Health incidents often result in sickness absenteeism, ie the failure to report for work as scheduled. However, there is increasing evidence that workers more and more decide for another option: sickness presenteeism, defined as attending work while ill. This can be problematic for the individual and presenteeism creates costs for organizations and the society as well. European policymakers encourage individuals to become self-employed because it is a way to promote innovation and job-creation. The proportion of self-employed individuals in the employed labour force in Europe is around 15 percent. Most of the self-employed choose to become self-employed and have good working conditions and job quality. However, around 20 percent of the self-employed report that they have no alternative for work and they have lower levels of job quality and worse well-being compared to the former group of self-employed. In addition, earlier studies have indicated that self-employed have a high working pace and work many and irregular hours, indicating that it can be problematic and frustrating to stay at home because of illness. It can be assumed that health and well-being among self-employed and managers in small-scale enterprises is particularly crucial in this enterprise group due to that the smallness make them vulnerable. Self-employed is an interesting category when it comes to the phenomenon of sickness presenteeism. To our knowledge, there are few studies of sickness presenteeism among self-employed. AimThe aim of this paper is to study the occurrence of sickness presence among different groups of self-employed in relation to …