Effects of cardiovascular and cerebrovascular health events on work and earnings: a population-based retrospective cohort study

Garland, Allan; Jeon, Sung‐Hee; Stepner, Michael; Rotermann, Michelle; Fransoo, Randy; Wunsch, Hannah; Scales, Damon C.; Iwashyna, Theodore J.; Sanmartin, Claudia

doi:10.1503/cmaj.181238

Cited by 33 publications

(32 citation statements)

References 36 publications

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“…Previous studies have shown that many stroke survivors experience long-lasting reductions in their ability to work and earn income (11,29,30). One of the most consistent predictors of stroke survivors return to work is stroke severity (31,32).…”

Section: Discussionmentioning

confidence: 99%

“…During the recent decades there has been a signi cant increase in the incidence of stroke survivors in working ages (10). Many working-age stroke survivors perceive a reduction in their ability to work after the stroke onset (11). Economic theory suggests that couples often share their resources and make joint decisions about their work (12,13).…”

Section: Introductionmentioning

confidence: 99%

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Employment transitions for spouses of stroke survivors: Evidence from Swedish national registries

Persson

Hensing

2020

Preprint

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Background: The sudden occurrence of stroke often leads to impaired physical, emotional, and cognitive abilities. Many stroke survivors therefore require support from their family members. However, little is known about the effects of a stroke event on the spouses’ employment transition probabilities. Thus, the aim of this study was to investigate whether a first ever stroke has an effect on employment transition probabilities for employed and unemployed spouses. The aim was also to analyze whether heterogeneity with respect to age, gender, education and comorbidities influence the size of the effect. Method: Data for this population-based cohort study were extracted from Swedish national registries from 2005 to 2016. The national sample consisted of 1,818 spouses of first ever stroke survivors during 2010 and 2011, and 7,399 matched controls that were employed or unemployed during five years prior stroke onset. Effects of stroke on spousal employment transitions were analyzed using linear regression, stratified by employment status prior to stroke onset.Results: Employed spouses prior stroke onset reduced their employment by -1.3 percentage points (95% CI: -2.4, -0.2). The data also indicated that employed spouses with lower age, comorbid conditions, and low educational attainment may be at even greater risk of transitioning to unemployment. On the other hand, stroke events appear to have limited impact on spouses that were unemployed prior to stroke onset. Conclusion: The risk of transitioning to unemployment appears to increase after stroke onset for spouses of stroke survivors, and disadvantaged groups may be at even greater risk. Thus, it is important for policy-makers to implement interventions to ensure that these groups of spouses have the possibilities to combine their caregiving role and remaining in the labor market.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Employment transitions for spouses of stroke survivors: Evidence from Swedish national registries

Persson

Hensing

2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Previous studies have shown that many stroke survivors experience long-lasting reductions in their ability to work and earn income [12,30,31]. One of the most consistent predictors of stroke survivors return to work is stroke severity [32,33].…”

Section: Discussionmentioning

confidence: 99%

“…During the recent decades there has been a significant increase in the incidence of stroke survivors in working ages [11]. Many working-age stroke survivors perceive a reduction in their ability to work after the stroke onset [12]. Economic theory suggests that couples often share their resources and make joint decisions about their work [13,14].…”

Section: Introductionmentioning

confidence: 99%

Employment transitions for spouses of stroke survivors: evidence from Swedish national registries

2020

View full text Add to dashboard Cite

Background The sudden occurrence of stroke often leads to impaired physical, emotional, and cognitive abilities. Many stroke survivors therefore require support from their family members. However, little is known about the effects of a stroke event on the spouses’ employment transition probabilities. The aim of this study was twofold 1) to investigate whether a first ever stroke has an effect on employment transition probabilities for employed and unemployed spouses and 2) to analyze whether heterogeneity with respect to age, gender, education and comorbidities influence the size of the effect. Method Data for this population-based cohort study were extracted from Swedish national registries from 2005 to 2016. The national sample consisted of 1818 spouses of first ever stroke survivors during 2010 and 2011, and 7399 matched controls that were employed or unemployed during 5 years prior stroke onset. Effects of stroke on spousal employment transitions were analyzed using linear regression, stratified by employment status prior to stroke onset. Results Employed spouses prior stroke onset reduced their employment by − 1.3 percentage points (95% CI, − 2.4, − 0.2). The data also indicated that employed spouses with lower age, comorbid conditions, and low educational attainment may be at even greater risk of transitioning to unemployment. On the other hand, stroke events appear to have limited impact on spouses that were unemployed prior to stroke onset. Conclusion The risk of transitioning to unemployment appears to increase after stroke onset for spouses of stroke survivors, and disadvantaged groups may be at even greater risk. Thus, it is important for policy-makers to implement interventions to ensure that these groups of spouses have the possibilities to combine their caregiving role and remaining in the labor market.

show abstract

“…During the recent decades there has been a signi cant increase in the incidence of stroke survivors in working ages (11). Many working-age stroke survivors perceive a reduction in their ability to work after the stroke onset (12). Economic theory suggests that couples often share their resources and make joint decisions about their work (13,14).…”

Section: Introductionmentioning

confidence: 99%

Employment transitions for spouses of stroke survivors: Evidence from Swedish national registries

Persson

Hensing

Bonander

2020

Preprint

View full text Add to dashboard Cite

Background: The sudden occurrence of stroke often leads to impaired physical, emotional, and cognitive abilities. Many stroke survivors therefore require support from their family members. However, little is known about the effects of a stroke event on the spouses’ employment transition probabilities. The aim of this study was twofold 1) to investigate whether a first ever stroke has an effect on employment transition probabilities for employed and unemployed spouses and 2) to analyze whether heterogeneity with respect to age, gender, education and comorbidities influence the size of the effect. Method: Data for this population-based cohort study were extracted from Swedish national registries from 2005 to 2016. The national sample consisted of 1,818 spouses of first ever stroke survivors during 2010 and 2011, and 7,399 matched controls that were employed or unemployed during five years prior stroke onset. Effects of stroke on spousal employment transitions were analyzed using linear regression, stratified by employment status prior to stroke onset. Results: Employed spouses prior stroke onset reduced their employment by -1.3 percentage points (95% CI: -2.4, -0.2). The data also indicated that employed spouses with lower age, comorbid conditions, and low educational attainment may be at even greater risk of transitioning to unemployment. On the other hand, stroke events appear to have limited impact on spouses that were unemployed prior to stroke onset. Conclusion: The risk of transitioning to unemployment appears to increase after stroke onset for spouses of stroke survivors, and disadvantaged groups may be at even greater risk. Thus, it is important for policy-makers to implement interventions to ensure that these groups of spouses have the possibilities to combine their caregiving role and remaining in the labor market.

show abstract

Effects of cardiovascular and cerebrovascular health events on work and earnings: a population-based retrospective cohort study

Cited by 33 publications

References 36 publications

Employment transitions for spouses of stroke survivors: Evidence from Swedish national registries

Employment transitions for spouses of stroke survivors: Evidence from Swedish national registries

Employment transitions for spouses of stroke survivors: evidence from Swedish national registries

Employment transitions for spouses of stroke survivors: Evidence from Swedish national registries

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