Employment status transitions in employees with and without chronic disease in the Netherlands

Abstract

ObjectivesObjectives were to: (1) longitudinally assess transitions in employment status of employees with and without chronic disease; and (2) assess predictors of exit from paid employment.MethodsTransitions in employment status at 1- and 2-year follow-up were assessed in a longitudinal cohort study of employees aged 15–63 years. Generalised estimating equations (GEE) and logistic regression analyses were performed to analyse differences in transitions and identify sociodemographic, health- and work-related predictors.ResultsAt 1- and 2-year follow-up, 10,038 employees (37% with chronic disease) and 7636 employees responded. Employees with chronic disease had higher probability of leaving paid employment [OR 1.4 (1.1–1.6)] and unemployment, disability pension and early retirement. Employees without chronic disease had higher chance of moving into self-employment or study. At 2-year follow-up, employees with cardiovascular disease (15%), chronic mental disease (11%), diabetes (10%) and musculoskeletal disease (10%), had left paid employment most often. Higher age, poor health, burnout, low co-worker support and chronic disease limitations were predictors for leaving paid employment.ConclusionsEmployees with chronic disease leave paid work more often for unfavourable work outcomes.

A comprehensive assessment of risk factors for falls in middle-aged adults: co-ordinated analyses of cohort studies in four countries

“…The prevalence of retirement was much higher in the British cohort (61.7%) than in the Dutch (16.0%) and Irish (13.0-15.0%) cohorts, which reflects the higher average age and lower age of eligibility for retirement for women in this birth cohort in Great Britain. Differences between countries may also relate to different primary reasons for retirement; early and late retirement are influenced by financial circumstances and health [27][28][29], which relate differently to fall risk.…”

Labour Market Reintegration of Individuals with a Physical and Cognitive Disability by a Company-Based Work-Experience Program

“…Many studies that conducted such a difference-in-difference estimation are not able to observe career outcomes over such a long time horizon (Cook, Burke-Miller, & Roessel, 2016;Gerards, Muysken, & Welters, 2014;Leinonen et al, 2019). Earlier studies on vocational rehabilitation focus on the short-term exit rates to employment (De Boer et al, 2018;Lammerts, Van Dongen, Schaafsma, Van Mechelen, & Anema, 2017), for instance, finding a job above the statutory minimum wage (Dutta, Gervey, Chan, Chou, & Ditchman, 2008;Rast, Roux, & Shattuck, 2019). However, little is known about the exact quality of the ensuing employment in both the short and long run (e.g., employment on a competitive salary).…”

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

“…Poor health is a major determinant of early labour market exit, and unpacking this association is necessary to inform policies for extending working lives [2]. Longstanding illnesses, such as cardiovascular disease, diabetes and musculoskeletal conditions, are strongly associated with premature labour markets exits [3][4][5]. Depression and anxiety, referred to as common mental disorders (CMD), are also recognised as important determinants of non-employment, and have recently been found to be specifically associated with unemployment in older workers [6][7][8].…”