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Presenteeism (work productivity loss at work) and low back pain (LBP) are prevalent among eldercare workers. Presenteeism is a serious emerging problem in an occupational setting. While many studies report the impact of pain‐related fear on absenteeism, its impact on presenteeism remains unclear.

We conducted a cross‐sectional study to investigate the association between pain‐related fear and presenteeism among 505 eldercare workers with LBP. We measured pain‐related fear using the 11‐item Tampa Scale for Kinesiophobia (TSK‐11). We used the Work Limitations Questionnaire (WLQ) to estimate productivity loss due to presenteeism with items including Time Management, Mental‐Interpersonal Demands, Physical Demands and Output Demands. The presenteeism was categorized into no (<5%), mild (5%–10.9%), moderate (11%–16.9%) and severe presenteeism (≥17 …