2024/10/22 by Filippa Folke, Marika Melin
Health Professions · #Employment and Welfare Studies #Occupational Health and Safety Research #Workplace Health and Well-being
paper · doi:10.1016/j.ssci.2024.106696
openalex publication_date 2024/10/22 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/30
• Presenteeism and underreporting are common among European pilots. • Atypical employment is linked to higher presenteeism and underreporting. • Financial reasons are the most commonly self-stated reason for presenteeism. • Fear of consequences is a more prevalent reason among atypically employed pilots. Atypical employment among pilots is a growing concern in the European aviation industry. Following deregulation, atypical forms of employment (e.g., being employed by subsidiaries or agencies, or on a temporary basis) have become more common, raising concerns about their implications for flight safety and pilots’ safety behaviors. It is suggested that pilots in such forms of employment experience greater job insecurity and will thus refrain from certain safety behaviors as it is more advantageous to their tenure. This cross-sectional survey study aimed at examining deviations in safety behaviors, such as underreporting and presenteeism (attending work while ill), with regards to typically and atypically employed pilots (N = 4,546). Pilots in atypical employment reported significantly higher frequencies of both presenteeism (47.5% vs. 31%) and underreporting (59.5% vs. 41.2%) when compared to their typically employed counterparts. Those atypically employed were more likely to cite fear of disciplinary action or dismissal as the reason for not adhering to safety practices. Underreporting and presenteeism were common, with organizational barriers, e.g., lack of feedback, being primary drivers, in line with previous research. Personal financial reasons were the most prevalent factor motivating presenteeism, regardless of employment type. The present study highlights the frequent occurrence of presenteeism and underreporting in the European aviation industry, highlighting a need for regulatory, organizational, and safety management attention to address these inclinations. While employment type is associated with these behaviors, further research is needed to understand better the mechanisms influencing pilots’ decisions to underreport and attend work in unfit states.