Abstract

Piece rate and performance based wage systems are common in the construction industry. Construction workers are known to have an increased risk of pain and musculoskeletal disorders (MSD). In this cross-sectional questionnaire study, we examined the association between wage system and (1) physical exertion, (2) time pressure, (3) pain, and (4) fatigue. The participants comprised 456 male Danish construction workers working on one of three different wage systems: group based performance wage, individually based performance wage, and time based wage system. The statistical analyses indicated differences between the wage systems in relation to physical exertion (ηp = 0.05) and time pressure (ηp = 0.03) but not to pain or fatigue. Workers on group based performance wage scored higher (i.e., worse) than workers on individual performance based wage and workers with an hourly/monthly wage. In conclusion, group performance based wage was associated with higher levels of physical exertion and time pressure. Accordingly, group performance based wage can be viewed as a factor that has the potential to complicate prevention of MSD among construction workers. Since performance based wage systems are common in many countries across the world, more attention should be paid to the health effects of these types of payment.

Highlights

  • Construction work in Denmark is usually performed by “gangs” of workers within a single profession

  • Construction workers are known to have an increased risk of pain and musculoskeletal disorders (MSD). In this cross-sectional questionnaire study, we examined the association between wage system and (1) physical exertion, (2) time pressure, (3) pain, and (4) fatigue

  • Group performance based wage was associated with higher levels of physical exertion and time pressure

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Summary

Introduction

Construction work in Denmark is usually performed by “gangs” of workers within a single profession (e.g., bricklayers, carpenters, and concrete workers). One way to compensate workers within the construction sector is performance based wage This type of compensation differs from time based/fixed-schedule compensation (e.g., a weekly or monthly wage) in that performance based compensation is dependent on the number of produced units (or some other form of predefined and repetitive work cycle). As such performance based wages may sometimes be called “piece rate wages” and be dependent on individual or group performance. In a more recent study, performance based wages were associated with higher levels of personal and work-related burnout compared with workers receiving wages according to a fixed time based schedule [3]. In a study among Danish slaughterhouse workers, Kristensen documented both higher levels of experienced work strain and higher levels of sickness absence among workers on piece rate wages [4]

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