ArticleOccupational and environmental medicine2019
Educational inequalities in the impact of chronic diseases on exit from paid employment among older workers: a 7-year prospective study in the Netherlands.
Article in Occupational and environmental medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Risk factors for voluntary early old-age retirement in middle-aged workers: A meta-analysis.Scandinavian journal of work, environment & health · 2025Pooled it
- A meta-analysis of unemployment risk factors for middle-aged workers.Scandinavian journal of work, environment & health · 2025Pooled it
- Managing the silent burden: a grounded theory study on urinary incontinence in older women.BMC geriatrics · 2026Article
- Educational disparities in labor market participation among middle-aged Koreans with chronic diseases: evidence from the Korean Longitudinal Study of Elderly Employment.Annals of occupational and environmental medicine · 2025Article
- The Relationship of Limitations in Daily Living Activities and Other Health-Related Factors with Early Retirement.Journal of prevention (2022) · 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
- Long-Term Socioeconomic and Mental Health Changes After Out-of-Hospital Cardiac Arrest in Women and Men.Circulation. Cardiovascular quality and outcomes · 2024Article
- Healthy enough to work up to age 67 and beyond? A longitudinal population-based study on time trends in working life expectancy free of cardiovascular diseases based on German health insurance data.BMJ public health · 2024Article
- The adequacy of workplace accommodation and the incidence of permanent employment separations after a disabling work injury or illness.Scandinavian journal of work, environment & health · 2024Observational
- Quantifying the Contribution of Work Characteristics to Educational Disparities in Health-Induced Work Limitations.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023Article
- Midlife cardiovascular health factors as predictors of retirement age, work-loss years, and years spent in retirement among older businessmen.Scientific reports · 2023Article
- Work-limiting musculoskeletal pain and its association with loss of paid employment among senior workers: prospective cohort study with register follow-up.European journal of public health · 2023Article
- Associations between existing and newly diagnosed chronic health conditions and change in subjective life expectancy: Results from a panel study.SSM - population health · 2022Article
- Development and validation of a prediction model for unemployment and work disability among 55 950 Dutch workers.European journal of public health · 2022Article
- The influence of chronic diseases and poor working conditions in working life expectancy across educational levels among older employees in the Netherlands.Scandinavian journal of work, environment & health · 2022Article
- Multimorbidity and exit from paid employment: the effect of specific combinations of chronic health conditions.European journal of public health · 2022Article
- Chronic conditions and self-perceived health among older employees in relation to indicators of labour participation and retirement over time.Work (Reading, Mass.) · 2022Article
- Inability to Work Fulltime, Prevalence and Associated Factors Among Applicants for Work Disability Benefit.Journal of occupational rehabilitation · 2021Article
- Indicators and determinants of the years of working life lost: a narrative review.Scandinavian journal of public health · 2021Review
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe study aimed to investigate the relative and absolute risks of early exit from paid employment among older workers with a chronic disease, and to assess whether these risks differ across educational groups.
methodsData on chronic diseases and demographics from 9160 Dutch workers aged 45-64 years were enriched with monthly information on employment status from Statistics Netherlands. Subdistribution hazard ratios (SHR) and 7-year probabilities among workers with a chronic disease of exit from paid employment through disability benefits, unemployment benefits, early retirement benefits or economic inactivity were estimated using competing risks regression analyses based on Fine and Gray's models.
resultsWorkers with one chronic disease had a higher risk to exit paid employment through disability benefits (SHR 4.48 (95%CI 3.22 to 6.25)) compared with workers without chronic disease, and this risk further increased for multiple chronic diseases (SHR 8.91 (95%CI 6.33 to 12.55)). As occurrence of chronic diseases was highest among low educated workers, the 7-year probabilities to exit paid employment through disability benefits were highest among this group. Cardiovascular, musculoskeletal, psychological and respiratory diseases were associated with disability benefits (SHRs ranging from 2.11 (95%CI 1.45 to 3.07) to 3.26 (95%CI 2.08 to 5.12)), whereas psychological diseases were also related to unemployment (SHR 1.78 (95%CI 1.33 to 2.38)).
conclusionsOlder workers with a chronic disease have a higher risk to exit paid employment through disability benefits. As multimorbidity has an additive effect, addressing multimorbidity as a risk factor for sustainable employment is needed.
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