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The association between employee lifestyles and the rates of mental health-related absenteeism and turnover in Japanese companies
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Atsuya Fujimoto, Hiroshi Kanegae, Kaori Kitaoka, Mizuki Ohashi, Kunio Okada, Koichi Node, Kenkichi Takase, Hiroshi Fukuda, Tomoyuki Miyazaki, Yuichiro Yano
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Epidemiol Health. 2024;46:e2024068. Published online August 2, 2024
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DOI: https://doi.org/10.4178/epih.e2024068
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 Abstract
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Abstract
We assessed the association of employee lifestyles (e.g., smoking, exercise, drinking, and sleep habits) with mental health-related absenteeism and turnover rates utilizing data from the annual Health and Productivity Management survey by Japan’s Ministry of Economy, Trade and Industry. This analysis included data from 1,748 companies, encompassing 4,199,021 employees. The average proportions of mental health-related absenteeism and employee turnover rates were 1.1±1.0% and 5.0±5.0%, respectively. In multivariable regression models that incorporated all lifestyle factors and confounders, a 1 percentage point increase in the proportion of employees who slept well was associated with reductions in their turnover rate (mean, -0.020%; 95% confidence interval [CI], -0.038 to -0.002) and in mental health-related absenteeism (mean, -0.005%; 95% CI, -0.009 to 0.001). A similar increase in the proportion of employees engaging in regular physical activity corresponded with a 0.005% decrease in the prevalence of mental health-related absenteeism (95% CI, -0.010 to -0.001). A 1 percentage point increase in the proportion of employees who smoked was associated with a 0.013% reduction in mental health-related absenteeism (95% CI, -0.017 to -0.008). Nonetheless, the current study’s observational and cross-sectional design restricted the ability to establish causality between employee lifestyle factors and mental health issues.
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Summary
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The associations of the national health and productivity management program with corporate profits in Japan
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Yuichiro Yano, Hiroshi Kanegae, Koichi Node, Atsushi Mizuno, Akira Nishiyama, Hiromi Rakugi, Hiroshi Itoh, Kaori Kitaoka, Naoki Kashihara, Fumiaki Ikeno, Ichiro Tsuji, Kunio Okada
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Epidemiol Health. 2022;44:e2022080. Published online September 23, 2022
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DOI: https://doi.org/10.4178/epih.e2022080
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Abstract
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Abstract
OBJECTIVES
Using a dataset from a survey on national health and productivity management, we identified health and productivity factors associated with organizational profitability.
METHODS The Ministry of Economy, Trade and Industry conducted an annual survey on Health and Productivity Management between 2014 and 2021. We assessed the associations of organizational health and productivity management using survey questions collected in 2017 and 2018, with the rate of change in profits from 2017 and 2018 to 2020. We identified factors associated with organizational profitability using eXtreme Gradient Boosting, and calculated SHapley Additive exPlanation (SHAP) values for each factor.
RESULTS Among 1,593 companies (n= 4,359,834 employees), the mean age of employees at baseline was 40.3 years and the
proportion of women was 25.8%. A confusion matrix for evaluating model performance had an accuracy of 0.997, precision of 0.993, recall of 0.997, and area under the precision-recall curve of 0.999. The most important factors related to an increase in corporate profits were the percentage of current smokers (SHAP value, 0.121), per-employee cost of health services (0.084) and medical services (0.050); the percentage of full-time employees working in sales departments (0.074) and distribution or customer service departments (0.054); the percentage of employees who slept well (0.055); and the percentage of employees within a company who regularly exercised (0.043).
CONCLUSIONS Employees’ lifestyle-related health risk factors and organizations’ management systems were associated with organizational profitability. Lifestyle medicine professionals may demonstrate a significant return on investment by creating a healthier and more productive workforce.
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Summary
Key Message
Lifestyle medicine professionals may demonstrate a significant return on investment by creating a healthier and more productive workforce
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Citations
Citations to this article as recorded by  - Incorporating Lifestyle Medicine Into Occupational Medicine Practice
Pamela A. Hymel, Gregg M. Stave, Wayne N. Burton, Alyssa B. Schultz, Nathan Jones, Jeffrey Liva, Richard D. Price, Ron Loeppke, Ronald Stout, Kenji Saito
Journal of Occupational & Environmental Medicine.2025; 67(1): e72. CrossRef - Effect of perceived workplace health support on absenteeism and presenteeism among Japanese workers: a prospective cohort study
Kazushirou Kurogi, Kazunori Ikegami, Hajime Ando, Akira Ogami
Journal of Occupational Health.2025;[Epub] CrossRef - The association between employee lifestyles and the rates of mental health-related absenteeism and turnover in Japanese companies
Atsuya Fujimoto, Hiroshi Kanegae, Kaori Kitaoka, Mizuki Ohashi, Kunio Okada, Koichi Node, Kenkichi Takase, Hiroshi Fukuda, Tomoyuki Miyazaki, Yuichiro Yano
Epidemiology and Health.2024; 46: e2024068. CrossRef - Role and Value of the Corporate Medical Director
Gregg M. Stave, Wayne N. Burton, Richard J.L. Heron, T. Warner Hudson, J. Brent Pawlecki, David Roomes, Martin J. Sepulveda, Michael Rendel, Pamela A. Hymel
Journal of Occupational & Environmental Medicine.2023; 65(12): e797. CrossRef
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