Presenteeism is a concept applied to the business sector, referred to a context in which employees attend their workplaces, but perform their duties without making the most of their potential for reasons linked to health problems or personal life incidents (Ferritto, 2013; Merrill et al., 2012; Vänni et al., 2017; Wang et al., 2010). This concept has been extended to the academic environment, where it is pointed out that there is low academic performance among students as a result of health problems (Deroma et al., 2009; Matsushita et al., 2011; Mikami et al., 2013). However, this concept can be extended to the academic environment indicating a low academic performance due to deconcentration, inattention, or other factors.
The presenteeism research carried out in the academic environment, until now, have been associated to diseases or health problems in the undergraduate students; for example, Deroma et al. (2009) investigated the decrease of academic performance related to symptoms of depression, where it was found that depression and academic performance in university students have a negative relationship. Along the same lines, Matsushita et al. (2011) demonstrated the effect of presenteeism in academic performance and indicated university students’ mental and physical diseases as main factors. They found that women’s presenteeism, due to depression and emotional disorders, is 2.9% higher than men’s. The same tendency occurs when the presenteeism is evaluated for migraines and headaches (women 13.6% vs. men 6.9%). Similar results were observed when presenteeism caused by back pain, neck pain or stomach pains is evaluated. The differences were between 8 to 15% approximately. This research sought to demonstrate the relationship between violence against women (VAW) in intimate partner relationships and academic presenteeism of university students using an exploratory crosssectional survey of 2640 participants. The impact of VAW in the number of days lost by academic presenteeism and number of critical incidents with colleagues and professors during the academic year is mainly measured. Measuring academic presenteeism in students due to VAW allowed them to demonstrate the important impact in academic performance and prioritize the creation of active VAW prevention programs in universities.
Considering the studies carried out in companies and universities, for the purposes of this research, academic presenteeism is defined as the situation when the student is present in class or in the places where the teaching-learning process takes place, but for aspects associated with life conditions, violence experiences, and other factors cannot meet the academic requirements to fulfill their potential. Therefore, does not develop skills, abilities and capacities required by the professional career (Ferritto, 2016; Hemps, 2004; Johns, 2011). Adams et al. (2013) explored the relation between financial harm and VAW in adolescence. A sample of 498 women found that those who had been victimized by a partner during adolescence obtained less education compared with non-victimized women. Likewise, Yoshida and Miki (2018) found different factors linked to the presenteeism in 2006 nurses working at 10 hospitals. Chafloque et al. (2018) have described firstly in Peru the presenteeism and its impact in the academic performances of university students; additionally, it was found the association between leadership quality and the development of presentism in health professions’ education and research (Galliker et al., 2020).
VAW in intimate partner relationships is present in the lives of university students, who are victims in the falling in love stage, courtship or other types of relationships (Rennison & Addington, 2014). There are studies that consider only the presence of physical violence (threw something that could hurt her, held strongly, slapped, used a gun or knife against her partner, hit with objects, choked, burned and others) and sexual violence (forced to have sex without condom, insisted on having sex without consent, insisted on having oral or anal sex, and other manifestations) in the undergraduate students (Chan et al., 2008). Likewise, other investigations have found evidence of a single manifestation of violence within the university environment (Jordan et al., 2014; Phipps & Smith, 2012). There are also researches that have included analyzes about the prevalence in universities of psychological and verbal violence (Vázquez et al., 2010).
Chan et al. (2008) conducted their research in a sample of undergraduate students from 22 countries (Asia and the Middle East, New Zealand and Australia, Europe, Latin America and North America). In the mentioned study was found that the prevalence of physical violence in female students from the 22 countries ranged from 12.1 to 41.1%, while sexual violence ranged from 9.2 to 42%. Other VAW evidence that was studied in the academic environment is the research of Jordan et al. (2014), were a sample of 750 undergraduate students showed that the prevalence of some form of sexual violence in the study period ranged between 19.6 and 24.2%, while 4.1% (first semester students) and 3.1% (students in the second semester) reported having suffered a rape. Vázquez et al. (2010) showed that VAW in 159 Spanish students was manifested in psychological violence, physical violence and sexual violence, which had been perpetrated by their partners, being psychological violence the most incident one (65.2%), followed by physical violence (28.8%) and some students presented two types of violence at the same time, such as physical and psychological (1.5%) or physical and sexual (4.5%). Furthermore, Herrera and Arenas (2010) conducted their study in a sample of 73 female students, where it was reported that 34.2% had suffered verbal and psychological violence, 20.5% suffered physical violence, and 2.7% of the students suffered violence sexual.
There have been studies carried out to investigate academic presenteeism. One of those is Mikami et al. (2013), where it was related the academic presenteeism with the state of health and the sense of coherence. Another study related academic presentism with academic performance, finding that students with emotional problems have the highest prevalence of presenteeism (Matsushita et al., 2011). In the same line, Ferrito (2016) explained that presenteeism is a factor associated with academic performance.
There are several researches that have been developed in the business context and have concluded that VAW is a determinant of labor presentism. For example, in Peru, in public schools in the Callao region, teachers affected by VAW lost 8.9 working days due to presenteeism (Vara-Horna et al., 2017). In Bolivia, as a result of the VAW, the attacked workers lost 18.9 business days a year due to presentism (Vara-Horna, 2015). In Paraguay, VAW is causing a yearly loss of productivity due to presenteeism of 25.6 days per worker attacked (GIZ, 2015). Similarly, researches have been carried out in countries from the Middle East and Africa. In Ghana and South Sudan, as a result of VAW, assaulted workers yearly lost 5 and 3 days of work due to presenteeism, respectively (Asante et al., 2019; University of Limerick & NUI Galway, 2019; Elmusharaf et al., 2019). Also, in Pakistan, workers affected by VAW lost an average of 2 days of work per year (Social Policy and Development Centre -SPDC- et al., 2019).
From the above, VAW causes pernicious effects on the labor productivity of companies. This is measured in terms of presenteeism, as Swanberg et al. (2006) affirm. Indeed, a knowledge gap about the relationship of VAW and academic presentism in a sample of university students. In fact, researches that associate or relate VAW as a determining factor of academic presenteeism are scarce. Nevertheless, there researches’ evidence that relates the types of VAW and the factors of presenteeism, and how these affect academic performance.
Umana et al. (2014), related the prevalence of VAW with psychological, social and academic factors. In their analysis, it was found that female university students who are survivors of violence had a significant decrease in their concentration (71%) and the risk of dropping out the academic semester increased by 3.3%. Likewise, Jordan et al. (2014) determined that university students who were victims of sexual violence were three times more likely to obtain a lower grade point average compared to non-victims. The researchers indicated that the sexual violence that students experience impacts their cognitive processes, presenting deficits to concentrate, plan their activities and remember the lessons or tasks. Finally, Edwards et al. (2015) analyzed the association of psychological variables with intimate partner relationships in 139 students. This study reveals a positive relationship between VAW and psychological symptoms such as stress, anxiety, depression and others.
The aim of this paper was to examine, in a national representative sample of university students, the relation of VAW and academic presenteeism. This, through the use of structural equations of variance and counterfactual scenarios, demonstrated that VAW is a determining factor of academic presenteeism.
The sample considered only female students from business and engineering schools. These schools were chosen because the students who have chosen these schools will hold managerial positions in the future. However, in Peru the schools mentioned do not have a gender focus in their curricular plan. Indeed, if the participants construct unequal patterns and of violence, in the future it will affect their role as agents in the management of companies.
The research considered 2640 female students, who are currently in an intimate partner relationship, aged 18 to 25 years with a mean age of 20.50 years (SD = 1792), enrolled in business and engineering schools from 34 universities. The 21 regions of Peru were distributed in 8 zones (northern coast, central coast, southern coast, northern highlands, central highlands, southern highlands, northern and southern Amazonia). Table 1 describes the demographic, academic and professional profile of the surveyed students.
The study used a structured self-report questionnaire. Questions were included to gather demographic, academic and professional information, academic presenteeism, psychological, verbal, physical, economic and sexual violence.
The instrument had 30 items, of which 14 described demographic and academic characteristics of the students, 9 items measured presenteeism and 7 items measured violence against these female students.
Demographic information: Inquires the personal information of the respondent. The items considered were: age, number of daughters/sons, if they have a partner, type of relationship (dating, engaged, married or living together, separated or divorced, others) and duration of relationship.
Academic and professional information: Gathers academic and professional information of the respondent. The items included are year of admission to the university, current semester, quantity of failed courses, repeated cycles, and occupation (if she only studies, if she studies and works).
Presentism: This scale is based on the work distraction items of Stewart et al. (2003) and the Work Limitations Questionnaire (WLQ) by Lerner et al. (2001). The scale identified the diminished academic performance during the last month. The scale of presenteeism had four dimensions that represent four stages of consecutive and sequential effects. In the first stage the presenteeism is reflected in the distraction and exhaustion of the student; in the second stage it is reflected in the perceived decrease of academic productivity; in the third stage it is observed in the deterioration of social cohesion with colleagues and professors; and in the fourth stage it is reflected in the intention to drop out.
In the four dimensions, each item had alternative ordinal responses with interval interpretation values: never (0), 1 day (1), between 2 and 5 days (4), between 6 and 10 days (8), almost every day (15).
To calculate the prevalence of academic presenteeism, the weights and formulas described in Table 2 were used. The items P1, P2, P3 and P4 indicate the decrease in academic productivity, 25% of the productivity loss of the day involved is assumed. Items P5, P6, P7 and P8 serve as indicators to find the number of productivity incidents, where 100% was assumed for each occurred incident. To calculate the presenteeism by distraction and monthly exhaustion (in days) the weighted data was added, and multiplied by eight (number of months of the academic year in Peruvian universities) to estimate the annual presenteeism (in days). To calculate the presenteeism for incidents of monthly productivity
(number of incidents) the already weighted data was added, then, to calculate the academic year it was multiplied by eight (number of months of the academic year).
VAW in intimate partner relationships: This scale is based on the Conflict Tactics Scales 2 (Straus et al., 1996). For the type of sample (students), the 7 most representative items of the psychological, economic, physical, sexual and physical damage, executed by the partner or ex-partner, subscales were considered. Each item was weighted according to the intensity level of the attack; and had alternatives of ordinal responses with interval interpretation: never (0), happened before, not anymore
(0), once or twice (4), between 3 to 5 times (4), between 6 and 10 times (8), between 11 to 20 times (15), more than 20 times (25). The scale determined the presence of VAW by her partner in the last year and the prevalence of this violence throughout her life.
The questionnaire was administered and assisted in person by professors and qualified professionals. The average time was 25 minutes. Students were informed of the nature, objectives and benefits of the study, guaranteeing their confidentiality and anonymity. Also, all the questions and doubts raised were answered. The participation in the study was voluntary, without any kind of academic, economic or other compensation. The students gave verbal consent before the data collection, in addition to also asking consent questions at the end of the questionnaire. The protocol was approved by the review team of the Universidad de San Martín de Porres.
Tabulation and data analysis was done using the statistical programs SPSS version 23, Smart PLS version 3.2 and Stata version 14. Contingency tables, means and percentages were used in order to obtain the demographic, academic characteristics and prevalence estimates of the studied variables. For reliability analysis of the internal consistency of each scale, the reliability coefficient of Cronbach’s Alpha was used. The presenteeism scale (α = 0.833) and the VAW scale (α = 0.754) obtained Alpha values above the expected minimum (0.706).
Regarding the analysis of construct validity, Factorial Analysis (FA) was used with the Principal Axis Method of Factor Extraction and Promax rotation. The 16 items analyzed (9 items of the presenteeism scale and 7 items of the VAW scale) provided a 2-axis factorial solution, with a total variance that can be explained by 67.9% of the original data. The factorial weights of the items of the VAW scale met the requirements to be validated due that the factorial weights exceeded 0.706, and the communalities 50%. The items of the presenteeism scale obtained factorial weights between 0.604 and 0.820, though three of nine items did not meet the established requirements to be validated.
Structural equation modelling of partial least squares (PLS-SEM) was used to give a greater support to the scales validation. Table 3 shows that all the factorial weights of the items of the two scales are higher than the expected minimum (0.706), showing high levels of composite reliability (between 0.776 and 0.891) and an average extracted variance by scale between 0.615 and 0.804.
Using the structural equations of partial least squares it was found that Presenteeism has three sequentially linked dimensions. The distraction and exhaustion explains the 42.3% of the diminished performance, and the latter explains 20.2% of the decrease of the social cohesion by the claims and discussions with colleagues and professors. The impact of VAW was calculated by creating counterfactual scenarios. Two comparison groups have been established: case (women who have experienced VAW) and control (women have not experienced VAW). In both groups, the averages of presenteeism were compared in days and incidents. The marginal difference of these averages is assumed as the impact of partner violence excluding other impacts, as long as the differences are significant using the null hypothesis test with a probability of less than 1%.
96.5% of female university students manifested that they were distracted or exhausted in the last month during their classes, 82.2% manifested that in the last month they felt that their academic performance had decreased, 51.2% manifested that due to complaints and criticism for their low performance their social cohesion with colleagues and professors decreased, while 32.3% of the students reported intention to drop out the semester. On average, the students had 28.26 days lost (S.D. = 25.936) of classes and had 61.094 (S.D. = 61.09) incidents (discussions, reprimands or warnings) with their fellow students and professors in the academic year.
47.7% of students have experienced VAW in intimate partner relationships at some point in their lives. The most prevalent aggressions were psychological violence (42.5%), followed by verbal violence (20.0%), mild physical violence (13.4%), physical damage (5.9%), sexual violence (5.9%), economic violence (4.5 %), and serious physical violence (2.5%). While 32.0% of students have experienced VAW in the last year, the aggressions reported were psychological violence (25.9%), followed by verbal violence (11.5%), mild physical violence (8.2%), physical damages (3.2%), sexual violence (3.1%), economic violence (2.7%) and serious physical violence (1.0%). The average rate of incidents perpetrated in the last academic year was 6.57 times per year.
Table 4 shows the comparison of presenteeism in the groups of students who experience situations of partner violence in the last year and the group that has never experienced it. The prevalence of presenteeism in students who experience VAW is between 3.3 and 13.7 percentage points higher than the presenteeism of the group that does not suffer. The desire of the students to drop out their studies is superior in 13%, in comparison with those that do not experience VAW.
To analyze the existing relationship of VAW in intimate partner relationships and the variable presenteeism, structural equations of variance were used, finding that VAW has a direct impact on presenteeism, explaining it in a 7.2% either causing distraction, decrease in productivity or fostering the social cohesion of female university students.
In Table 5, it is observed that relations are stable and similar to the population parameters, since they have small standard errors. It is also observed that the size of the effect is small; however, it is significant because the confidence interval of F2 value ranges between 0.006 and 0.025.
There were significant differences in the days and incidents of presenteeism occurred in the academic year, when the groups are compared according to the experience of VAW. The group of students who experienced VAW had a higher number of days with presenteeism (36.34, S.D. = 26.834) compared to the group of students who have never experienced VAW (28.32, S.D. = 24.277).
Regarding the incidents caused by presenteeism, the group of students who experienced VAW at present had more incidents caused by presenteeism compared to the group that never experienced VAW (72.08, S.D. = 81.110 vs 54.96, S.D. = 71.643).
To support these averages, the Propensity Score Matching (PSM) technique was used in order to match the comparisons and ensure that groups are quasi-equivalent. This is done because the comparison groups were not equivalent. Propensity scores have been calculated taking into consideration the demographic variables that show significant differences in the comparison groups (see Table 6).
In Table 7, it is observed that the VAW caused 8.47 days of presenteeism by distraction and exhaustion; these 8.47 days of presenteeism were similar to the result of unpaired averages (8.02 days). The number of critical incidents due to presenteeism (decreased performance and warnings or discussions with colleagues and / or professors) caused by VAW were 15.12 critical incidents in the academic year.
In Peru, as in many countries, VAW assessment studies have been carried out in companies and how this influences the effects of presenteeism and how these influence corporate costs, finding large economic losses, which has allowed the development of management models that help reduce VAW in companies (Logan et al., 2012; Duvvury et al., 2013). However, until now, Peruvian institutions have not addressed yet how VAW has an impact on university life, in view of this current scenario where VAW has been neglected among Peruvian university students. This is where the need to carry out research that addresses the university environment arises in order to look for solutions to university education.
The present study addressed the relationship of VAW in intimate partner relationships as a determining factor of academic presenteeism in female students of Peruvian universities. This research is one of the first to address this issue, however, several researchers from the academy have proven how VAW can affect academic performance (Mengo & Beverly, 2015; Valls et al., 2016).
The current study explained that academic presentism has four consecutive and sequential stages. These stages include distraction and exhaustion, decrease of social cohesion, decrease of academic performance, and finally the intention to drop out. These first two would cause days of presenteeism, while the decrease of social cohesion would cause incidents. Almost all the participants said that sometime during the academic year they were distracted or exhausted, 8 out of 10 of the participants manifested that they feel their productivity has decreased. Likewise, half of the participants stated that due to their decrease in productivity, they had problems with their professors and fellow students, while the third part indicated that they had wanted to withdraw from the study semester. These results are related to different factors and not only they can happen to female students.
Another important result of the current study was the VAW report, where 3 out of 10 participants reported that they have suffered aggressions by their partners during the last year. This result is similar to the investigation of Umana et al. (2014), where it was found that 42.3% of students from Nigerian universities suffered violence by their partners. In the current study, the reported prevalence is lower because it is reported the violence suffered during the last year. As in other researches, the most prevalent aggressions were psychological violence, verbal violence and physical violence (Rubio-Garay et al., 2012; Rennison & Addington, 2014; Umana et al., 2014).
Finally, through the Propensity Score Matching, it was found that the VAW generates 8.47 days lost due to academic presenteeism caused by distraction and exhaustion. At the same time, 15.12 critical incidents with professors and colleagues are generated in the academic year. Based on the results obtained, it is found that VAW can be assumed as one of the factors that determine the academic presentism of the female students by 7.2%.
One reason why academic presenteeism would be determined by VAW may be due to the fact that students suffering from VAW, after being assaulted, feel anguished, guilty, depressed or some other symptom that does not allow them to completely concentrate during the moment of class. This conclusion is consistent with the research of Edwars et al. (2015), where it is suggested that women assaulted by their partners are related to distress and psychological symptoms positively. This means that the more aggressions perpetrated by their partners, the female students feel more anguished, guilty or other psychological symptoms. Another study that supports this conclusion is the one conducted by Hossain et al. (2014), were it is examined the association between depression and sexual violence. The results showed that students who were reported as diagnosed with depression had 1.56 times more probabilities than those who had never been diagnosed with depression for having experienced sexual violence.
As shown in the current study, there was a complex relationship between presenteeism and VAW in the educational field. However, in the business context, VAW is a determining factor of presenteeism and this affects the business costs. Indeed, the study by Reeves and O’Leary-Kelly (2007) reported that current victims of intimate partner violence had an average of 72 hours of more distraction annually, compared to those who were not victims. In this regard, the results of the current study showed that in the educational field VAW can also act as a determining factor of academic presenteeism.
Despite the information obtained from the current study, there were limitations that should be mentioned. In the first place, the sample was demographically homogeneous, in spite of having a national sample, it is not possible to generalize the results to the whole country since the sample is not proportional to the number of students per region. Future researches should include proportional samples from all regions of the country in order to carry out a better analysis. Secondly, the current study used a transversal design, which did not allow to analyze a temporal sequence between VAW and presenteeism. It is possible that students who experience aggression by their partner, more frequently, wish to drop out or this presentism becomes absenteeism. The current study’s understanding of these complex processes would be improved by the use of longitudinal methodologies.
Although continuous research is needed in order to explore more specifically VAW as a determining factor of presenteeism, the current study provides some scopes for improving educational policies and management models in universities. First, the results suggest that due to VAW there may be distraction and exhaustion, decreased productivity, problems with professors and the intention to drop out. As well as, it is reported high prevalence of different types of VAW that students are currently suffering. Educational institutions could develop VAW prevention strategies and programs to treat students who are suffering VAW. Although VAW is invisibilized by students because of their age (Miller, 2017), it is necessary for universities to have these prevention programs. As authorities, professors and students become aware of how VAW affects university life, models of prevention and intervention will be promoted in the university context.
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[12]Cómo citar / How to cite this item: Chafloque-Céspedes, R., Vara-Horna, A., Asencios-Gonzales, Z., López-Odar, D., Alvarez-Risco, A., Quipuzco-Chicata, L., Schulze, C. & Sánchez-Villagomez, M. (2020). Academic presenteeism and violence against women in schools of business and engineering in Peruvian universities. Lecturas de Economía, 93, 127-153. https://doi.org/10.17533/udea.le.n93a340726