Employment status transitions in employees with and without chronic disease in the Netherlands

Angela G. E. M. Boer (), Goedele A. Geuskens (), Ute Bültmann (), Cécile R. L. Boot (), Haije Wind (), Lando L. J. Koppes () and Monique H. W. Frings-Dresen ()
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Angela G. E. M. Boer: Amsterdam Public Health Research Institute
Goedele A. Geuskens: TNO
Ute Bültmann: University of Groningen
Cécile R. L. Boot: VU University Medical Center
Haije Wind: Amsterdam Public Health Research Institute
Lando L. J. Koppes: TNO
Monique H. W. Frings-Dresen: Amsterdam Public Health Research Institute

International Journal of Public Health, 2018, vol. 63, issue 6, No 5, 713-722

Abstract: 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.

Keywords: Employment; Unemployment; Work; Chronic disease; Self-employment (search for similar items in EconPapers)
Date: 2018
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Citations: View citations in EconPapers (5)

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DOI: 10.1007/s00038-018-1120-8

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