ArticleScandinavian journal of work, environment & health2021
The influence of chronic diseases and multimorbidity on entering paid employment among unemployed persons - a longitudinal register-based study.
Article in Scandinavian journal of work, environment & health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 21 citations in OpenAlex.
- Preference for inpatient services among the unemployed with multi-chronic conditions: a discrete choice experiment.BMC health services research · 2026Article
- Key Factors Associated With Nonuse of Telemedicine in Patients With Hypertension and/or Diabetes: Findings From the 2023 Indonesia Health Survey.International journal of telemedicine and applications · 2026Article
- Interpersonal Processes in the Duration of Sick Leave of Workers with Chronic Diseases: A Dyadic Analysis.Journal of occupational rehabilitation · 2025Article
- The effects of an interdisciplinary employment program on paid employment and mental health among persons with severe mental disorders.International archives of occupational and environmental health · 2024Article
- Findings from the Indonesian family life survey on patterns and factors associated with multimorbidity.Scientific reports · 2023Article
- Inequalities in the impact of having a chronic disease on entering permanent paid employment: a registry-based 10-year follow-up study.Journal of epidemiology and community health · 2023Article
- Experiences of patients with chronic diseases during the COVID-19 pandemic in the North West province, South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023Article
- Improving person-centered occupational health care for workers with chronic health conditions: a feasibility study.BMC medical education · 2023Article
- How to measure mental illness stigma at work: development and validation of the workplace mental illness stigma scale.Frontiers in psychiatry · 2023Article
- The influence of onset of disease on exit from paid employment among workers in The Netherlands: A longitudinal register-based study with 9 years follow-up.Scandinavian journal of work, environment & health · 2023Article
- Association of smoking status and nicotine dependence with multi-morbidity in China: A nationally representative crosssectional study.Tobacco induced diseases · 2023Article
- Employer and Co-worker Perspectives on Hiring and Working with People with Mental Health Conditions.Community mental health journal · 2022Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives This study aimed to investigate the influence of chronic diseases and multimorbidity on entering paid employment among unemployed persons. A secondary objective was to estimate the proportion of persons not entering paid employment that can be attributed to specific chronic diseases across different age groups. Methods Data linkage of longitudinal nationwide registries on employment status, medication use and socio-demographic characteristics was applied. Unemployed Dutch persons (N=619 968) were selected for a three-year prospective study. Cox proportional hazards analyses with hazard ratios (HR) were used to investigate the influence of six common chronic diseases on entering paid employment, stratified by age. The population attributable fraction (PAF) was calculated as the proportion of all persons who did not enter paid employment that can be attributed to a chronic disease. Results Persons with chronic diseases were less likely to enter paid employment among all age groups. The impact of a chronic disease on maintaining unemployment at population level was largest for common mental disorders (PAF 0.20), due to a high prevalence of common mental disorders (6%), and for psychotic disorders (PAF 0.19), due to a high likelihood of not entering paid employment (HR 0.21), among persons aged 45-55 years. Multimorbidity increased with age, and the impact of having multiple chronic diseases on remaining unemployed increased especially among persons aged ≥45 years. Conclusion Chronic diseases and multimorbidity are important factors that reduce employment chances among all age groups. Our results provide directions for policy measures to target specific age and disease groups of unemployed persons in order to improve employment opportunities.
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