Universität zu Köln

De Breij, Sascha ORCID: 0000-0002-1970-6041, Maecken, Jana, Qvist, Jeevitha Yogachandiran, Holman, Daniel ORCID: 0000-0003-4134-6238, Hess, Moritz ORCID: 0000-0003-4095-6448, Huisman, Martijn and Deeg, Dorly J. H. (2020). Educational differences in the influence of health on early work exit among older workers. Occup. Environ. Med., 77 (8). S. 568 - 576. LONDON: BMJ PUBLISHING GROUP. ISSN 1470-7926

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Abstract

Objectives Previous research has shown that poor physical and mental health are important risk factors for early work exit. We examined potential differences in this association in older workers (50+) across educational levels. Methods Coordinated analyses were carried out in longitudinal data sets from four European countries: the Netherlands (Longitudinal Aging Study Amsterdam), Denmark (Danish Longitudinal Study of Ageing), England (English Longitudinal Study of Ageing) and Germany (German Ageing Survey). The effect of poor self-rated health (SRH), functional limitations and depression on different types of early work exit (early retirement, economic inactivity, disability and unemployment) was examined using Cox regression analysis. We examined educational differences in these effects by testing interaction terms. Results Poor physical and mental health were more common among the lower educated. Poor SRH, functional limitations, and depression were all associated with a higher risk of early work exit. These health effects were strongest for the disability exit routes (poor SRH: HRs 5.77 to 8.14; functional limitations: HRs 6.65 to 10.42; depression: HRs 3.30 to 5.56). In the Netherlands (functional limitations) and England (functional limitations and SRH), effects were stronger in the lower educated. Conclusions The prevalence of health problems, that is, poor SRH, functional limitations and depression, was higher in the lower educated workers. All three health indicators increase the risk of early work exit. In some countries, health effects on early exit were stronger in the lower educated. Thus, lower educated older workers are an important target group for health policy and intervention.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code De Breij, Sascha UNSPECIFIED orcid.org/0000-0002-1970-6041 UNSPECIFIED Maecken, Jana UNSPECIFIED UNSPECIFIED UNSPECIFIED Qvist, Jeevitha Yogachandiran UNSPECIFIED UNSPECIFIED UNSPECIFIED Holman, Daniel UNSPECIFIED orcid.org/0000-0003-4134-6238 UNSPECIFIED Hess, Moritz UNSPECIFIED orcid.org/0000-0003-4095-6448 UNSPECIFIED Huisman, Martijn UNSPECIFIED UNSPECIFIED UNSPECIFIED Deeg, Dorly J. H. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-324753
DOI:	10.1136/oemed-2019-106253
Journal or Publication Title:	Occup. Environ. Med.
Volume:	77
Number:	8
Page Range:	S. 568 - 576
Date:	2020
Publisher:	BMJ PUBLISHING GROUP
Place of Publication:	LONDON
ISSN:	1470-7926
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SOCIOECONOMIC-STATUS; EARLY RETIREMENT; PAID EMPLOYMENT; POOR HEALTH; ILL HEALTH; FOLLOW-UP; DEPRESSION Multiple languages Public, Environmental & Occupational Health Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/32475