two matched groups of employees: 369 insomniacs and 369 good sleepers. Measurements: The costs of absenteeism at work associated with insomnia were estimated by comparing the 2 matched groups in terms of the number and duration of work absences. We considered that work absences incurred costs relating to salary replacement and loss of productivity: these were given a monetary value on the basis of the added value per hour worked. Results: The percentage of employees with at least 1 work absence are 50% and 34% for insomniacs and good sleepers, respectively. The work absenteeism (expressed in days, per employee, per year ± confidence intervals [Cl]) differed significantly between insomniacs and good sleepers: 5.8 (± 1.1) and 2.4 (± 0.5), respectively (p <.001). The extra cost (± Cl) to the national health insurance system of insomnia-associated absenteeism was estimated at? 77 (±? 39) per employee, per year. The extra cost (± Cl) to employers was estimated at? 233 (±? 101) for salary replacement and? 1062 (±? 386) for loss of productivity. Finally, employees themselves bore a cost (± Cl) of? 100 (±? 54). Conclusions: Employees who suffered from insomnia had a significantly higher rate of absenteeism at work than those who slept well. This absence represents a cost for society: in France, 88% of this amount is shouldered by employers.

Revue / Journal Title

Sleep ISSN 0161-8105 CODEN SLEED6

Source / Source

2006, vol. 29, n^o2, pp. 179-184 [6 page(s) (article)] (33 ref.)

Langue / Language

Anglais

Editeur / Publisher

American Academy of Sleep Medicine, Rochester, MN, ETATS-UNIS (1978) (Revue)

Localisation / Location

INIST-CNRS, Cote INIST : 18084, 35400013321485.0080

Nº notice refdoc (ud4) : 17474366