Employment and People with Non Communicable Chronic Diseases: PATHWAYS Recommendations and Suggested Actions for Implementing an Inclusive Labour Market for All and Health in All Sectors

Leonardi, Matilde

doi:10.3390/ijerph15081674

Cited by 9 publications

(8 citation statements)

References 10 publications

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“…Work and health are interrelated in many ways. The ageing of the working population combined with the dramatic low employment rates of persons with chronic diseases (PwCDs) is an indicative depiction of this particular relation [21,22]. All mechanisms should champion the importance of strengthening health promotion, preventive services, public health, and social care [23].…”

Section: Introductionmentioning

confidence: 99%

Recommendations for Effective Intersectoral Collaboration in Health Promotion Interventions: Results from Joint Action CHRODIS-PLUS Work Package 5 Activities

Dale

Lemmens

Hendriksen

et al. 2020

IJERPH

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The burden of chronic disease in Europe continues to grow. A major challenge facing national governments is how to tackle the risk factors of sedentary lifestyle, alcohol abuse, smoking, and unhealthy diet. These factors are complex and necessitate intersectoral collaboration to strengthen health promotion, counter-act the social determinants of health, and reduce the prevalence of chronic disease. European countries have diverse intersectoral collaboration to encourage health promotion activities. In the Joint Action CHRODIS-PLUS success factors for intersectoral collaboration within and outside healthcare which strengthen health promotion activities were identified with a mixed method design via a survey of 22 project partners in 14 countries and 2 workshops. In six semi-structured interviews, the mechanisms underlying these success factors were examined. These mechanisms can be very context-specific but do give more insight into how they can be replicated. In this paper, 20 health promotion interventions from national programs in CHRODIS PLUS are explored. This includes community interventions, policy actions, integrated approaches, capacity building, and training activities. The interventions involved collaboration across three to more than six sectors. The conclusion is a set of seven recommendations that are considered to be essential for fostering intersectoral collaboration to improve health-promoting activities.

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Section: Introductionmentioning

confidence: 99%

Recommendations for Effective Intersectoral Collaboration in Health Promotion Interventions: Results from Joint Action CHRODIS-PLUS Work Package 5 Activities

Dale

Lemmens

Hendriksen

et al. 2020

IJERPH

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“…Issues that could hinder the self‐management by DM patients at work are often related to human resource and labour policies and laws, e.g., stigmatisation and discrimination at work place (Ruston et al., 2013 ), support from employers (Weijman et al., 2005 ) and sick leave arrangements and the situation of DM patients among the working population clearly brings out this cross‐over of public health and labour policies. It is worth noting that the self‐management of chronic disease patients among the working population has already reached policy level discussion in the European Union, and challenges faced by chronic disease patients, including those with DM, in self‐managing their conditions at work and the corresponding measures have been mapped out (Leonardi & Scaratti, 2018 ).…”

Section: Discussionmentioning

confidence: 99%

“…Issues that could hinder the self-management by DM patients at work are often related to human resource and labour policies and laws, e.g., stigmatisation and discrimination at work place(Ruston et al, 2013), support from employers(Weijman et al, 2005) and sick leave arrangements and the situation of DM patients among the working population clearly brings out this crossover of public health and labour policies. It is worth noting that the self-management of chronic disease patients among the working population has already reached policy level discussion in the European Union, and challenges faced by chronic disease patients, including those with DM, in self-managing their conditions at work and the corresponding measures have been mapped out(Leonardi & Scaratti, 2018).This study highlighted the urgent need for a better understanding of the DM situation among the working population for health education, health service planning and more accurate assessment on the economic and social cost of DM. In order to build up evidence for possible change in public health and labour policies to facilitate better prevention and disease control by DM patients at work, cohort study should be conducted to examine the risk factors; and studies looking at the self-management behaviours of non-skilled DM patients are also recommended.…”

mentioning

confidence: 99%

Non‐skilled occupation as a risk factor of diabetes among working population: A population‐based study of community‐dwelling adults in Hong Kong

Hung

Chan

Chow

et al. 2021

Health Soc Care Community

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Diabetes among working population brings to society concerns on productivity and social welfare cost, in addition to healthcare burden. While lower socio-economic status has been recognised as a risk factor of diabetes; occupation, compared with other socio-economic status indicators (e.g., education and income), has received less attention. There is some evidence from studies conducted in Europe that occupation is associated with diabetes risk, but less is known in Asia, which has different organisational cultures and management styles from the West. This study examines the association between occupation and diabetes risk in a developed Asian setting, which is experiencing an increasing number of young onset of diabetes and aging working population at the same time. This is a cross-sectional study of working population aged up to 65 with data from a population-based survey collecting demographic, socio-economic, behavioural and metabolic data from Hong Kong residents, through both self-administered questionnaires and clinical health examinations (1,429 participants). Non-skilled occupation was found to be an independent risk factor for diabetes, with an odds ratio (OR) of 3.38 (p < 0.001) and adjusted OR of 2.59 (p = 0.022) after adjusting for demographic, behavioural and metabolic risk factors. Older age (adjusted OR = 1.08, p < 0.001), higher body mass index (adjusted OR = 1.23, p < 0.001) and having hypertriglyceridemia (adjusted OR = 1.93, p = 0.033) were also independently associated with diabetes. Non-skilled workers were disproportionately affected by diabetes with the highest age-standardized prevalence (6.3%) among all occupation groups (4.9%-5.0%). This study provides evidence that nonskilled occupation is an independent diabetes risk factor in a developed Asian setting. Health education on improving lifestyle practices and diabetes screening should prioritise non-skilled workers, in particular through company-based and sector-based diabetes screening programmes.

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“…Faced with this evidence, the European PATHWAYS project (www.path-ways.eu), which identified the impact of chronic diseases on European socio-medical systems, has shown how the existing EU and national level legislations regarding inclusive work are not specifically addressed to people with chronic diseases [9][10][11]. Conversely, these legislations apply to specific population groups, such as people with disabilities, long-term unemployed and "fragile" groups, but do not necessarily answer the needs of people affected with one or more chronic diseases [12].…”

Section: Introductionmentioning

confidence: 99%

Employment and Chronic Diseases: Suggested Actions for The Implementation of Inclusive Policies for The Participation of People with Chronic Diseases in the Labour Market

Silvaggi

Eigenmann

Scaratti

et al. 2020

IJERPH

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In recent decades, the number of people living with one or more chronic diseases has increased dramatically, affecting all sectors of society, particularly the labour market. Such an increase of people with chronic diseases combined with the aging of working population affects income levels and job opportunities, careers, social inclusion and working conditions. Both legislation and company regulations should take into account the difficulties that workers experiencing chronic diseases may face in order to be able to formulate innovative and person-centred responses to effectively manage this workforce while simultaneously ensuring employee wellbeing and continued employer productivity. The European Joint Action “CHRODIS PLUS: Implementing good practices for Chronic Diseases” supports European Union Member States in the implementation of new and innovative policies and practices for health promotion, diseases prevention and for promoting participation of people with chronic diseases in labour market. Therefore, a Toolbox for employment and chronic conditions has been developed and its aim is to improve work access and participation of people with chronic diseases and to support employers in implementing health promotion and chronic disease prevention activities in the workplace. The Toolbox consists of two independent instruments: the Training tool for managers and the Toolkit for workplaces that have been tested in different medium and large companies and working sectors in several European countries.

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Employment and People with Non Communicable Chronic Diseases: PATHWAYS Recommendations and Suggested Actions for Implementing an Inclusive Labour Market for All and Health in All Sectors

Abstract: n/a

Cited by 9 publications

References 10 publications

Recommendations for Effective Intersectoral Collaboration in Health Promotion Interventions: Results from Joint Action CHRODIS-PLUS Work Package 5 Activities

Recommendations for Effective Intersectoral Collaboration in Health Promotion Interventions: Results from Joint Action CHRODIS-PLUS Work Package 5 Activities

Non‐skilled occupation as a risk factor of diabetes among working population: A population‐based study of community‐dwelling adults in Hong Kong

Employment and Chronic Diseases: Suggested Actions for The Implementation of Inclusive Policies for The Participation of People with Chronic Diseases in the Labour Market

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