ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2020
Multimorbidity and the Transition Out of Full-Time Paid Employment: A Longitudinal Analysis of the Health and Retirement Study.
Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The experience of financial burden for people with multimorbidity: A systematic review of qualitative research.Health expectations : an international journal of public participation in health care and health policy · 2021Pooled it
- Diffusion of cumulative advantage? How wealth and health trajectories co-evolve across the life course among older adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026Article
- Individual and occupational correlates of work ability of Polish employees with visual impairments.International journal of occupational medicine and environmental health · 2026Article
- Social determinants of intersectional inequalities in multimorbidity and its burden in China: a multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA).International journal for equity in health · 2026Article
- Multimorbidity and functioning disparities in retired older adults: longitudinal trajectories, disease clusters, and mediating mechanisms.BMC geriatrics · 2026Article
- Multimorbidity trends in Catalonia, 2010-21: a population-based cohort study.International journal of epidemiology · 2026Article
- Longitudinal Associations of Job Demand-Control Characteristics With Objective and Subjective Cognitive Outcomes in Older Workers: The Health and Retirement Study.American journal of industrial medicine · 2025Article
- 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
- Barriers and Facilitators of Older Workers' Abilities to Obtain and Maintain Employment: A Scoping Review.Journal of aging research · 2025Review
- The Impact of Multimorbidity on Labor Force Participation Among the Middle-Aged and Older Working Population in the United States.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Using the Functional Comorbidity Index with administrative workers' compensation data: Utility, validity, and caveats.American journal of industrial medicine · 2024Article
- Article
- Development and validation of a prediction model for unemployment and work disability among 55 950 Dutch workers.European journal of public health · 2022Article
- Development and Validation of Population Clusters for Integrating Health and Social Care: Protocol for a Mixed Methods Study in Multiple Long-Term Conditions (Cluster-Artificial Intelligence for Multiple Long-Term Conditions).JMIR research protocols · 2022Article
- Multimorbidity and exit from paid employment: the effect of specific combinations of chronic health conditions.European journal of public health · 2022Article
- The Interplay between Multimorbidity, Physical Work Demands and Work Ability: Cross-Sectional Study among 12,879 Senior Workers.International journal of environmental research and public health · 2022Article
- A Study of Social Isolation, Multimorbidity and Multiple Role Demands Among Middle-Age Adults Based on the Canadian Longitudinal Study on Aging.International journal of aging & human development · 2022Article
- Association of perceived job security and chronic health conditions with retirement in older UK and US workers.European journal of public health · 2022Article
- Inability to Work Fulltime, Prevalence and Associated Factors Among Applicants for Work Disability Benefit.Journal of occupational rehabilitation · 2021Article
- Initial return to work and long-term employment patterns: Associations with work-related permanent impairment and with participation in workers' compensation-based return-to-work programs.American journal of industrial medicine · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesThis study aims to examine whether older workers aged 50-64 years with multimorbidity are at increased risk to transition from full-time paid employment to part-time employment, partial retirement, unemployment, disability, economic inactivity, full retirement or die than workers without a chronic health condition and workers with one chronic health condition, and whether socioeconomic position (SEP) modifies these transitions.
methodUsing data from the Health and Retirement Study (1992-2014; n = 10,719), sub-distribution hazard ratios with 95% confidence intervals were calculated with a time-varying Fine and Gray competing-risks survival regression model to examine exit from full-time paid employment. We investigated the modifying effect of SEP by examining its interaction with multimorbidity.
resultsWorkers with multimorbidity had a higher risk of transitioning to partial retirement (1.45; 1.22, 1.72), disability (1.84; 1.21, 2.78) and full retirement (1.63; 1.47, 1.81), and they had a higher mortality risk (2.58; 1.71, 3.88) than workers without chronic disorders. Compared to workers with one chronic health condition, workers with multimorbidity had an increased risk for partial (1.19; 1.02, 1.40) and full retirement (1.29; 1.17, 1.42), and mortality (1.49; 1.09, 2.04). Only SEP measured as educational level modified the relationship between multimorbidity and mortality. DISCUSSION: Workers with multimorbidity seem more prone to leave full-time paid employment than workers without or with one a chronic health condition. Personalized work accommodations may be necessary to help workers with multimorbidity prolong their working life.
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