The health effects of employment

Virtanen, Pekka

doi:10.1136/oemed-2014-102143

Cited by 4 publications

(7 citation statements)

References 8 publications

(9 reference statements)

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“…The positive findings in 'continuously working' cancer survivors are in line with previous studies, conducted in the general population, stating that sustained employment enhances wellbeing and health [1,36]. However, one must bear in mind that, especially in cancer survivors, those who do not even consider being occupationally active again, because of a debilitating prognosis and deteriorated health, are obviously less likely to stay employed.…”

Section: Interpretation Of the Findingssupporting

confidence: 78%

Sustained employability and health-related quality of life in cancer survivors up to four years after diagnosis

et al. 2017

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Background: Most cancer survivors are able to return to work at some point after diagnosis. However, literature on sustained employability and health-related quality of life (HRQoL) is limited. Therefore, the aims of this study were to explore the influence of change in employment status on HRQoL in cancer survivors long term after diagnosis, and to identify predictors of work continuation in occupationally active survivors. Material and methods: We used prospective data (T0 ¼ two years after diagnosis, T1 ¼ one-year follow-up, and T2 ¼ two-year follow-up) from a cohort of cancer survivors that had an employment contract and were of working age at T0 (N ¼ 252, 69.8% female). Groups were formed on the basis of change in employment status: 'continuously not working' (19.8%), 'positive change in employment status' (5.6%), 'negative change in employment status' (14.7%), and 'continuously working' (59.9%). ANCOVA was used to explore the relationship between change in employment status and HRQoL at T1. Generalized estimating equations (GEE) were used to identify predictors of work continuation (at T1 and T2) in survivors that were occupationally active at T0 (N ¼ 212). Results: 'Continuously working' survivors scored significantly better on the EORTC QLQ-C30 scales: role functioning, fatigue, pain, constipation, global health/QoL and the Summary score, than 'continuously not working' survivors, and better on physical, role and emotional functioning, fatigue, financial impact, global health/QoL and the Summary score than survivors with a 'negative change in employment status' (effect size range ¼ 0.49-0.74). In occupationally active survivors, a high score on current work ability was associated with work continuation one year later [odds ratio (OR) 1.46; 95% CI 1.11-1.92]. Conclusion: Cancer survivors 'continuously working' function better and have a better health and QoL than those who are not able to work. However, in occupationally active cancer survivors, one should monitor those with low self-perceived work ability, because they have an increased risk to discontinue their work.

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Section: Interpretation Of the Findingssupporting

confidence: 78%

Sustained employability and health-related quality of life in cancer survivors up to four years after diagnosis

et al. 2017

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“…1–3,17–19 To better capture the burden of work-related disease and injury, it is necessary to examine both the occupational and work-related components of burden within the context of an individual’s entire working life. 2,21–25 This is the continuum from prework to postwork periods, and it generally involves many jobs and periods of employment. 24 US Bureau of Labor Statistics data for workers (born between 1957 and 1969) aged 18 to 48 years indicate that, on average, US workers have 11.7 paying jobs in their lifetime.…”

Section: An Approach For Assessing Burdenmentioning

confidence: 99%

“…They can result in adverse health effects and need to be considered along with traditional occupational safety and health hazards. 21–24 …”

Section: An Approach For Assessing Burdenmentioning

confidence: 99%

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An Approach to Assess the Burden of Work-Related Injury, Disease, and Distress

et al. 2017

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The true burden (morbidity, mortality, disability, cost, pain, distress) of occupational and work-related diseases and injuries is unknown, and what is reported as burden is significantly underestimated. This underestimation affects the way decision-makers view investments in research and worker protection, which in turn has a substantial impact on national welfare and public health. To better describe the societal and individual burdens of occupational and work-related diseases and injuries, we propose an approach to gauge what is known about burden and where new assessments may be made. This approach consists of 4 elements to consider in burden assessments: (1) utilizing multiple domains, including the individual worker, the worker’s family, the community in which the workplace is located, the employer, and society as a whole; (2) taking a broader view of the work-relatedness of disease and injury; (3) assessing the impact of the entire working-life continuum; and (4) applying the comprehensive concept of “well-being” as an indicator in addressing contemporary changes in the nature of work, the workplace, and the workforce. Further research on burden and enhanced surveillance is needed to develop these elements.

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“…A job is the source of financial security, social protection, social identity and one of the means to achieve better health and healthcare opportunities. 1 Nevertheless, employment security is challenged by a globalised economy that pushes labour markets to rely on different strategies to adapt employment conditions to economic growth. 2 3 One of these strategies is the adoption of labour flexibility, characterised by non-standard types of employment conditions.…”

Section: Introductionmentioning

confidence: 99%

Cohort profile: the Spanish WORKing life Social Security (WORKss) cohort study

et al. 2016

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Purpose: The global economy is changing the labour market and social protection systems in Europe. The effect of both changes on health needs to be monitored in view of an ageing population and the resulting increase in prevalence of chronic health conditions. The Spanish WORKing life Social Security (WORKss) cohort study provides unique longitudinal data to study the impact of labour trajectories and employment conditions on health, in terms of sickness absence, permanent disability and death.

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The health effects of employment

Cited by 4 publications

References 8 publications

Sustained employability and health-related quality of life in cancer survivors up to four years after diagnosis

Sustained employability and health-related quality of life in cancer survivors up to four years after diagnosis

An Approach to Assess the Burden of Work-Related Injury, Disease, and Distress

Cohort profile: the Spanish WORKing life Social Security (WORKss) cohort study

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