Evidence map›Paper›PMID 31300496›Full record

ArticleBMJ open2019

Poor health, physical workload and occupational social class as determinants of health-related job loss: results from a prospective cohort study in the UK.

Ranu Sewdas, Allard J van der Beek, Cecile R L Boot, Stefania D'Angelo, Holly E Syddall, Keith T Palmer, Karen Walker-Bone

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 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
  2. Observational
  3. Ergonomics of bronchoscopy: good advice or a pain in the neck?European respiratory review : an official journal of the European Respiratory Society · 2023
    Review
  4. Article
  5. Article
  6. 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

7 authors.

Ranu SewdasDepartment of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, VU University Amsterdam, Amsterdam, The Netherlands.
Allard J van der BeekDepartment of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, VU University Amsterdam, Amsterdam, The Netherlands.
Cecile R L BootDepartment of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, VU University Amsterdam, Amsterdam, The Netherlands.
Stefania D'AngeloMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, Hampshire, The United Kingdom.
Holly E SyddallMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, Hampshire, The United Kingdom.
Keith T PalmerMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, Hampshire, The United Kingdom.
Karen Walker-BoneMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, Hampshire, The United Kingdom.

Funding

Medical Research Council MC_U147585823Medical Research Council MC_UP_A620_1015Medical Research Council MC_UP_A620_1018Medical Research Council MC_UU_12011/2Medical Research Council MC_UU_12011/5Versus Arthritis 19817
6 · The paper itself

Abstract

objectivesThe aims of the present study were to assess the association and interactions of physical workload and poor health with health-related job loss (HRJL) among older workers, and the association and interactions of occupational social class and poor health with HRJL.

methodsData were used from an existing prospective cohort study, Health and Employment after Fifty, where employed or self-employed workers aged 50-64 years (n=4909) were followed-up between 2014 and 2016. Associations between potential determinants (self-perceived health status, physical workload and occupational social class) and 2-year HRJL were examined by Cox regression analyses. To study whether physical workload or occupational social class moderates the influence of poor health on HRJL, additive and multiplicative interactions were calculated.

resultsOlder workers with poor self-perceived health status had increased risk of HRJL during the 2-year follow-up period (men: HR 2.57 (95%CI: 1.68 to 3.92); women: HR 3.26 (95%CI: 2.33 to 4.55)). Furthermore, men with high physical workload were at increased risk for HRJL (HR 1.63 (95%CI: 1.09 to 2.43)). No significant interactions (p<0.05) were identified between poor health and high physical workload, nor between poor health and lower occupational social class.

conclusionOur study indicates that older workers in poor health, and older workers with a physically demanding job, are at increased risk of HRJL. Having a physically demanding job or working in routine/manual occupations does not moderate the association between poor health and HRJL.

Indexed as

Health StatusOccupationsSocial ClassWorkloadFemaleHumansMaleMiddle AgedProspective StudiesRisk FactorsUnemploymentUnited Kingdomhealth statusheavy workoccupationsolder workers

Identifiers

PMID31300496
PMCPMC6629425

What OpenQuestion holds

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LicenceCC BY-NC
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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.