Absence behaviour, turnover and disability: A study among city bus drivers in the Netherlands

Absenteeism, turnover and disability, and relationships between them have been studied among city bus drivers in the Netherlands. The theoretical framework for the study was a cumulative process model of work and health. Absenteeism among these drivers was two to three times as high as the national average, while the risk of disablement was more than twice as high as the risk for male Dutch civil servants in general. Bus drivers who had to leave their job for medical reasons did so at a younger age than other groups of civil servants. The main conditions leading to disablement related to the back, tendons and joints (35%), mental disorders (35%) and cardiovascular diseases (12%). It was shown that long-term absenteeism is a strong precursor of future disability. The research suggests a work-related process of progressive deterioration of health and well-being over a reasonably long period of time. Driving city buses seems to be an occupation with high risks for health and well-being.