Productivity loss due to menstruation-related symptoms: a nationwide cross-sectional survey among 32 748 women

Objective To evaluate age-dependent productivity loss caused by menstruation-related symptoms, measured in absenteeism (time away from work or school) and presenteeism (productivity loss while present at work or school).Methods Design/setting: internet-based, cross-sectional survey conducted in the...

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Main Authors: Mark E Schoep, Eddy M M Adang, Jacques W M Maas, Bianca De Bie, Johanna W M Aarts, Theodoor E Nieboer
Format: Article
Language:English
Published: BMJ Publishing Group 2019-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/9/6/e026186.full
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author Mark E Schoep
Eddy M M Adang
Jacques W M Maas
Bianca De Bie
Johanna W M Aarts
Theodoor E Nieboer
author_facet Mark E Schoep
Eddy M M Adang
Jacques W M Maas
Bianca De Bie
Johanna W M Aarts
Theodoor E Nieboer
author_sort Mark E Schoep
collection DOAJ
description Objective To evaluate age-dependent productivity loss caused by menstruation-related symptoms, measured in absenteeism (time away from work or school) and presenteeism (productivity loss while present at work or school).Methods Design/setting: internet-based, cross-sectional survey conducted in the Netherlands from July to October 2017.Participants: 32 748 women aged 15–45 years, recruited through social media.Outcome measures: self-reported lost productivity in days, divided into absenteeism and presenteeism; impact of menstrual symptoms; reasons women give when calling in sick; and women’s preferences regarding the implications of menstruation-related symptoms for schools and workplaces.Results A total of 13.8% (n=4514) of all women reported absenteeism during their menstrual periods with 3.4% (n=1108) reporting absenteeism every or almost every menstrual cycle. The mean absenteeism related to a woman’s period was 1.3 days per year. A total of 80.7% (n=26 438) of the respondents reported presenteeism and decreased productivity a mean of 23.2 days per year. An average productivity loss of 33% resulted in a mean of 8.9 days of total lost productivity per year due to presenteeism. Women under 21 years were more likely to report absenteeism due to menstruation-related symptoms (OR 3.3, 95% CI 3.1 to 3.6). When women called in sick due to their periods, only 20.1% (n=908) told their employer or school that their absence was due to menstrual complaints. Notably, 67.7% (n=22 154) of the participants wished they had greater flexibility in their tasks and working hours at work or school during their periods.Conclusions Menstruation-related symptoms cause a great deal of lost productivity, and presenteeism is a bigger contributor to this than absenteeism. There is an urgent need for more focus on the impact of these symptoms, especially in women aged under 21 years, for discussions of treatment options with women of all ages and, ideally, more flexibility for women who work or go to school.
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spelling doaj-art-13007bc75afb41b4be531914583ecdf62025-02-07T09:35:08ZengBMJ Publishing GroupBMJ Open2044-60552019-06-019610.1136/bmjopen-2018-026186Productivity loss due to menstruation-related symptoms: a nationwide cross-sectional survey among 32 748 womenMark E Schoep0Eddy M M Adang1Jacques W M Maas2Bianca De Bie3Johanna W M Aarts4Theodoor E Nieboer5Department of Obstetrics and Gynaecology, Radboudumc, Nijmegen, The NetherlandsDepartment for Health Evidence, Radboudumc Radboud Institute for Health Sciences, Nijmegen, The NetherlandsObstetrics & Gynaecology, Maxima Medical Centre locatie Veldhoven, Veldhoven, The NetherlandsDutch Patient Endometriosis Foundation, Numansdorp, The NetherlandsAmsterdam UMC Locatie De Boelelaan, Amsterdam, The NetherlandsDepartment of Obstetrics and Gynaecology, Radboudumc, Nijmegen, The NetherlandsObjective To evaluate age-dependent productivity loss caused by menstruation-related symptoms, measured in absenteeism (time away from work or school) and presenteeism (productivity loss while present at work or school).Methods Design/setting: internet-based, cross-sectional survey conducted in the Netherlands from July to October 2017.Participants: 32 748 women aged 15–45 years, recruited through social media.Outcome measures: self-reported lost productivity in days, divided into absenteeism and presenteeism; impact of menstrual symptoms; reasons women give when calling in sick; and women’s preferences regarding the implications of menstruation-related symptoms for schools and workplaces.Results A total of 13.8% (n=4514) of all women reported absenteeism during their menstrual periods with 3.4% (n=1108) reporting absenteeism every or almost every menstrual cycle. The mean absenteeism related to a woman’s period was 1.3 days per year. A total of 80.7% (n=26 438) of the respondents reported presenteeism and decreased productivity a mean of 23.2 days per year. An average productivity loss of 33% resulted in a mean of 8.9 days of total lost productivity per year due to presenteeism. Women under 21 years were more likely to report absenteeism due to menstruation-related symptoms (OR 3.3, 95% CI 3.1 to 3.6). When women called in sick due to their periods, only 20.1% (n=908) told their employer or school that their absence was due to menstrual complaints. Notably, 67.7% (n=22 154) of the participants wished they had greater flexibility in their tasks and working hours at work or school during their periods.Conclusions Menstruation-related symptoms cause a great deal of lost productivity, and presenteeism is a bigger contributor to this than absenteeism. There is an urgent need for more focus on the impact of these symptoms, especially in women aged under 21 years, for discussions of treatment options with women of all ages and, ideally, more flexibility for women who work or go to school.https://bmjopen.bmj.com/content/9/6/e026186.full
spellingShingle Mark E Schoep
Eddy M M Adang
Jacques W M Maas
Bianca De Bie
Johanna W M Aarts
Theodoor E Nieboer
Productivity loss due to menstruation-related symptoms: a nationwide cross-sectional survey among 32 748 women
BMJ Open
title Productivity loss due to menstruation-related symptoms: a nationwide cross-sectional survey among 32 748 women
title_full Productivity loss due to menstruation-related symptoms: a nationwide cross-sectional survey among 32 748 women
title_fullStr Productivity loss due to menstruation-related symptoms: a nationwide cross-sectional survey among 32 748 women
title_full_unstemmed Productivity loss due to menstruation-related symptoms: a nationwide cross-sectional survey among 32 748 women
title_short Productivity loss due to menstruation-related symptoms: a nationwide cross-sectional survey among 32 748 women
title_sort productivity loss due to menstruation related symptoms a nationwide cross sectional survey among 32 748 women
url https://bmjopen.bmj.com/content/9/6/e026186.full
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