The impact of longstanding illness and common mental disorder on competing employment exits routes in older working age: A longitudinal data-linkage study in Sweden

Harber-Aschan, Lisa; Chen, Wen‐Hao; McAllister, Ashley; Jensen, Natasja Koitzsch; Thielen, Karsten; Andersen, Ingelise; Diderichsen, Finn; Barr, Ben; Burström, Bo

doi:10.1371/journal.pone.0229221

Cited by 6 publications

(5 citation statements)

References 38 publications

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“…The effects of common mental or psychotic disorders on exit from paid employment were more profound among persons with a non-native Dutch background compared to native Dutch persons. Harber-Aschan et al (37) also found that in Sweden persons with a migrant background and common mental disorders were more likely to exit paid employment through disability benefits and unemployment compared to native Swedish persons with common mental disorders (37). This may be due to cultural differences.…”

Section: Discussionmentioning

confidence: 98%

The influence of onset of disease on exit from paid employment among workers in The Netherlands: A longitudinal register-based study with 9 years follow-up

Hijdra¹,

Robroek²,

Burdorf³

et al. 2022

Scand J Work Environ Health

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This study investigated the influence of onset of diseases on the likelihood to exit paid employment during a 9-year follow-up. The results showed that onset of all diseases increased the likelihood of exiting paid employment, through disability benefits, followed by unemployment. This association was strongest for common mental disorders and psychotic disorder, especially among males and workers with a migration background.

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Section: Discussionmentioning

confidence: 98%

The influence of onset of disease on exit from paid employment among workers in The Netherlands: A longitudinal register-based study with 9 years follow-up

Hijdra¹,

Robroek²,

Burdorf³

et al. 2022

Scand J Work Environ Health

View full text Add to dashboard Cite

show abstract

“…Nearly all observed statistical significant associations over time were found amongst the group of employees with coexistent physical-mental chronic conditions. Perhaps the presence of two or more chronic conditions simultaneously within an individual may substantially increase the risk to exit paid employment [ 17, 22 ]. Study findings did not show significant associations between chronic conditions and strong retirement intentions over time.…”

Section: Discussionmentioning

confidence: 99%

“…Also the combination of at least one mental and one physical chronic conditions simultaneously is frequently common due to common risk factors [ 3, 30 ]. This combination is considered even more disabling, affecting work loss and retirement [ 17, 30 ]. In this study, this combination is referred to as ‘coexistent physical-mental chronic conditions’, irrespectively of order.…”

Section: Introductionmentioning

confidence: 99%

Chronic conditions and self-perceived health among older employees in relation to indicators of labour participation and retirement over time

Jennen

Jansen

Amelsvoort

et al. 2022

WOR

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BACKGROUND: A significant proportion of older employees leave the labour market early, amongst others via unemployment or disability benefits, implying that health might affect possibilities to extend working life. OBJECTIVE: This study 1) examined associations between chronic conditions (subtypes) and self-perceived health (SPH), independently, and indicators of labour participation and retirement over six-year follow-up among older employees, and 2) explored the impact of differences between prevalent and incident presence of chronic condition(s) in this relation. METHODS: Older workers (aged > 45 years) included in the Maastricht Cohort Study were studied (n = 1,763). The Health and Work Performance Questionnaire assessed chronic conditions and one item from the Short Form health survey-36 assessed SPH. Cox regression analyses assessed associations between chronic conditions and SPH, independently, and retirement intentions, employment status, decreasing working hours, and changes in work over time. RESULTS: Employees with coexistent physical-mental chronic conditions showed higher risks to lose employment and to receive a disability benefit (HR 1.85, 95% CI 1.23–2.78; HR 8.63, 95% CI 2.47–30.11) over time compared to healthy employees. No statistically significant associations were found between SPH and indicators of labour participation and retirement over time. Having chronic condition(s) was cross-sectionally associated with lower SPH scores and larger proportion of part-timers –compared to healthy employees. CONCLUSIONS: Chronic condition(s) among older employees were substantially associated with indicators of labour participation and retirement over time. The role of SPH was mainly instantaneous. Findings provide valuable input for preventive measures aiming to prevent an early labour market exit of older employees.

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“…The finding that the area-level measures of older people’s health were associated cross-sectionally with not being in paid work is novel. A large amount of literature has shown that poor individual health is related to employment outcomes [ 23 – 28 ], but no previous studies have investigated relationships at a place level. Previous analysis by the Health Foundation showed strong correlations between Healthy Life Expectancy and employment rates for all adults in local authorities, particularly for men [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Does it matter how we measure the health of older people in places for associations with labour market outcomes? A cross-sectional study

et al. 2022

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Background Inequalities between different areas in the United Kingdom (UK) according to health and employment outcomes are well-documented. Yet it is unclear which health indicator is most closely linked to labour market outcomes, and whether associations are restricted to the older population. Methods We used the Office for National Statistics (ONS) Longitudinal Study (LS) to analyse which measures of health-in-a-place were cross-sectionally associated with three employment outcomes in 2011: not being in paid work, working hours (part-time, full-time), and economic inactivity (unemployed, retired, sick/disabled, other). Seven health indicators from local-authority census and vital records data were chosen to represent the older working age population (self-rated health 50-74y, long-term illness 50-74y, Age-specific mortality rate 50-74y, avoidable mortality, life expectancy at birth and 65 years, disability-free life expectancy at 50 years, and healthy life expectancy at 50 years). An additional two health indicators (life expectancy at birth and infant mortality rate) were included as test indicators to determine if associations were limited to the health of older people in a place. These nine health indicators were then linked with the LS sample aged 16-74y with data on employment outcomes and pertinent demographic and individual health information. Interactions by gender and age category (16-49y vs. 50-74y) were also tested. Findings For all health-in-a-place measures, LS members aged 16–74 who resided in the tertile of local authorities with the ‘unhealthiest’ older population, had higher odds of not being in paid work, including all four types of economic inactivity. The strongest associations were seen for the health-in-a-place measures that were self-reported, long-term illness (Odds Ratio 1.60 [95% Confidence Intervals 1.52, 1.67]) and self-rated health (1.60 [1.52, 1.68]). Within each measure, associations were slightly stronger for men than women and for the 16-49y versus 50-74y LS sample. In models adjusted for individual self-rated health and gender and age category interactions, health-in-a-place gradients were apparent across all economic inactivity’s. However, these same gradients were only apparent for women in part-time work and men in full-time work. Conclusion Improving health of older populations may lead to wider economic benefits for all.

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The impact of longstanding illness and common mental disorder on competing employment exits routes in older working age: A longitudinal data-linkage study in Sweden

Cited by 6 publications

References 38 publications

The influence of onset of disease on exit from paid employment among workers in The Netherlands: A longitudinal register-based study with 9 years follow-up

The influence of onset of disease on exit from paid employment among workers in The Netherlands: A longitudinal register-based study with 9 years follow-up

Chronic conditions and self-perceived health among older employees in relation to indicators of labour participation and retirement over time

Does it matter how we measure the health of older people in places for associations with labour market outcomes? A cross-sectional study

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