Chronic diseases as predictors of labour market attachment after participation in subsidised re-employment programme: a 6-year follow-up study

Nwaru, Chioma Adanma; Peutere, Laura; Kivimäki, Mika; Pentti, Jaana; Vahtera, Jussi; Virtanen, Pekka

doi:10.1136/jech-2017-209271

Cited by 3 publications

(8 citation statements)

References 33 publications

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“…Declining health status was likely to be the primary factor driving this trajectory amongst those with previous work disability, whereas amongst those without previous work disability, older age and other potential factors played a more important role. Ill-health and work disability were found to contribute to employment trajectories also in the context of another active labour market programme in Finland, i.e., a subsidised employment programme amongst the long-term unemployed; chronic diseases and sickness absence during the programme increased the likelihood of belonging in poorer trajectories showing weak or declining employment over the follow-up years after the programme [21,22].…”

Section: Discussionmentioning

confidence: 98%

“…Work participation trajectories were examined to capture temporal patterns in the level of participation in competitive work over time in relation to vocational training, taking into account that exiting and re-entering work may constitute dynamic processes instead of single events. Work participation trajectories have also been previously examined in studies focusing on outcomes of work-related interventions [21,22,29,31].…”

Section: Trajectories Of Work Participationmentioning

confidence: 99%

“…Health issues have, therefore, received special attention with respect to interventions promoting work participation [1,[17][18][19][20]. Previous studies have indicated that health also influences outcomes of interventions that are not primarily health-related, such as in active labour market programmes [21][22][23].…”

Section: Introductionmentioning

confidence: 99%

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Does Work Disability Contribute to Trajectories of Work Participation before and after Vocational Labour Market Training for Job Seekers?

Leinonen

Viikari‐Juntura

Räisänen

et al. 2021

IJERPH

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The contribution of ill-health to labour market participation in relation to vocational training is unclear. Using nationally representative Finnish register data on 42,691 vocational labour market trainees in 2008–2010, we constructed latent trajectory groups of work participation in the open labour market three years before and after training, identifying groups called “High–High”, “High–Low”, “Low–High”, and “Low–Low”. We plotted further patterns of labour market participation within these trajectory groups and, using multinomial logistic regression, examined assignment to these groups focusing on previous work disability status. Those with compared to those without previous work disability had previous employment more often and spent less time in economic inactivity within the two trajectory groups with low pre-training levels of work participation. Having a previous work disability was associated with assignment to the “High–Low” trajectory group of work participation instead of the “High–High” comparison group. The associations of other background factors with the assignment to the different trajectory groups were relatively similar amongst those with and without previous work disability. However, some of these associations were weaker amongst the former. Along with other key background factors, previous work disability should be accounted for when assessing the effects of vocational training.

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Section: Discussionmentioning

confidence: 98%

Section: Trajectories Of Work Participationmentioning

confidence: 99%

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Does Work Disability Contribute to Trajectories of Work Participation before and after Vocational Labour Market Training for Job Seekers?

Leinonen

Viikari‐Juntura

Räisänen

et al. 2021

IJERPH

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“…Previous studies have identified self-perceived general poor health [Schuring et al, 2013;Lötters et al, 2013;Carlier et al, 2014, Svane-Petersen & Dencker-Larsen, 2016] and musculoskeletal pain [Nwaru, Nygård & Virtanen, 2016] as potential predictors of re-employment. Research also suggests that unemployed persons with physician-diagnosed mental problems [Claussen et al, 1993, Claussen, 1999, Nwaru et al 2017] are at increased risk of not regaining paid job as compared with their counterparts with no such health problems.…”

Section: Introductionmentioning

confidence: 99%

“…In our previous study (Nwaru et al, 2017), we identified employment trajectories of re-employed people after their participation in state subsidised re-employment programme. Our aim in the present study is to examine whether sickness absence during such programmes is a predictor of subsequent labour market attachment.…”

Section: Introductionmentioning

confidence: 99%

Sickness absence in a re-employment program as a predictor of labor market attachment among long-term unemployed individuals: A 6-year cohort study in Finland

Nwaru

Kivimäki²,

Pentti

et al. 2018

Scand J Work Environ Health

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Objectives We examined whether sickness absence during participation in a state subsidized re-employment program among long-term unemployed people was associated with subsequent labor market attachment. Methods We linked 18 944 long-term unemployed participants (aged 18-60 years) of a six-month subsidized re-employment program in Finland to their records of sickness absence during the program and labor market status after the program. We used the latent class growth model to identify labor market attachment trajectories over a six-year follow-up period and multinomial logistic regression to investigate the association between sickness absence and labor market attachment trajectories. Results We identified four labor market attachment trajectories: "strengthening", (77%), "delayed" (6%), "leavers" (10%), and "non-attached" (7%). Sickness absence was associated with an increased risk of belonging to the leavers and non-attached trajectories. Having >30 days of sickness absence during the six-month re-employment program increased the risk for belonging to the future non-attached trajectory in all age groups, but in particular for those aged 30-44 [odds ratio (OR) 7.35, 95% confidence interval (CI) 4.85-11.14] and 18-29 years (OR 5.38, 95%CI 3.76-7.69). At these ages, having fewer than 30 days sickness absences was also associated with an elevated risk of belonging to the non-attached trajectory, while this risk was lower for those aged 45-60. Conclusions Sickness absence during participation in a subsidized re-employment program increased the risk for poor labor market attachment during the subsequent six years. The risk was particularly high among younger participants with >30 days of sickness absence.

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Glucose Metabolism in Midlife Is Associated With Preceding 30-Year Employment Trajectories

Varanka-Ruuska

Rautio²,

Sebért³

et al. 2022

J Occup Environ Med

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The aim of the study is to evaluate how glucose metabolism in midlife is related to preceding 30-year-long employment trajectories. Methods: In the Northern Finland Birth Cohort 1966, we compared glucose metabolism at 46 to employment trajectories (previously defined for men and women and named as high-educated, traditional, self-employed, delayed, and floundering; n = 6399). Results: Compared with individuals in high-educated trajectories, odds ratios for type 2 diabetes (T2D, 95% confidence interval) in traditional and floundering trajectories in men were 1.65 (1.02-2.68) and 2.42 (1.38-4.23) and in women 1. 89 (1.04-3.43) and 2.60 (1.46-4.62), respectively. In self-employed trajectory in women, odds ratios for prediabetes and T2D were 1.66 (1.09-2.51) and 2.47 (1.21-5.04). Conclusions: The highest risks for T2D in midlife were associated after traditional and floundering trajectories in men and women and after self-employment trajectory in women.

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Chronic diseases as predictors of labour market attachment after participation in subsidised re-employment programme: a 6-year follow-up study

Abstract: Background:Little is known about the work patterns of re-employed people. We investigated the

Cited by 3 publications

References 33 publications

Does Work Disability Contribute to Trajectories of Work Participation before and after Vocational Labour Market Training for Job Seekers?

Does Work Disability Contribute to Trajectories of Work Participation before and after Vocational Labour Market Training for Job Seekers?

Sickness absence in a re-employment program as a predictor of labor market attachment among long-term unemployed individuals: A 6-year cohort study in Finland

Glucose Metabolism in Midlife Is Associated With Preceding 30-Year Employment Trajectories

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