@TechReport{iza:izadps:dp18404, author={Karbownik, Krzysztof and Svaleryd, Helena and Vlachos, Jonas and Wang, Xuemeng}, title={Classrooms as Workplaces: How Student Composition Affects Teacher Health}, year={2026}, month={Feb}, institution={Institute of Labor Economics (IZA)}, address={Bonn}, type={IZA Discussion Paper}, number={18404}, url={https://www.iza.org/publications/dp18404}, abstract={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.}, keywords={student composition;mental health;contact-intensive occupations}, }