Work participation and risk factors for health-related job loss among older workers in the Health and Employment after Fifty (HEAF) study: Evidence from a 2-year follow-up period

Syddall, Holly; D’Angelo, Stefania; Ntani, Georgia; Stevens, Martin J.; Harris, E Clare; Linaker, Cathy; Walker‐Bone, Karen

doi:10.1371/journal.pone.0239383

Cited by 7 publications

(7 citation statements)

References 39 publications

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“…Accelerated lung function decline, elevated risk of acute mountain sickness 7 were those few among negative health effects of smoking in the working population at high altitude. Consistent with another study of the association of smoking with non-survival at work 23 , we now supplement this notation with a similar effect at the high-altitude mine. Furthermore, in a large 30-year cohort observation of veterans, they demonstrated that smoking-related diseases contributed most in mortality of those who left prematurely 24 .…”

Section: Discussionmentioning

confidence: 54%

Healthy worker survival effect at a high-altitude mine: prospective cohort observation

Vinnikov

Krasotski²

2022

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Very little is known about the factors of healthy worker survival effect at high-altitude mines. We conducted this cohort observation of the new hires for a high-altitude gold mine in Kyrgyzstan with the aim to ascertain predictors of survival at work. All new hires in 2009 through 2012 for a high-altitude gold mine (3600–4500 m above sea level) were followed up to January 2022. We tested the association of demographic, physiological predictors and diagnoses at the pre-employment screening with non-survival at work in Cox proportional hazards yielding hazard ratios (HR) with their 95% confidence intervals (CI). The cumulative observation time was 5190 person-years. Blood pressure at pre-employment, lung function, the diagnoses of essential hypertension, chronic obstructive pulmonary disease (COPD) or any other analyzed physiological variables were not associated with non-survival at work. However, smoking (HR 1.55; 95% CI 1.10; 2.17) increased the likelihood of non-survival at work, independent of any diagnosis or lowland residence (HR 1.95; 95% CI 1.31; 2.90). Adjusted for covariates and all diagnoses, having chronic rheumatic fever (HR 10.95; 95% CI 2.92; 33.92), hemorrhoids (HR 1.32; 95% CI 1.01; 3.75), adhesive otitis (HR 1.74; 95% CI 1.05; 2.89) or obesity (HR 1.71; 95% CI 1.01; 2.88) were associated with non-survival at work with time. This prospective observation of new hires for a high-altitude mining operation demonstrated that selected diagnoses, smoking and lowland residence elevated the risk of early exit in prospective workers.

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Section: Discussionmentioning

confidence: 54%

Healthy worker survival effect at a high-altitude mine: prospective cohort observation

Vinnikov

Krasotski²

2022

Sci Rep

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“…However, the GAR cohort included more men than women. Sampling was based on age at THA and a minimum duration of follow-up postoperatively rather than work status but these differences are potentially important because men and women tend to undertake different types of occupations 38. Specifically, men are more likely to undertake the more physically demanding occupations.…”

Section: Discussionmentioning

confidence: 99%

Feasibility and sustainability of working in different types of jobs after total hip arthroplasty: analysis of longitudinal data from two cohorts

et al. 2022

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ObjectivesTo investigate the rates of return to work and workability among working-age people following total hip arthroplasty (THA).MethodsParticipants from the Geneva Arthroplasty Registry and the Clinical Outcomes for Arthroplasty Study aged 18–64 years when they had primary THA and with at least 5 years’ follow-up were mailed a questionnaire 2017–2019. Information was collected about preoperative and post-THA employment along with exposure to physically demanding activities at work or in leisure. Patterns of change of job were explored. Survival analyses using Cox proportional hazard models were created to explore risk factors for having to stop work because of difficulties with the replaced hip.ResultsIn total, 825 returned a questionnaire (response 58%), 392 (48%) men, mean age 58 years, median follow-up 7.5 years post-THA. The majority (93%) of those who worked preoperatively returned to work, mostly in the same sector but higher rates of non-return (36%–41%) were seen among process, plant and machine operatives and workers in elementary occupations. 7% reported subsequently leaving work because of their replaced hip and the risk of this was strongly associated with: standing >4 hours/day (HR 3.81, 95% CI 1.62 to 8.96); kneeling/squatting (HR 3.32, 95% CI 1.46 to 7.55) and/or carrying/lifting ≥10 kg (HR 5.43, 95% CI 2.29 to 12.88).ConclusionsIt may be more difficult to return to some (particularly physically demanding) jobs post-THA than others. Rehabilitation may need to be targeted to these types of workers or it may be that redeployment or job change counselling are required.

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“…The principal objective of our analysis was to estimate the effect of slow walking speed (the ‘exposure’) on risk of HRJL (the ‘outcome’) with appropriate adjustment for the role of potential confounders. As previously, 26 men and women were analysed separately; an analysis strategy decided a priori because work and its social context typically differ between men and women, 27 28 and previous research has called for investigation of gender differences in risk factors for HRJL. 29 Analyses were conducted using the Stata statistical software package (release 15).…”

Section: Methodsmentioning

confidence: 99%

Slow walking speed and health-related exit from employment among older workers over 5 years of follow-up: evidence from the Health and Employment After Fifty (HEAF) cohort study

Syddall,

Ntani,

Bevilacqua

et al. 2024

BMJ Open

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IntroductionWith demographic changes, there is increasing demand for individuals and governments to lengthen working lives. Jobs that are very physically demanding are likely to be more difficult to sustain at older ages. If workers at risk of mismatch of demand and capability could be identified early, there would be opportunities for intervention for health or lifestyle and/or re-training or redeployment.ObjectiveTo investigate whether self-reported walking speed (a good measure of function in elderly people) predicted health-related job loss (HRJL) longitudinally over 5 years of follow-up among middle-aged workers.DesignData came from the Health and Employment After Fifty (HEAF) prospective cohort study of middle-aged people (aged 50–64 years) in UK.SettingGeneral population survey (sampling frame was 24 General Practice registers).ParticipantsThe cohort included 8134 people recruited in 2013–2014. For the current analyses, 5217 people who ever worked and completed at least one follow-up questionnaire were eligible.Primary outcomeExit from employment mainly or partly for health reasons (HRJL).ResultsAt baseline, very slow walking speed was associated with: obesity, physical inactivity, smoking (men), financial hardship, lower educational attainment and not being in professional occupations. In total, 527 people (10%) reported at least one HRJL during follow-up. After adjustment, the HR for HRJL among men with very slow walking-speed was 4.32, 95% CI 2.72 to 6.87 and among women was 4.47, 95% CI 3.04 to 6.57. After further adjustment for ‘difficulty coping with physical demands at work’, hazards remained doubled in men and women.ConclusionsSelf-reported walking speed could help identify older workers who are at increased risk of HRJL. This could provide opportunities for intervention through optimising health and lifestyle, restricting physical workload, retraining or redeployment. Early appropriate intervention could enable longer working lives and promote healthier, more equal ageing.

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Work participation and risk factors for health-related job loss among older workers in the Health and Employment after Fifty (HEAF) study: Evidence from a 2-year follow-up period

Cited by 7 publications

References 39 publications

Healthy worker survival effect at a high-altitude mine: prospective cohort observation

Healthy worker survival effect at a high-altitude mine: prospective cohort observation

Feasibility and sustainability of working in different types of jobs after total hip arthroplasty: analysis of longitudinal data from two cohorts

Slow walking speed and health-related exit from employment among older workers over 5 years of follow-up: evidence from the Health and Employment After Fifty (HEAF) cohort study

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