Who maintains good health functioning? The contribution of social, work-related and behavioural factors to mental and physical health functioning trajectories in ageing employees

Lallukka, Tea; Hiilamo, Aapo; Pietiläinen, Olli; Mänty, Minna; Kouvonen, Anne; Rahkonen, Ossi

doi:10.1136/oemed-2019-106324

Cited by 5 publications

(5 citation statements)

References 30 publications

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“…Regarding working conditions, a high prevalence of exposure was observed in the group of workers aged 60-64 years for many hazards, in particular for exposure to ergonomic factors, but also to dust, fumes, gases or vapours, excessive noise or vibration, and injury risk, in particular among male manual workers, where the proportion of exposed subjects was above 15%. Higher prevalences of exposure to work hazards among ageing workers have been found in several studies, although the comparability with our results is limited by differences in the age groups examined, as well as how exposure has been measured (Lallukka et al, 2020;Leijten et al, 2015;Robroek et al, 2013). Working during unsocial hours, i.e.…”

Section: Working Conditionssupporting

confidence: 63%

Working Conditions and Health Among Italian Ageing Workers

Amerio¹,

Ardito

Carioli³

et al. 2022

Soc Indic Res

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In many European countries requirements for retirement have been tightened, causing an increase in work participation of older workers, in spite their potentially poorer health may limit their work ability. This study aimed at assessing the diffusion of health problems and exposure to unfavorable working conditions among ageing workers in two Italian surveys, as well as comparing them with those observed in the same surveys conducted before the 2011 Italian pension reform tightening the normal retirement age. The 2013 National Health Survey (NHS) and Labour Force Survey (LFS) were employed to assess the prevalence of poor perceived health, health conditions and functional limitations, and of exposure to physical, psychosocial and organization factors at work, among 60–64 years workers. Poisson regression models were used to estimate Prevalence Ratios of health outcomes and unfavorable working conditions in the two surveys, compared to data from the 2005 (NHS) and 2007 (LFS) corresponding surveys, respectively. Among both men and women, approximately one quarter had at least one physical disorder or functional limitations and 15% poor mental health. Exposure to different ergonomic factors (15–30%) and working during unsocial hours (19%) were particularly diffused. A significant increase in the prevalence of functional limitations and of working at night or during unsocial hours was found in 2013, compared to corresponding data from 2005 and 2007, respectively. Our results indicate that exposure to ergonomic and organizational hazards should be reduced among ageing workers, to avoid decreased work ability, health damage or early exit from the labour market.

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Section: Working Conditionssupporting

confidence: 63%

Working Conditions and Health Among Italian Ageing Workers

Amerio¹,

Ardito

Carioli³

et al. 2022

Soc Indic Res

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“…Body mass index (BMI) was calculated as weight in kilograms divided by height in meters squared, using self-reports and dichotimized into non-obese (≤ 30 kg/m 2 ) and obese (> 30 kg/m 2 ). Sleep problems were measured by a 4-item version of the Jenkins questionnaire (Jenkins et al 1988 ) and those participants reporting at least one of the four symptoms (trouble falling asleep, wake up several times per night, trouble staying asleep, feeling tired after usual amount of sleep) occurring more than 14 days a month were classified as having sleep problems (Lallukka et al 2020a ). Based on the regular smoking habits the participants were categorized as non-, current, or former smokers.…”

Section: Methodsmentioning

confidence: 99%

Physical working conditions and subsequent sickness absence: a record linkage follow-up study among 19–39-year-old municipal employees

Mänty

Kouvonen

Nordquist

et al. 2021

Int Arch Occup Environ Health

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Purpose Physical work exposures are associated with sickness absence among older employees. We aimed to examine if they similarly contribute to all-cause sickness absence during early and mid-careers. Methods We used questionnaire data on physical work exposures linked to register data on sickness absence from 3542 municipal employees aged 19–39 years. Follow-up for the number of sickness absence days was 12 months. Exposures to physical workload, occupational environmental hazards, and sedentary work were divided into quartiles. In addition, duration of daily exposure to heavy work was included. Negative binomial regression models were used. Results Higher exposure to physical workload or hazardous exposures was associated with a higher number of sickness absence days. The age and gender adjusted rate ratios for sickness absence days among the participants whose exposure to physical workload was in the highest exposure quartile were 2.1 (95% CI 1.8‒2.5) compared with those whose exposure was in the lowest quartile. In addition, rate ratios for sickness absence days among participants who reported that they do heavy physical work 1.1‒2.0 h, 2.1‒4.0 h or over 4 h daily were 1.6 (1.3‒1.9), 1.5 (1.3‒1.8) and 1.7 (1.5‒2.1), respectively, compared with those who reported not doing physical work. Further adjustment for lifestyle factors or health characteristics attenuated the associations only slightly. Conclusion Exposure to physically demanding work is associated with a higher number of sickness absence days among municipal employees below 40 years of age. Physical working conditions should be considered when aiming to support later work ability.

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“…It has also been found that good sleep supports the maintenance of physical health and functioning, which was replicated in our findings. 26 Our study adds to the literature by identifying factors associated with clinically meaningful physical health and function improvements among women in midlife and by confirming factors associated with general positive aging in midlife and in older individuals.…”

Section: Discussionmentioning

confidence: 99%

Physical and Behavioral Factors Associated With Improvement in Physical Health and Function Among US Women During Midlife

et al. 2023

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ImportanceWomen often experience physiological and functional changes in their health during midlife. Identifying women who have clinically important improvements in physical health and function and evaluating the factors associated with these improvements can identify intervention targets at midlife.ObjectiveTo identify factors associated with improvements in physical health and function among women during midlife.Design, Setting, and ParticipantsParticipants were part of the Study of Women’s Health Across the Nation (SWAN), a diverse cohort of US women early in midlife, and followed up annually for up to 21 years between 1996 and 2017. Analyses were based on visit 8 (2004-2006) through visit 15 (2015-2017). Statistical analysis was conducted from October 2021 to March 2023.ExposuresSociodemographic indicators, health status measures, and comorbidities measured at visit 8.Main Outcomes and MeasuresThe main outcome was a clinically important (≥5 points) improvement in the physical component score (PCS) of the 36-item Short-Form Health Survey between visit 8 and visit 15.ResultsOf the 1807 women (at visit 8: mean [SD] age, 54.5 [2.7] years; 898 [50%] White participants) in SWAN who qualified for analysis, 265 (15%) experienced a clinically important improvement in PCS over a median of 11.1 years (IQR, 10.9-11.4 years). Factors associated with improvement in PCS included no financial strain (odds ratio [OR], 1.73; 95% CI, 1.18-2.52), no sleep disturbances (OR, 1.43; 95% CI, 1.05-1.96), no osteoarthritis (OR, 1.42; 95% CI, 1.01-1.99), and having a higher physical activity score (OR, 1.17; 95% CI, 1.00-1.37) as assessed at visit 8. Women who had a higher PCS at visit 8 (OR, 0.84; 95% CI, 0.83-0.86), who had a higher body mass index (OR, 0.95; 95% CI, 0.93-0.97), or who were taking more medications (OR, 0.93; 95% CI, 0.88-0.98) had lower odds of an improved PCS.Conclusions and RelevanceThis cohort study of women in midlife suggests that approximately 15% of women experienced clinically important improvements in health and function over an 11-year period. Several potentially modifiable factors associated with improvements may inform women of variables to target for future interventions.

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Who maintains good health functioning? The contribution of social, work-related and behavioural factors to mental and physical health functioning trajectories in ageing employees

Cited by 5 publications

References 30 publications

Working Conditions and Health Among Italian Ageing Workers

Working Conditions and Health Among Italian Ageing Workers

Physical working conditions and subsequent sickness absence: a record linkage follow-up study among 19–39-year-old municipal employees

Physical and Behavioral Factors Associated With Improvement in Physical Health and Function Among US Women During Midlife

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