Predictors and consequences of unemployment among construction workers: prospective cohort study

Leino-Arjas, Päivi; Liira, Juha; Mutanen, Pertti; Malmivaara, Antti; Matikainen, Esko

doi:10.1136/bmj.319.7210.600

Cited by 125 publications

(118 citation statements)

References 17 publications

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“…Unhealthy lifestyle behaviors as well as physical and psychosocial work demands might also play a role in exit from paid employment (10). However, the evidence concerning these factors is less consistent.…”

Section: Determinants Of Exit From Work Among Older Workers In Europementioning

confidence: 90%

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Poor health, unhealthy behaviors, and unfavorable work characteristics influence pathways of exit from paid employment among older workers in Europe: a four year follow-up study

Robroek¹,

Schuring²,

Croezen³

et al. 2012

Scand J Work Environ Health

204

174

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Poor health, unhealthy behaviors, and unfavorable work characteristics influence pathways of exit from paid employment among older workers in Europe: a four year follow-up study by Robroek SJW, Schuring M, Croezen S, Stattin M, Burdorf A The relative importance of poor health, physical inactivity, and lack of job control differed by pathway of labor force exit. Primary preventive interventions focusing on promoting physical activity and increasing job control may contribute to reducing exit from paid employment. To maintain a productive workforce, it should be considered to integrate health promotion with activities aimed at occupational health. 125Original article Scand J Work Environ Health. 2013;39(2):125-133. doi:10.5271/sjweh.3319 Poor health, unhealthy behaviors, and unfavorable work characteristics influence pathways of exit from paid employment among older workers in Europe: a four year follow-up study Objectives The aim of this study was to get insight into the role of poor health, unhealthy behaviors, and unfavorable work characteristics on exit from paid employment due to disability pension, unemployment, and early retirement among older workers. Methods Respondents of the longitudinal Survey of Health, Ageing, and Retirement in Europe (SHARE) in 11European countries were selected when (i) aged between 50 years and the country-specific retirement age, (ii) in paid employment at baseline, and (iii) having information on employment status during the 4-year follow-up period (N=4923). Self-perceived health, health behaviors, and physical and psychosocial work characteristics were measured by interview at baseline. Employment status was derived from follow-up interviews after two and four years. Cox proportional hazards regression analyses were used to identify determinants of unemployment, disability pension, and early retirement.Results Poor health was a risk factor for disability pension [hazard ratio (HR) 3.90, 95% confidence interval (95% CI) 2.51-6.05], and a lack of physical activity was a risk factor for disability pension (HR 3.05, 95% CI 1.68-5.55) and unemployment (HR 1.84, 95% CI 1.13-3.01). A lack of job control was a risk factor for disability pension, unemployment, and early retirement (HR 1.30-1.77).Conclusions Poor health, a lack of physical activity, and a lack of job control played a role in exit from paid employment, but their relative importance differed by pathway of labor force exit. Primary preventive interventions focusing on promoting physical activity as well as increasing job control may contribute to reducing premature exit from paid employment.

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Section: Determinants Of Exit From Work Among Older Workers In Europementioning

confidence: 90%

“…Several studies also reported that workers with a poor health are more likely to become unemployed (4,(7)(8)(9)(10)(11) and, to a smaller extent, to retire before the statutory retirement age (4,11,12).…”

mentioning

confidence: 99%

Poor health, unhealthy behaviors, and unfavorable work characteristics influence pathways of exit from paid employment among older workers in Europe: a four year follow-up study

Robroek¹,

Schuring²,

Croezen³

et al. 2012

Scand J Work Environ Health

204

174

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“…Ja¨ntti et al (2000) discover that regional unemployment has not been associated with mortality among Finns. The studies that use panel data are based on restricted samples covering special groups of workers (Lahelma, 1989;Leino-Arjas et al, 1999;Nyman, 2002). This makes it rather difficult to generalize the results obtained.…”

Section: Introductionmentioning

confidence: 99%

Unemployment and self‐assessed health: evidence from panel data

Böckerman

Ilmakunnas²

2008

Health Economics

363

184

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SUMMARYWe examine the relationship between unemployment and self-assessed health using the European Community Household Panel for Finland over the period 1996-2001. Our results show that the event of becoming unemployed does not matter as such for self-assessed health. The health status of those that end up being unemployed is lower than that of the continually employed. Therefore, persons who have poor health are being selected for the pool of the unemployed. This explains why, in a cross-section, unemployment is associated with poor self-assessed health. All in all, the cross-sectional negative relationship between unemployment and self-assessed health is not found longitudinally.

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“…Regarding the relationship between unemployment and (ill) health, today, most researchers assume a co-existence of selection as well as causation mechanisms to account for it (Bartley 1988). Numerous studies have demonstrated the existence of selection effects in the association of unemployment and health behaviours (Jusot et al 2008;Leino-Arjas et al 1999;Ryan et al 1996). One explanation for the cross-sectional association could indeed consist in smokers being more likely to become unemployed than non-smokers.…”

Section: Discussionmentioning

confidence: 99%

No causal effect of unemployment on smoking? A German panel study

Schunck

Rogge

2012

Int J Public Health

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Objectives This study analyses the effects of different unemployment durations on smoking behaviour in Germany by investigating smoking take-up, relapse, quitting and smoking intensity. Methods Longitudinal data from the German Socio-Economic Panel from the years 1998, 2001, 2002, 2004, 2006, and 2008 were used to examine the effect of unemployment (52,940 observations from 17,028 respondents, aged 17-65 years). Unemployment duration was measured at 1-6, 7-12, 13-24, and 24+ months. Effects were estimated using zero-inflated negative binomial regressions and fixed effects logistic panel regressions. Results The zero-inflated negative binomial regression models suggest that the likelihood of smoking increases with unemployment, while smoking intensity is not affected. However, fixed effects logistic regression models demonstrate that unemployment is neither a significant predictor for taking up smoking, relapsing, nor quitting. Conclusions The results indicate that in Germany, there is no direct causal effect of unemployment on smoking behaviour. The observed relationship between smoking and unemployment appears to be driven by stable, unobserved differences between employed and unemployed respondents.

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Predictors and consequences of unemployment among construction workers: prospective cohort study

Abstract: Objective To study predictors and consequences of unemployment.

Cited by 125 publications

References 17 publications

Poor health, unhealthy behaviors, and unfavorable work characteristics influence pathways of exit from paid employment among older workers in Europe: a four year follow-up study

Poor health, unhealthy behaviors, and unfavorable work characteristics influence pathways of exit from paid employment among older workers in Europe: a four year follow-up study

Unemployment and self‐assessed health: evidence from panel data

No causal effect of unemployment on smoking? A German panel study

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