Working conditions and health behavior as causes of educational inequalities in self-rated health:
                    an inverse odds weighting approach

Schram, Jolinda L D; Groeniger, Joost Oude; Schuring, Merel; Proper, Karin I.; Oostrom, Sandra H van; Robroek, Suzan J W; Burdorf, Alex

doi:10.5271/sjweh.3918

Cited by 15 publications

(40 citation statements)

References 43 publications

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“…The potential of workplace health promotion Unhealthy behaviors (eg, insufficient physical activity, an unhealthy diet, high alcohol intake and smoking) and obesity are risk factors for adverse health outcomes (1,2), productivity loss due to presenteeism or sickness absence (3)(4)(5)(6), and early exit from paid employment (7,8). Poor health and unhealthy behaviors are more prevalent among workers from low socioeconomic positions (1,2,9), as are unemployment and work disability (10,11). With a growing challenge in our societies to work longer, reflected in the increasing statutory retirement age in many European countries, an urgent need exists to enhance workers' health to remain in paid employment.…”

Section: Decades Of Workplace Health Promotion Research: Marginal Gains or A Bright Future Ahead?mentioning

confidence: 99%

“…Unhealthy behaviors (eg, insufficient physical activity, an unhealthy diet, high alcohol intake and smoking) and obesity are risk factors for adverse health outcomes ( 1 , 2 ), productivity loss due to presenteeism or sickness absence ( 3 – 6 ), and early exit from paid employment ( 7 , 8 ). Poor health and unhealthy behaviors are more prevalent among workers from low socioeconomic positions ( 1 , 2 , 9 ), as are unemployment and work disability ( 10 , 11 ).…”

Section: The Potential Of Workplace Health Promotionmentioning

confidence: 99%

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Decades of workplace health promotion research: marginal gains or a bright future ahead

Robroek¹,

Coenen²,

Hengel³

2021

Scand J Work Environ Health

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Section: Decades Of Workplace Health Promotion Research: Marginal Gains or A Bright Future Ahead?mentioning

confidence: 99%

Section: The Potential Of Workplace Health Promotionmentioning

confidence: 99%

Decades of workplace health promotion research: marginal gains or a bright future ahead

Robroek¹,

Coenen²,

Hengel³

2021

Scand J Work Environ Health

Self Cite

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“…Most of the actions related to improvements in the work context. It has been shown that working conditions contribute as much and sometimes more than healthy behaviors to health of employees with a low SEP [ 38 , 39 ]. Second, participants of the dialogues reported learnings after participating.…”

Section: Discussionmentioning

confidence: 99%

Stakeholder dialogue on dilemmas at work as a workplace health promotion intervention including employees with a low SEP: a Responsive Evaluation

Heijster

Berkel

Boot³

et al. 2022

BMC Public Health

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Background The aim of this study was to evaluate the perceived changes of an innovative workplace health promotion intervention and evaluation. In this study, a bottom-up approach was taken to define the central themes and relevant outcomes of an intervention. These central themes and relevant outcomes of the intervention were defined together with stakeholders, including employees with a low socioeconomic position. Methods The intervention consisted of a series of structured stakeholder dialogues in which dilemmas around the – by employees defined —health themes were discussed. The intervention was implemented in a harbor service provider with approximately 400 employees. Over a two-year period, 57 participants engaged in eight dialogues of one hour. 15 interviews and six participant observations took place for the evaluation of the intervention. Results Together with the stakeholders, high workload and mental health were defined as central themes for the dialogue intervention in the male-dominated workplace. The dialogue intervention contributed to changes, on different levels: individual, team, and organization. Overall, the stakeholder dialogues advanced the understanding of factors contributing to high workload and mental health. In reply to this, several actions were taken on a organizational level. Conclusions Taking a bottom-up approach in WHP allows to understand the health issues that are important in the daily reality of employees with a low socioeconomic position. Through this understanding, workplace health promotion can become more suitable and relevant for employees with a low socioeconomic position. Trial registration Netherlands Trial Register (NRT): NL8051. Registration date: 28/09/2019, Retrospectively registered https://www.trialregister.nl

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“…In contrast, the explanatory value of the work-related factors, including both physical and psychosocial demands, was 22%. Several other studies on work ability adjusted for health behaviors and provide evidence that occupational factors impact health outcomes independently of health behavior ( Lund and Csonka, 2003 ; Andersen et al, 2016 ; Schram et al, 2021 ). In an extra analysis of our own dataset, we have added the lifestyle factors smoking, heavy alcohol consumption, obesity, and minutes spent on physical activity (walking, doing a sport) as confounders to our basic analytic model (i.e., model 2 in Table 3 ).…”

Section: Discussionmentioning

confidence: 99%

Occupation-Based Life Expectancy: Actuarial Fairness in Determining Statutory Retirement Age

2021

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This study examines occupation-based differences in life expectancy and the extent to which health accounts for these differences. Twentyseven-year survival follow-up data were used from the Dutch population-based Longitudinal Aging Study Amsterdam (n = 2,531), initial ages 55–85 years. Occupation was based on longest-held job. Results show that the non-skilled general, technical and transport domains had an up to 3.5-year shorter life expectancy than the academic professions, accounting for the compositional characteristics age and gender. Statutory retirement age could be made to vary accordingly, by allowing a proportionally greater pension build-up in the shorter-lived domains. Health accounted for a substantial portion of the longevity difference, ranging from 20 to 66%, depending on the health indicator. Thus, health differences between occupational domains today can be used as a means to tailor retirement ages to individuals’ risks of longevity. These data provide a proof of principle for the development of an actuarially fair method to determine statutory retirement ages.

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Working conditions and health behavior as causes of educational inequalities in self-rated health: an inverse odds weighting approach

Cited by 15 publications

References 43 publications

Decades of workplace health promotion research: marginal gains or a bright future ahead

Decades of workplace health promotion research: marginal gains or a bright future ahead

Stakeholder dialogue on dilemmas at work as a workplace health promotion intervention including employees with a low SEP: a Responsive Evaluation

Occupation-Based Life Expectancy: Actuarial Fairness in Determining Statutory Retirement Age

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