Educational inequalities in the impact of chronic diseases on exit from paid employment among older workers: a 7-year prospective study in the Netherlands release_v5shcjugqbd3jp7dgowivkhori

by Karen Oude Hengel, Suzan J W Robroek, Iris Eekhout, Allard J van der Beek, Alex Burdorf

Published in Occupational and Environmental Medicine by BMJ.

2019   Volume 76, Issue 10, oemed-2019-105788

Abstract

<jats:sec><jats:title>Objectives</jats:title>The study aimed to investigate the relative and absolute risks of early exit from paid employment among older workers with a chronic disease, and to assess whether these risks differ across educational groups.</jats:sec><jats:sec><jats:title>Methods</jats:title>Data on chronic diseases and demographics from 9160 Dutch workers aged 45–64 years were enriched with monthly information on employment status from Statistics Netherlands. Subdistribution hazard ratios (SHR) and 7-year probabilities among workers with a chronic disease of exit from paid employment through disability benefits, unemployment benefits, early retirement benefits or economic inactivity were estimated using competing risks regression analyses based on Fine and Gray's models.</jats:sec><jats:sec><jats:title>Results</jats:title>Workers with one chronic disease had a higher risk to exit paid employment through disability benefits (SHR 4.48 (95%CI 3.22 to 6.25)) compared with workers without chronic disease, and this risk further increased for multiple chronic diseases (SHR 8.91 (95%CI 6.33 to 12.55)). As occurrence of chronic diseases was highest among low educated workers, the 7-year probabilities to exit paid employment through disability benefits were highest among this group. Cardiovascular, musculoskeletal, psychological and respiratory diseases were associated with disability benefits (SHRs ranging from 2.11 (95%CI 1.45 to 3.07) to 3.26 (95%CI 2.08 to 5.12)), whereas psychological diseases were also related to unemployment (SHR 1.78 (95%CI 1.33 to 2.38)).</jats:sec><jats:sec><jats:title>Conclusions</jats:title>Older workers with a chronic disease have a higher risk to exit paid employment through disability benefits. As multimorbidity has an additive effect, addressing multimorbidity as a risk factor for sustainable employment is needed.</jats:sec>
In application/xml+jats format

Archived Files and Locations

application/pdf  531.0 kB
file_3n4bwhmg6vakdghiv3qoyxwewm
europepmc.org (repository)
web.archive.org (webarchive)
application/pdf  540.4 kB
file_ml2usn3yd5gq7h3r6lzucrnthi
publications.tno.nl (web)
web.archive.org (webarchive)
application/pdf  540.4 kB
file_7vajgfg3xzhp7d2v3jritduojm
oem.bmj.com (web)
web.archive.org (webarchive)
application/pdf  540.0 kB
file_3gs7t35wdjgrzpr56hf2ipdbpe
repub.eur.nl (web)
web.archive.org (webarchive)
Read Archived PDF
Preserved and Accessible
Type  article-journal
Stage   published
Date   2019-08-13
Language   en ?
Container Metadata
Not in DOAJ
In Keepers Registry
ISSN-L:  1351-0711
Work Entity
access all versions, variants, and formats of this works (eg, pre-prints)
Catalog Record
Revision: 6bbeada1-9516-4e67-b2b5-f13b2f4ee940
API URL: JSON