Evidence map›Paper›PMID 29530976›Full record

ArticleOccupational and environmental medicine2018

Occupational and educational inequalities in exit from employment at older ages: evidence from seven prospective cohorts.

Ewan Carr, Maria Fleischmann, Marcel Goldberg, Diana Kuh, Emily T Murray, Mai Stafford, Stephen Stansfeld, Jussi Vahtera, Baowen Xue, Paola Zaninotto and 2 more

Abstract read
In one paragraph

Article in Occupational and environmental medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. A meta-analysis of unemployment risk factors for middle-aged workers.Scandinavian journal of work, environment & health · 2025
    Pooled it
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  20. The Implication of Physically Demanding and Hazardous Work on Retirement Timing.International journal of environmental research and public health · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Ewan CarrDepartment of Epidemiology and Public Health, University College London, London, UK.
Maria FleischmannDepartment of Epidemiology and Public Health, University College London, London, UK.
Marcel GoldbergINSERM, Population-based Epidemiologic Cohorts Unit-UMS 011, Villejuif, France.
Diana KuhMRC Unit for Lifelong Health and Ageing, University College London, London, UK.
Emily T MurrayDepartment of Epidemiology and Public Health, University College London, London, UK.
Mai StaffordMRC Unit for Lifelong Health and Ageing, University College London, London, UK.
Stephen StansfeldWolfson Institute of Preventive Medicine, Queen Mary University of London, London, UK.
Jussi VahteraDepartment of Public Health, University of Turku and Turku University Hospital, Turku, Finland.
Baowen XueDepartment of Epidemiology and Public Health, University College London, London, UK.
Paola ZaninottoDepartment of Epidemiology and Public Health, University College London, London, UK.
Marie ZinsParis Descartes University, Paris, France.
Jenny HeadDepartment of Epidemiology and Public Health, University College London, London, UK.

Funding

HRS Yrs29-34: Y33 SSA CoFundingU01AG009740 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jessica Faul, KENNETH M LANGA · 1990 to 2026
$555.8M
Socio-economic status and heterogeneity in agingR01AG013196 · NIA · UNIVERSITY OF LONDON INST OF NEUROLOGY · PI MARMOT, MICHAEL G, SINGH-MANOUX, ARCHANA · 1996 to 2013
$3.5M
Socioeconomic gradient in CHD in early old ageR01HL036310 · NHLBI · UNIVERSITY OF LONDON · PI KIVIMAKI, MIKA J, MARMOT, MICHAEL G · 1986 to 2012
$3.1M
British Heart Foundation RG/13/2/30098Medical Research Council G0902037Medical Research Council MC_UU_12019/1Medical Research Council MC_UU_12019/5Medical Research Council MR/K013351/1NHLBI NIH HHS R01 HL036310NIA NIH HHS R01 AG013196NIA NIH HHS U01 AG009740
6 · The paper itself

Abstract

objectivesPast studies have identified socioeconomic inequalities in the timing and route of labour market exit at older ages. However, few studies have compared these trends cross-nationally and existing evidence focuses on specific institutional outcomes (such as disability pension and sickness absence) in Nordic countries. We examined differences by education level and occupational grade in the risks of work exit and health-related work exit.

methodsProspective longitudinal data were drawn from seven studies (n=99 164). Participants were in paid work at least once around age 50. Labour market exit was derived based on reductions in working hours, changes in self-reported employment status or from administrative records. Health-related exit was ascertained by receipt of health-related benefit or pension or from the reported reason for stopping work. Cox regression models were estimated for each study, adjusted for baseline self-rated health and birth cohort.

resultsThere were 50 003 work exits during follow-up, of which an average of 14% (range 2-32%) were health related. Low level education and low occupational grade were associated with increased risks of health-related exit in most studies. Low level education and occupational grade were also associated with an increased risk of any exit from work, although with less consistency across studies.

conclusionsWorkers with low socioeconomic position have an increased risk of health-related exit from employment. Policies that extend working life may disadvantage such workers disproportionally, especially where institutional support for those exiting due to poor health is minimal.

Indexed as

Educational StatusSocioeconomic FactorsAdultAgedAge FactorsEmploymentFemaleFinlandFranceHealth StatusHumansMaleMiddle AgedOccupationsProportional Hazards ModelsProspective Studiesextended working lifehealth-related work exitsocioeconomic position

Identifiers

PMID29530976
PMCPMC5909745

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.