ArticlePloS one2015
Educational Inequalities in Exit from Paid Employment among Dutch Workers: The Influence of Health, Lifestyle and Work.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.
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Who cites it
55 citing papers in PubMed, 102 citations in OpenAlex.
- The Relationship of Limitations in Daily Living Activities and Other Health-Related Factors with Early Retirement.Journal of prevention (2022) · 2025Article
- Factors associated with increased work participation in aged and mildly impaired persons.Work (Reading, Mass.) · 2025Observational
- Inability to Work Fulltime and the Association with Paid Employment One Year After the Work Disability Assessment: A Longitudinal Register-Based Cohort Study.Journal of occupational rehabilitation · 2025Article
- Influence of pension availability on the association between work conditions and labor market exit for health reasons: evidence from a Taiwanese older adults cohort.BMC public health · 2025Article
- The contribution of common mental disorders and alcohol-related morbidity to educational differences in early labour market exit among older workers: a register-based cohort study.European journal of public health · 2025Article
- Stigma, quality of life, and return-to-work outcomes among organ and tissue transplant recipients in Brazil: a cross-sectional study.Einstein (Sao Paulo, Brazil) · 2025Article
- Mediating effect of working conditions on the association between education and early labour market exit: a cohort study of Swedish men.Occupational and environmental medicine · 2024Article
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- Erasing stigmas through storytelling: why interactive storytelling environments could reduce health-related stigmas.Design for health (Abingdon, England) · 2024Article
- Reach and effectiveness of a worksite health promotion program combining a preventive medical examination with motivational interviewing; a quasi-experimental study among workers in low socioeconomic position.BMC public health · 2023Article
- Productivity Loss Across Socioeconomic Groups Among Patients With Low Back Pain or Osteoarthritis: Estimates Using the Friction-Cost Approach in Norway.PharmacoEconomics · 2023Article
- Do early life factors explain the educational differences in early labour market exit? A register-based cohort study.BMC public health · 2023Article
- Investigating the influence of work-related stress on early labour market exit: the role of health.European journal of ageing · 2023Article
- Increasing retirement ages in Denmark: Do changes in gender, education, employment status and health matter?European journal of ageing · 2023Article
- Childhood adversity and risk of later labor market marginalization in young employees in Sweden.European journal of public health · 2023Article
- Do influence at work and possibilities for development mitigate the impact of job demands for workers with and without depression.Scandinavian journal of work, environment & health · 2023Article
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- Responsive evaluation: an innovative evaluation methodology for workplace health promotion interventions.BMJ open · 2022Review
- Factors affecting work ability and influencing early retirement decisions of older employees: an attempt to integrate the existing approaches.International journal of occupational medicine and environmental health · 2022Review
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIndividuals with lower socioeconomic status are at increased risk of involuntary exit from paid employment. To give sound advice for primary prevention in the workforce, insight is needed into the role of mediating factors between socioeconomic status and labour force participation. Therefore, it is aimed to investigate the influence of health status, lifestyle-related factors and work characteristics on educational differences in exit from paid employment.
methods14,708 Dutch employees participated in a ten-year follow-up study during 1999-2008. At baseline, education, self-perceived health, lifestyle (smoking, alcohol, sports, BMI) and psychosocial (demands, control, rewards) and physical work characteristics were measured by questionnaire. Employment status was ascertained monthly based on tax records. The relation between education, health, lifestyle, work-characteristics and exit from paid employment through disability benefits, unemployment, early retirement and economic inactivity was investigated by competing risks regression analyses. The mediating effects of these factors on educational differences in exit from paid employment were tested using a stepwise approach.
resultsLower educated workers were more likely to exit paid employment through disability benefits (SHR:1.84), unemployment (SHR:1.74), and economic inactivity (SHR:1.53) but not due to early retirement (SHR:0.92). Poor or moderate health, an unhealthy lifestyle, and unfavourable work characteristics were associated with disability benefits and unemployment, and an unhealthy lifestyle with economic inactivity. Educational differences in disability benefits were explained for 40% by health, 31% by lifestyle, and 12% by work characteristics. For economic inactivity and unemployment, up to 14% and 21% of the educational differences could be explained, particularly by lifestyle-related factors.
conclusionsThere are educational differences in exit from paid employment, which are partly mediated by health, lifestyle and work characteristics, particularly for disability benefits. Health promotion and improving working conditions seem important measures to maintain a productive workforce, particularly among workers with a low education.
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