The effect of ill health and socioeconomic status on labor force exit and re-employment: a prospective study with ten years follow-up in the Netherlands

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Section: Discussionmentioning

confidence: 63%

The influence of poor health on competing exit routes from paid employment among older workers in 11 European countries

Reeuwijk

Klaveren²,

Rijn³

et al. 2016

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“…Van den Berg et al (2) and Schuring et al (3) reported that poor health predicts early retirement (odds, hazard, and risk ratios ranging from 1.2-3.4). High physical work demands (ie, extreme bending of the neck) predicted early retirement in one study [odds ratio (OR) 6.8], but no significant effect of high physical work demands has been found in other studies (OR ranging from 0.9-1.1) (2).…”

mentioning

confidence: 99%

Health, job characteristics, skills, and social and financial factors in relation to early retirement – results from a longitudinal study in the Netherlands

Wind¹,

Geuskens²,

Ybema³

et al. 2013

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100

Objective This study aimed to investigate the relative contribution of health, job characteristics, skills and knowledge, and social and financial factors to the transition from work to (non-disability) early retirement.Methods Employees aged 59-63 years (N=2317) were selected from the Study on Transitions in Employment, Ability and Motivation (STREAM) in the Netherlands. Individual characteristics, health, job characteristics, skills and knowledge, and social and financial factors were measured using a questionnaire at baseline. Information on early retirement was derived from the one-year follow-up questionnaire. Logistic regression analyses were used to identify predictors of early retirement. Population Attributable Fractions (PAF) were calculated.Results Older age [odds ratio (OR) 1.79], poor physical health (OR 1.78), a positive attitude of the partner with respect to early retirement (OR 3.85), and the financial possibility to stop working before the age of 65 (OR 10.2) predicted the transition to early retirement, whereas employees that reported high appreciation at work (OR 0.58) and higher focus on development of skills and knowledge (OR 0.54) were less likely to retire early. PAF were 0.75 for the financial possibility to stop working, 0.43 for a positive attitude of the partner with respect to early retirement, 0.27 for low appreciation at work, 0.23 for a low focus on development, and 0.21 for poor health. ConclusionsThe financial possibility to stop working before the age of 65 importantly contributes to early retirement. In the context of rapidly diminishing financial opportunities to retire early in the Netherlands, the prolongation of working life might be promoted by workplace health promotion and disability management, and work-related interventions focusing on appreciation and the learning environment.

“…2013;39(3):233-240 doi:10.5271/sjweh.3354 The contribution of overweight, obesity, and lack of physical activity to exit from paid employment: a meta-analysis by Suzan JW Robroek, PhD,1 Kerstin G Reeuwijk, MSc,1 Frances C Hillier, PhD,2 Clare L Bambra, PhD,2 Rogier M van Rijn, PhD, 1 Alex Burdorf PhD 1 Robroek SJW, Reeuwijk KG, Hillier FC, Bambra CL, van Rijn RM, Burdorf A. The contribution of overweight, obesity and lack of physical activity to exit from paid employment: a meta-analysis.…”

mentioning

confidence: 99%

The contribution of overweight, obesity, and lack of physical activity to exit from paid employment: a meta-analysis

Robroek

Reeuwijk²,

Hillier³

et al. 2013

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114

This meta-analysis provides insight into the role of overweight, obesity, and lack of physical activity on three routes of premature exit from paid employment. In order to protect workers against displacement from the labor force, particularly due to disability pension, workplace health prevention programs to reduce overweight and obesity and promote physical activity are urgently required. 233Review Scand J Work Environ Health. 2013;39(3):233-240 doi:10.5271/sjweh.3354 The contribution of overweight, obesity, and lack of physical activity to exit from paid employment: a meta-analysis by Suzan JW Robroek, PhD,1 Kerstin G Reeuwijk, MSc,1 Frances C Hillier, PhD,2 Clare L Bambra, PhD,2 Rogier M van Rijn, PhD, 1 Alex Burdorf PhD 1 Robroek SJW, Reeuwijk KG, Hillier FC, Bambra CL, van Rijn RM, Burdorf A. The contribution of overweight, obesity and lack of physical activity to exit from paid employment: a meta-analysis. Scand J Work Environ Health. 2013;39(3):233-240. doi:10.5271/sjweh.3354 Objectives The objective of this review was to analyze systematically the association between overweight, obesity, and lack of physical activity (PA) and exit from paid employment through disability pension, unemployment, and early retirement. We also aimed to identify the influence of study population and study design on the magnitude of this association. MethodsWe searched PubMed and Embase for English language, longitudinal, quantitative studies that described the relationship between overweight, obesity, or lack of PA and exit from work. A short checklist was used to assess the internal and external validity of the studies. We first estimated the pooled effects using a random effects model and then analyzed the influence of study and population characteristics on associations by stratified meta-analyses. ResultsIn total, 28 out of 1097 publications met the inclusion criteria. Obese [relative risk (RR)=1.53] and, to a lesser extent, overweight (RR=1.16) individuals had an increased likelihood of exit from paid employment through disability pension, but were not at statistically significant increased risk for unemployment or early retirement. Of 17 associations between a lack of PA and disability pension, 8 were statistically significant; this was also the case for 2 of 3 for unemployment. No associations were statistically significant for early retirement. ConclusionsObesity is a risk factor for exit from paid employment through disability pension. There are also indications that a lack of PA is related to an increased risk of disability pension and unemployment. To protect workers against premature exit from paid employment, long-term interventions to prevent overweight and obesity and promote PA in the working population should be considered for implementation.Key terms disability pension; early retirement; systematic review; unemployment. Life expectancy is steadily increasing in developed countries. Governments are seeking to increase the proportion of elderly persons in paid employment by both extending working li...