Psychosocial Work Factors, Well-Being, and Health Pathways to Sickness Absence: An Integrated GLM–SEM Approach

Sick leave is a key indicator of labour market performance and public health, reflecting employee well-being and working conditions while creating a socioeconomic burden. Rates have increased in Europe due to ageing and shrinking workforces, yet research has focused mainly on medical risks, with limited attention to psychosocial factors and subjective well-being. This study analysed the relationship between sick leave, employees’ subjective well-being, self-rated health, and psychosocial work factors. A cross-sectional survey was conducted in Latvia (July–September 2024) among employees in four sectors, public administration, healthcare, pharmaceuticals, and energy, yielding 1628 valid responses (81.6%). Data from online questionnaires (WHO-5, OECD frameworks) were linked to organisational sick leave records. Analyses used descriptive statistics, generalised linear models, bootstrapping, and structural equation modelling. Employees reported an average of 12 sick leave days in 2023, with higher levels among women and healthcare workers. Health problems and work environment risks were positively associated with the likelihood of sick leave, whereas greater job autonomy showed a negative association. Subjective well-being was indirectly related to sick leave through its association with health problems. These findings highlight the multifactorial nature of sick leave and underscore the importance of fostering healthy and supportive psychosocial work environments to promote employee well-being.