Title
Employment status transitions in employees with and without chronic disease in the Netherlands
Author
de Boer, A.G.E.M.
Geuskens, G.A.
Bültmann, U.
Boot, C.R.L.
Wind, H.
Koppes, L.L.J.
Frings-Dresen, M.H.W.
Publication year
2018
Abstract
Objectives Objectives were to: (1) longitudinally assess transitions in employment status of employees with and without chronic disease; and (2) assess predictors of exit from paid employment. Methods Transitions in employment status at 1- and 2-year follow-up were assessed in a longitudinal cohort study of employees aged 15–63 years. Generalised estimating equations (GEE) and logistic regression analyses were performed to analyse differences in transitions and identify sociodemographic, health- and work-related predictors. Results At 1- and 2-year follow-up, 10,038 employees (37% with chronic disease) and 7636 employees responded. Employees with chronic disease had higher probability of leaving paid employment [OR 1.4 (1.1–1.6)] and unemployment, disability pension and early retirement. Employees without chronic disease had higher chance of moving into self-employment or study. At 2-year follow-up, employees with cardiovascular disease (15%), chronic mental disease (11%), diabetes (10%) and musculoskeletal disease (10%), had left paid employment most often. Higher age, poor health, burnout, low co-worker support and chronic disease limitations were predictors for leaving paid employment. Conclusions Employees with chronic disease leave paid work more often for unfavourable work outcomes.
Subject
Life
WHC - Work, Health and Care
ELSS - Earth, Life and Social Sciences
Work and Employment
Workplace
Healthy Living
Employment
Unemployment
Work
Chronic disease
Self-employment
To reference this document use:
http://resolver.tudelft.nl/uuid:f05a5e8d-9f1c-4a17-8192-c296a0f1df9f
DOI
https://doi.org/10.1007/s00038-018-1120-8
TNO identifier
792085
Source
International Journal of Public Health, 63 (6), 713-722
Document type
article