Examines the association between pupil-related psychosocial factors, the school setting, and teacher sick leave. The general framework is based on work stress models that propose that psychosocial factors affect health when demands of the psychosocial work environment exceed the resources of the employee.

The results of this study suggest that pupil-related psychosocial factors, such as pupils' problem behavior, school dissatisfaction, and violent or threatening situations in schools, affect teacher health as reflected by their taking sick leave.