Classrooms as Workplaces: How Student Composition Affects Teacher Health

Work-related burnout and stress-related sickness absence have become increasingly prevalent, but evidence on which workplace features shape workers' mental health remains limited.Using population-level Swedish register data covering all lower-and upper-secondary teachers from 2006-2024, we show that schools serving more disadvantaged students exhibit substantially higher rates of sickness absence, particularly for stress-related diagnoses.Exploiting within-teacher variation across student cohorts, we separate sorting from exposure and find that a one standard deviation increase in student disadvantage raises overall and stress-related sick leave by 3.6% and 8.7%, respectively.Survey evidence indicates that these effects operate through classroom conditions rather than workload or organizational differences.The findings establish client composition as a distinct and policy-relevant determinant of worker health in contact-intensive occupations.