How do Older Employees with Health Problems Remain Productive at Work?: A Qualitative Study

Leijten, Fenna; Heuvel, S. van den; Geuskens, G.; Ybema, Jan Fekke; Wind, Astrid de; Burdorf, Alex; Robroek, Suzan J W

doi:10.1007/s10926-012-9390-0

Cited by 19 publications

(20 citation statements)

References 20 publications

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“…We hypothesize that the subgroup of workers with chronic disease is responsible for the associations found between job strain and early exit from work. This is supported by a recent qualitative study in older workers, where it was concluded that the influence of health on productivity depends on the balance between demands and resources [34]. In this sense, our results suggest that having a chronic disease may trigger the imbalance between demands and resources.…”

Section: Differences and Similarities Between Workers With And Withousupporting

confidence: 89%

Predictors of Having Paid Work in Older Workers With and Without Chronic Disease: A 3-Year Prospective Cohort Study

et al. 2013

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Background As the prevalence of chronic disease amongst older workers is high and increasing, it is important to know if the large subgroup of older workers with chronic disease has specific needs when it comes to prolonging participation in paid work. Objectives To investigate differences and similarities in predictors of having paid work in workers aged 55? with and without chronic disease. Methods Workers aged 55-62 years were selected from the 2002-2003 cohort of the Longitudinal Aging Study Amsterdam (n = 333). Potential predictors were: health, personality, work characteristics, and demographics. Per potential predictor, a logistic regression coefficient for 'having paid work in 2005-2006' was calculated for workers with and without chronic disease. A pooled estimate was computed and differences between the pooled estimate and the coefficients were tested. Results Follow-up data were available for 95 %, of whom 67 % still had paid work. Predictors of having paid work were similar for workers with and without chronic diseases, except for physical workload (v 2 = 5.37; DF = 1) and psychosocial resources at work (v 2 = 5.94; DF = 1). Having more psychosocial resources (OR = 3.57; 95 %CI 1.33-10.0) was predictive for having paid work in workers with chronic disease and not in workers without chronic disease. Lower age, more weekly working hours, no functional limitations, fewer depressive symptoms, lower neuroticism scores, and more sense of mastery were significantly associated with having paid work in all workers. Conclusions Differences between predictors of having paid work between workers with and without chronic disease should be taken into account when aiming to prevent exit from the workforce. In particular the vulnerable subgroup of older workers with chronic disease and low psychosocial resources at work is more likely to quit working.

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Section: Differences and Similarities Between Workers With And Withousupporting

confidence: 89%

Predictors of Having Paid Work in Older Workers With and Without Chronic Disease: A 3-Year Prospective Cohort Study

et al. 2013

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“…This could be because the productivity at work measure used in this study was not specifically health-related productivity loss, ie, presenteeism. Productivity is an output that can be influenced both by the individual him-or herself as well as by tangible devices (eg, computers) or social factors (eg, cooperative and productive colleagues) that are necessary for an individual to conduct his/her work productively (27). This supports the notion to study similarities and differences between general productivity loss at work and presenteeism.…”

Section: Discussionmentioning

confidence: 62%

“…This suggests that the effects of changes in health problems on work ability are most likely to occur in a shorter period of time, ie, within the same year, where after it is possible that adjustments are made. This is supported by findings from a qualitative study in a comparable study population, which showed that many adjustments were made in order to allow employees to cope with their health problems at work and restore a balance in their demands and resources (27).…”

Section: Discussionmentioning

confidence: 67%

“…It is possible that health is more inherent to work ability because work ability takes an individual's work demands and resources into account -good health is in itself a resource (7). Past studies have shown that poor health is a strong predictor of reduced work ability (2), but also that health problems relate to productivity loss at work (8,27). Our findings differ from these latter studies in that only two of the seven health problems were related to productivity at work.…”

Section: Discussionmentioning

confidence: 99%

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The influence of chronic health problems on work ability and productivity at work: a longitudinal study among older employees

Leijten¹,

Heuvel²,

Ybema³

et al. 2014

Scand J Work Environ Health

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109

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“…Findings from past qualitative research (15,16) support the idea that work-related factors modify the effect of health on sickness absence, but quantification of this occurrence is still lacking in the literature. Understanding the effect of work on the influence of poor health on sickness absence has important practical implications because health problems may not always be solved, but work-related factors are amendable.…”

mentioning

confidence: 89%

Do work factors modify the association between chronic health problems and sickness absence among older employees?

Leijten¹,

Heuvel²,

Ybema³

et al. 2013

Scand J Work Environ Health

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Do work factors modify the association between chronic health problems and sickness absence among older employees? by Leijten FRM, van den Heuvel SG, Ybema JF, Robroek SJW, Burdorf A The key practical implications of this study are that higher job demands and lower autonomy increase the risk of sickness absence among persons with common chronic health problems, and thus that focus on these work-related factors should be central in the promotion of sustainable employability. Affiliation 477Original article Scand J Work Environ Health. 2013;39(5):477-485. doi:10.5271/sjweh.3353 Do work factors modify the association between chronic health problems and sickness absence among older employees? Objectives The aim of this study was to (i) assess how common chronic health problems and work-related factors predict sickness absence and (ii) explore whether work-related factors modify the effects of health problems on sickness absence.Methods A one-year longitudinal study was conducted among employed persons aged 45-64 years from the Study on Transitions in Employment, Ability and Motivation (N=8984). The presence of common chronic health problems and work-related factors was determined at baseline and self-reported sickness absence at one-year follow-up by questionnaire. Multinomial multivariate logistic regression analyses were conducted to assess associations between health, work factors, and sickness absence, and relative excess risk due to interaction (RERI) techniques were used to test effect modification.Results Common health problems were related to follow-up sickness absence, most strongly to high cumulative sickness absence (>9 days per year). Baseline psychological health problems were strongly related to high sickness absence at follow-up [odds ratio ( Conclusions Lower autonomy and higher job demands increased the association of an array of common chronic health problems with sickness absence, and thus focus should be placed on altering these factors in order to reduce sickness absence and essentially promote sustainable employability.

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How do Older Employees with Health Problems Remain Productive at Work?: A Qualitative Study

Cited by 19 publications

References 20 publications

Predictors of Having Paid Work in Older Workers With and Without Chronic Disease: A 3-Year Prospective Cohort Study

Predictors of Having Paid Work in Older Workers With and Without Chronic Disease: A 3-Year Prospective Cohort Study

The influence of chronic health problems on work ability and productivity at work: a longitudinal study among older employees

Do work factors modify the association between chronic health problems and sickness absence among older employees?

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