Evidence map›Paper›PMID 41670739›Full record

ArticleInternational archives of occupational and environmental health2026

Favorable changes in health- and work-related factors and subsequent work ability in midlife and older social and health care employees.

Joonas Poutanen, Mikko Härmä, Tea Lallukka, Matti Joensuu, Eija Haukka, Aki Koskinen, Jenni Ervasti, Rahman Shiri

Abstract read
In one paragraph

Article in International archives of occupational and environmental health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

8 authors.

Joonas PoutanenFinnish Institute of Occupational Health, P.O. Box 18, 00032, Helsinki, Finland. joonas.poutanen@ttl.fi.ORCID 0000-0001-9043-6550
Mikko HärmäFinnish Institute of Occupational Health, P.O. Box 18, 00032, Helsinki, Finland.ORCID 0000-0002-4816-8828
Tea LallukkaDepartment of Public Health, University of Helsinki, Helsinki, Finland.ORCID 0000-0003-3841-3129
Matti JoensuuFinnish Institute of Occupational Health, P.O. Box 18, 00032, Helsinki, Finland.ORCID 0000-0001-9432-2278
Eija HaukkaFinnish Institute of Occupational Health, P.O. Box 18, 00032, Helsinki, Finland.ORCID 0000-0001-9638-2047
Aki KoskinenFinnish Institute of Occupational Health, P.O. Box 18, 00032, Helsinki, Finland.ORCID 0000-0002-3450-4421
Jenni ErvastiFinnish Institute of Occupational Health, P.O. Box 18, 00032, Helsinki, Finland.ORCID 0000-0001-9113-2428
Rahman ShiriFinnish Institute of Occupational Health, P.O. Box 18, 00032, Helsinki, Finland.ORCID 0000-0002-9312-3100

Funding

Työsuojelurahasto 230363
6 · The paper itself

Abstract

objectiveThis quasi-experimental study aimed to examine whether favorable changes in health- and work-related factors improve work ability of midlife and older workers.

methodsThe study included 2,312 Finnish social and health care employees (89.4% women, mean age 51.5 ± 5.8 years) who participated in repeated surveys between 2017 and 2022. Propensity score weighting and generalized linear models were applied to estimate the associations of a one standard deviation favorable change in health and lifestyle factors, psychosocial work environment and working hour characteristics with perceived work ability.

resultsFavorable changes in health-related factors including improvement in sleep quality (RR 2.03, 95% CI 1.47–2.82), reduction in psychological distress (RR 1.68, 95% CI 1.24–2.30), increase in leisure-time physical activity (1.53, 95% CI 1.13–2.08), quitting smoking (RR 1.58, 95% CI 1.01–2.48), decrease in alcohol intake (RR 2.21, 95% CI 1.54–3.17) were associated with improved work ability. Of work-related factors, reduction in job demands (RR 1.51, 95% CI 1.12–2.03) and job demand-control ratio (RR 1.55, 95% CI 1.11–2.16), and increase in job control (RR 1.49, 95% CI 1.05–2.13) and job rewards (RR 1.60, 95% CI 1.20–2.13) were associated with improved work ability.

conclusionsPositive changes in modifiable health- and work-related risk factors can improve work ability of midlife and older social and health care employees. These identified risk factors are essential in design and implementation of multidimensional interventions aimed at supporting extended workforce participation among older workers.

Indexed as

Health PersonnelHealth StatusWork Capacity EvaluationAlcohol DrinkingExerciseFemaleFinlandHumansLife StyleMaleMiddle AgedSleep QualityStress, PsychologicalSurveys and QuestionnairesWorking ConditionsAlcoholDemandsExercisePsychological distressSleepSmoking

Identifiers

PMID41670739
PMCPMC12894155

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.