Background: Most of employees in urban China have experienced a heavy commuting burden，which has become an urgent issue that should be solved in the process of new urbanization strategy. However, not only has the exploration of relationship between the commuting and sickness absence been still scant in China, but also there is no discussion made to analyze the mechanism linking the commuting time and sickness absence. To address these gaps, this study firstly investigates the commuting-absence linkage as well as the potential transmission channel between them.Methods: Using a unique dataset of 2013 Matched Employer-Employee Survey (CMEES) in China, current study apply the zero-inflated negative binomial model to explore the association.Results: Long commute is significantly related with increased sickness absence. A longer commuting is associated with poorer self-rated health status and a higher degree of psychological depression, and it also is highly related with an increase of their BMI index, annual medical expenses as well as the risk of obesity. However, the commuting is not correlated with the overtime length and probability of overtime. Conclusion: The longer commute induces to lower productivities through the increased sickness absence, and the potential linkage of commute-sickness absence is mainly transmitted through their health-related outcomes.

BackgroundMost of employees in urban China have experienced a heavy commuting burden,which has become an urgent issue that should be solved in the process of new urbanization strategy. However, not only has the exploration of relationship between the commuting and sickness absence been still scant in China, but also there is no discussion made to analyze the mechanism linking the commuting time and sickness absence. To address these gaps, this study firstly investigates the commuting-absence effect as well as the potential transmission channel between them. MethodsUsing a unique dataset of 2013 Matched Employer-Employee Survey (CMEES) in China, we apply the zero-inflated negative binomial model to explore the nexus between the commuting and sickness absence. To discuss the potential mechanism linking commuting and sickness absence in the context of China, the estimations of the commuting on health-related outcomes and work efforts are performed by the OLS and Logit regression to discuss the mechanism. ResultsThe empirical results reveal that the commute has a positive effect on sickness absence, while it is still robust against several specifications. More importantly, the commuting-absence effect is mainly transmitted through health-related outcomes of employees, whereas we find no clear evidence supporting the shirking behaviors. Additionally, the heterogeneous effects of commuting-absence are differentiated across the Hukou status, gender, transportation modes, scale of cities and types of enterprises. ConclusionThe longer commute induces to lower productivities through the sickness absence, that is, the longer journey from home to work is positively related with the increasing sickness absence, which keeps in consistency with previous studies. And the potential effect of commute-sickness absence is mainly transmitted through their health-related outcomes. Additionally, the impacts of commute time on sickness absence are differentiated across the Hukou status, gender, transportation modes, scale of 3 cities and types of enterprise. BackgroundCommuting is an indispensable part of daily life for millions of people worldwide [1]. A large array of previous studies focused on the relationships between the commuting and the employees' labor market performance [2][3][4]. With negative externalities of the sickness absence, the nexus between the commuting and sickness absence has also attracted extensive attentions [2,5].Based on the theory of new welfare economics, long commute is viewed as an activity of timeconsumption, which is related with poor psychological and physical health outcomes [6][7][8].Accordingly, the leisure time of employees for health-promoting plans, such as physical activities, relaxation and social participation may be crowded out by the longer commuting time [9]. In addition, while the leisure could be substituted for shirking by each other, there is more likely for shirking behaviors among those employees with a longer commute time [10]. It implies that with the decreasing cost of absence, a l...