Abstract
The aim of the study is to evaluate the possible association between health and wellness initiative (HWI) participation and illness related absenteeism (IRA) and turnover overtime. The IRA (2016-2019) and turnover (2016-2020) analysis consisted of a time-series design. The IRA analysis used a comparison group with propensity score matching based on select demographics and linear mixed-effects regression modeling. Logistic regression was used to measure the relationship between 2016 participation in the HWI on 2017-2020 turnover. The percent increase when comparing 2016 and 2019 IRA is lower for participants (15.8%) than nonparticipants (50.0%, P > 0.001). The results also show that participating in the HWI in 2016 is associated with lower odds of subsequent turnover (odds ratio = 0.90). Employers may consider implementing a comprehensive health and wellness program as part of their strategy to assist in lower IRA increases and turnover overtime.
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