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D'Angelo S, Bloom I, Ntani G, Walker-Bone K. Why did middle-aged and older people retire since the first COVID-19 lockdown? A qualitative study of participants from the Health and Employment After Fifty study. BMC Public Health 2024; 24:103. [PMID: 38183033 PMCID: PMC10770915 DOI: 10.1186/s12889-023-17548-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Accepted: 12/20/2023] [Indexed: 01/07/2024] Open
Abstract
BACKGROUND Governments of Western countries need people to work to older ages, however the COVID-19 pandemic impacted the workforce by pushing older adults to retire. Socio-demographic factors that influence the decision to retire in the pre-pandemic period were, poor or good health, finances, marital status, and gender. The aim of this study was to explore aspects that contributed to the decision to retire among middle-aged and older people in England who retired during the COVID-19 pandemic. METHODS In September 2022 semi-structured interviews were conducted with a sample of participants from the Health and Employment After Fifty (HEAF) study who retired since March 2020. Consenting participants were purposively selected to achieve a wide spread of characteristics deemed important in the retirement process. Telephone interviews were conducted, audio-recorded, transcribed and then thematically analysed. RESULTS 24 interviews were conducted (10 men and 14 women, mean age 65 years). Six themes were identified: four of them were non-COVID-19 aspects while two can be interpreted as impact of COVID-19 on the workforce. Work-related factors were of major importance. A sense of appreciation and attachment in relation to their employer, and conversely high work demands and stress, as well as changes in work responsibilities and work practices since lockdown and/or perception of personal safety in the workplace during the pandemic influenced their retirement decision, as did physical and mental health issues. Another theme suggested that some participants felt they had reached the 'right' age and needed to spend more time with family. Having the financial capacity to retire was widely mentioned but was never the main factor. CONCLUSIONS The decision to retire during the pandemic was multi-factorial although changes to work during lockdown were of great importance. Post-pandemic, our findings suggest that there are modifiable aspects of work, including appreciation and fair pay and work conditions, that employers and policy makers could encourage to retain their older workers.
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Affiliation(s)
- Stefania D'Angelo
- MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK.
- MRC Versus Arthritis Centre for Musculoskeletal Health and Work, MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK.
| | - Ilse Bloom
- MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK
- NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - Georgia Ntani
- MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK
- MRC Versus Arthritis Centre for Musculoskeletal Health and Work, MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK
| | - Karen Walker-Bone
- MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK
- MRC Versus Arthritis Centre for Musculoskeletal Health and Work, MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK
- Monash Centre for Occupational and Environmental Health, Monash University, Melbourne, Australia
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Toczek L, Bosma H, Peter R. Early retirement intentions: the impact of employment biographies, work stress and health among a baby-boomer generation. Eur J Ageing 2022; 19:1479-1491. [PMID: 36692777 PMCID: PMC9729676 DOI: 10.1007/s10433-022-00731-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/19/2022] [Indexed: 01/26/2023] Open
Abstract
In recent years, early retirement decisions have become more frequent in the European Union despite political efforts to prevent early retirement. This is a growing problem for the social security system. The study focuses on a life course approach using employment biographies and investigates the influence of work stress and health on early retirement intentions. Data of employees who were born in either 1959 or 1965 of the German cohort study on work, age, health and work participation are analysed (n = 3338). By linking survey and register data from 1993 to 2011, a sequence analysis is conducted to identify employment biographies. To analyse the relationship between the employment biographies and intended early retirement, a longitudinal path analysis is computed and includes work stress, measured through effort-reward imbalance, and self-rated health. The statistical analyses identify three adverse employment biographies, i.e. part-time work, episodes of unemployment or marginal employment. In addition, two favourable employment biographies are determined, characterised by full-time work and few episodes of unemployment. The results of the path analysis show that employment biographies with high work-related stress have early retirement intentions. Among adverse employment biographies, indirect effects of poor health on the association between work stress and early retirement intentions are found. Unexpectedly, among full-time workers, work stress is also associated with early retirement intentions with an additional mediation through health. The findings of this study highlight the importance of the life course perspective when analysing retirement decisions. In addition to health-promoting interventions in the labour market, effects of psychosocial factors should be focussed on in order to reduce early exits from the labour market. Supplementary Information The online version contains supplementary material available at 10.1007/s10433-022-00731-0.
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Affiliation(s)
- Lisa Toczek
- Department of Medical Sociology, Institute of the History, Philosophy and Ethics of Medicine, Faculty of Medicine, Ulm University, Parkstrasse 11, 89073 Ulm, Germany
| | - Hans Bosma
- Department of Social Medicine, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands
| | - Richard Peter
- Department of Medical Sociology, Institute of the History, Philosophy and Ethics of Medicine, Faculty of Medicine, Ulm University, Parkstrasse 11, 89073 Ulm, Germany
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3
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Woźniak B, Brzyska M, Piłat A, Tobiasz-Adamczyk B. Factors affecting work ability and influencing early retirement decisions of older employees: an attempt to integrate the existing approaches. Int J Occup Med Environ Health 2022; 35:509-526. [PMID: 35916285 PMCID: PMC10464796 DOI: 10.13075/ijomeh.1896.01354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2018] [Accepted: 03/22/2022] [Indexed: 10/16/2022] Open
Abstract
The article has several objectives. First, it aims to discuss, based on the international literature analysis, theoretical models and factors influencing early retirement decisions, and limiting work ability and employability of older people. Second, the concept of (and the factors related to) work ability as well as the role of age management in improving employability and sustaining work activity of older adults are analyzed against the backdrop of the Polish context. Cultural (ageism) and organizational (e.g., a lack of appropriate age management in companies) factors influencing work activity in the oldest age groups are taken into account. Third, the authors present some solutions and recommendations coming from the international Participation To Healthy Workplaces And inclusive Strategies in the Work Sector (PATHWAYS) project. Finally, theoretical models, concepts and solutions are integrated into a model elucidating the conditions (cultural, social, organizational, individual) influencing work ability of older adults. The model aims to take into account theories and factors identified in the literature review and grouped into several categories. The analysis highlights the role of appropriate age management in companies in the process of sustaining work ability of older employees. Int J Occup Med Environ Health. 2022;35(5):509-26.
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Affiliation(s)
- Barbara Woźniak
- Jagiellonian University Medical College, Department of Medical Sociology, Chair of Epidemiology and Preventive Medicine, Kraków, Poland
| | - Monika Brzyska
- Jagiellonian University Medical College, Department of Medical Sociology, Chair of Epidemiology and Preventive Medicine, Kraków, Poland
| | - Aleksandra Piłat
- Jagiellonian University Medical College, Department of Medical Sociology, Chair of Epidemiology and Preventive Medicine, Kraków, Poland
| | - Beata Tobiasz-Adamczyk
- Jagiellonian University Medical College, Department of Medical Sociology, Chair of Epidemiology and Preventive Medicine, Kraków, Poland
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Undem K, Leinonen T, Kristensen P, Merkus SL, Hasting RL, Gran JM, Mehlum IS. Gender Differences in Associations between Biomechanical and Psychosocial Work Exposures and Age of Withdrawal from Paid Employment among Older Workers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10563. [PMID: 36078277 PMCID: PMC9518318 DOI: 10.3390/ijerph191710563] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 08/19/2022] [Accepted: 08/22/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND Work exposures are known predictors of withdrawal from employment, but the associations between work exposures and withdrawal may vary with gender. This study evaluated gender differences in associations between biomechanical and psychosocial work exposures and age of withdrawal from paid employment among older workers in Norway. METHODS 77,558 men and 67,773 women (born 1949-1953) were followed from age 62 until withdrawal from paid employment or end of follow-up in 2016 (up to five years follow-up). Information about eight biomechanical and seven psychosocial exposures was obtained from a gender-specific job exposure matrix. Using Cox regression, the difference in mean estimated time until withdrawal between non-exposed and exposed was calculated for each gender and work exposure separately. RESULTS The largest gender difference was found for high psychological demands. Among men, the non-exposed withdrew earlier than the exposed (-3.66 months (95% CI: -4.04--3.25 months)), and contrary among women (0.71 (0.28-1.10)), resulting in a gender difference of 4.37 (3.81-4.97) months. Gender differences were also found for monotonous work (4.12 (3.51-4.69) months), hands above shoulder height (2.41 (1.76-3.10) months), and high iso-strain (2.14 (1.38-2.95) months). CONCLUSIONS There were observed gender differences in the associations between some biomechanical and psychosocial work exposures and mean age of withdrawal from paid employment among older workers. However, the results are likely affected by the selection of who remains in the workforce at age 62 and should be interpreted accordingly.
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Affiliation(s)
- Karina Undem
- National Institute of Occupational Health, 0363 Oslo, Norway
| | - Taina Leinonen
- Finnish Institute of Occupational Health, 00250 Helsinki, Finland
| | | | | | | | - Jon Michael Gran
- Oslo Centre for Biostatistics and Epidemiology, Department of Biostatistics, Institute of Basal Medical Sciences, University of Oslo, 0372 Oslo, Norway
| | - Ingrid S Mehlum
- National Institute of Occupational Health, 0363 Oslo, Norway
- Institute of Health and Society, University of Oslo, 0450 Oslo, Norway
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d'Errico A, Falkstedt D, Almroth M, Badarin K, Hemmingsson T, Kjellberg K. Long-term sick leave for back pain, exposure to physical workload and psychosocial factors at work, and risk of disability and early-age retirement among aged Swedish workers. Int Arch Occup Environ Health 2022; 95:1521-1535. [PMID: 35451628 PMCID: PMC9424129 DOI: 10.1007/s00420-022-01862-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Accepted: 03/27/2022] [Indexed: 11/30/2022]
Abstract
Purpose To assess the risk of disability and early-age retirement associated with previous long-term sickness absence for back pain (back-pain SA), exposure to high physical workload, low job control, high demands and high strain, and to evaluate effect modification by work factors on the relationship between back-pain SA and premature retirement. Methods All employed Swedish residents born 1946–1955 (n = 835,956) were followed up from 2010 to 2016 for disability (DP) and early-age pension (EAP). Associations of premature retirement with exposure to work factors and back-pain SA in the 3 years before follow-up were estimated through proportional hazards models. Retirement, back-pain SA and covariates were assessed through administrative sources, and exposure to work factors through a job-exposure matrix. Results In both genders, back-pain SA was associated with DP (> 1 episode: HR 3.23 among men; HR 3.12 among women) and EAP (> 1 episode: HR 1.24 among men; HR 1.18 among women). Higher physical workload and lower job control were also associated with an increased DP risk in both genders, whereas higher job demands showed a decreased risk. For EAP, associations with work factors were weak and inconsistent across genders. No effect modification by work factors was found, except for a negative effect modification by job strain on DP risk among women, i.e. a reduced effect of back-pain SA with increasing exposure. Conclusion Back-pain SA was a significant predictor of both DP and EAP, while work factors were consistently associated only with DP. Our results indicate that the joint effect of back-pain SA and work factors on DP is additive and does not support effect modification by work factors. Supplementary Information The online version contains supplementary material available at 10.1007/s00420-022-01862-8.
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Affiliation(s)
- Angelo d'Errico
- Department of Epidemiology, Local Health Unit ASL TO 3, Via Sabaudia 164, 10095, Grugliasco, Turin, Italy.
| | - Daniel Falkstedt
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Melody Almroth
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Kathryn Badarin
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Tomas Hemmingsson
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
- Department of Public Health Sciences, Stockholm University, Stockholm, Sweden
| | - Katarina Kjellberg
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
- Centre for Occupational and Environmental Medicine, Region Stockholm, Stockholm, Sweden
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6
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Hannerz H, Flyvholm MA. Do baseline industry and job group skill level predict welfare dependency at 1, 3 and 5 years after mental health related sickness absence? A Danish cohort study. BMC Public Health 2022; 22:697. [PMID: 35397597 PMCID: PMC8994387 DOI: 10.1186/s12889-022-13105-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Accepted: 03/29/2022] [Indexed: 11/16/2022] Open
Abstract
Background The cost of mental ill health in the EU-28 nations has been estimated at approximately 4.1% of the total gross domestic products (GDP). Improved rates of return to sustainable employment among people who are sick-listed due to mental ill health would decrease spending on welfare benefits. The present cohort study provides statistical information that may be helpful in the design and prioritizing of efforts aimed at reducing the burden of sickness absence due to mental ill health among employees in the general working population of Denmark. Our primary aim was to estimate odds of being i) deceased or recipient of health related welfare benefits and ii) recipient non-health related welfare benefits, compared to being alive and self-reliant at 1, 3 and 5 years after first visit to a jobs and benefits office due to mental health related sickness absence, as a function of industrial sector and job group skill level at baseline. A secondary aim was to analyze these odds as a function of baseline age, gender, type of mental ill health, family type and employment status. Methods The study population consisted of 20–54 year-old persons on long-term sickness absence due to mental health problems in 21 Danish municipalities in 2010–2012 (N = 19,660). Odds ratios were estimated by use of multinomial logistic regression. The outcomes were ascertained through national registers. Results We did not find any statistically significant association between baseline industrial sector or job group skill level and welfare dependency at follow-up. In the secondary analyses, the estimated odds of health and non-health related welfare dependencies at follow-up tended to increase with unemployment, age, being single and being on sick leave due to self-reported anxiety or depression versus stress/burnout at baseline. Conclusions The present study does not support that industry and job group skill level predict welfare dependency after health related sickness absence, after adjustment for relevant covariates, in the general population of Denmark. It suggests, however, that the vulnerability lies in population groups characterized by unemployment, older age, being single and being on sick leave due to self-reported anxiety or depression versus stress/burnout.
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7
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Karlsen IL, Borg V, Meng A. Exploring the Use of Selection, Optimization, and Compensation Strategies Beyond the Individual Level in a Workplace Context - A Qualitative Case Study. Front Psychol 2022; 13:832241. [PMID: 35222210 PMCID: PMC8866242 DOI: 10.3389/fpsyg.2022.832241] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Accepted: 01/20/2022] [Indexed: 11/13/2022] Open
Abstract
Due to aging populations and the prolonging of working lives, the number of senior workers will increase. Therefore, this study investigates the use of SOC strategies (Selection, Optimization, and Compensation) across organizational levels as a means for senior workers to maintain workability and age successfully at work. The need to expand the perspective of the SOC model beyond the individual level, when applied to a work context, has been emphasized theoretically in the literature, nevertheless, SOC strategies have so far only been examined at the individual level. This study is the first to explore SOC strategies at the organizational, leadership, and group level. We focus on senior employees and the SOC strategies they use to balance out demands and limited resources. Based on 23 semi-structured interviews with senior employees and immediate managers at two hospitals (nurses), and two dairies (skilled/unskilled workers), we explore which specific SOC strategies are used at each level and reflect on the applicability of broadening the perspective of the SOC model when applying it to a work context. Based on the empirical findings and the discussion of the empirical exploration of SOC strategies beyond the individual level, we argue that it is advantageous to further pursue this line of inquiry and include the group, leadership, and organizational level when applying the SOC model in a work setting.
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Affiliation(s)
| | - Vilhelm Borg
- National Research Centre for the Working Environment, Copenhagen, Denmark
| | - Annette Meng
- National Research Centre for the Working Environment, Copenhagen, Denmark
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Stevens MJ, Barker M, Dennison E, Harris EC, Linaker C, Weller S, Walker-Bone K. Recent UK retirees' views about the work-related factors which influenced their decision to retire: a qualitative study within the Health and Employment After Fifty (HEAF) cohort. BMC Public Health 2022; 22:116. [PMID: 35039031 PMCID: PMC8764837 DOI: 10.1186/s12889-022-12541-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Accepted: 01/03/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Lower birth rates and increasing longevity have resulted in ageing populations in European countries. These demographic changes place challenges on pension provision as numbers of those who are economically inactive and retired increase relative to those in paid work. Therefore, governments need workers to postpone retirement and work to older ages. Whilst health and wealth are important in retirement decision-making, considerably less is known about the effects of workplace factors. The aim of this study was to explore the views of recent UK retirees about the role that work-related factors played in their decision to retire. METHODS This qualitative study was nested within the Health and Employment After Fifty (HEAF) cohort. People who had retired 3-6 years previously (not for health reasons) were purposively sampled to obtain the views of men and women from a range of socio-economic backgrounds and jobs. Semi-structured interviews were carried out by telephone using a pre-defined topic guide. Interviews were audio-recorded, transcribed and analysed thematically. RESULTS Seventeen interviews were conducted. Thematic analysis showed that retirement decisions were complex and multi-factorial but that work-related factors contributed to decision-making in two main ways. First, some work factors pushed participants towards retirement. These were perceptions that: workplace change had affected the way they were valued or increased pressure on them; work demands, including commuting, had intruded excessively on personal time, effects that were exacerbated by modern technology; work was draining, isolating or under-appreciated; and /or that work was causing physical strain or discomfort relative to their perception of their capacity. In contrast, work factors could also cause participants to pull back towards work, particularly: autonomy; supportive work colleagues; a sense of being appreciated; and perceived job flexibility. CONCLUSIONS Recent retirees explained that their decision to retire was multi-factorial but work-related factors contributed importantly. Potentially, employers could: review workers' perceptions about their work; their capacity in relation to job demands; increase flexibility; and facilitate a supportive work community to encourage longer working lives.
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Affiliation(s)
- Martin J Stevens
- MRC Lifecourse Epidemiology Centre, Southampton General Hospital, University of Southampton, Tremona Road, Southampton, SO16 6YD, UK.,MRC Versus Arthritis Centre for Musculoskeletal Health and Work, University of Southampton, Southampton, UK
| | - Mary Barker
- MRC Lifecourse Epidemiology Centre, Southampton General Hospital, University of Southampton, Tremona Road, Southampton, SO16 6YD, UK
| | - Elaine Dennison
- MRC Lifecourse Epidemiology Centre, Southampton General Hospital, University of Southampton, Tremona Road, Southampton, SO16 6YD, UK
| | - E Clare Harris
- MRC Lifecourse Epidemiology Centre, Southampton General Hospital, University of Southampton, Tremona Road, Southampton, SO16 6YD, UK.,MRC Versus Arthritis Centre for Musculoskeletal Health and Work, University of Southampton, Southampton, UK
| | - Cathy Linaker
- MRC Lifecourse Epidemiology Centre, Southampton General Hospital, University of Southampton, Tremona Road, Southampton, SO16 6YD, UK.,MRC Versus Arthritis Centre for Musculoskeletal Health and Work, University of Southampton, Southampton, UK
| | - Susie Weller
- Clinical Ethics and Law at Southampton (CELS), Faculty of Medicine, University of Southampton, Southampton, UK
| | - Karen Walker-Bone
- MRC Lifecourse Epidemiology Centre, Southampton General Hospital, University of Southampton, Tremona Road, Southampton, SO16 6YD, UK. .,MRC Versus Arthritis Centre for Musculoskeletal Health and Work, University of Southampton, Southampton, UK.
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Wang M, Svedberg P, Narusyte J, Farrants K, Ropponen A. Effects of age on psychosocial working conditions and future labour market marginalisation: a cohort study of 56,867 Swedish twins. Int Arch Occup Environ Health 2022; 95:199-211. [PMID: 33961082 PMCID: PMC8755677 DOI: 10.1007/s00420-021-01704-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Accepted: 04/22/2021] [Indexed: 10/27/2022]
Abstract
PURPOSE Previous studies have reported an elevated risk of sickness absence (SA) and disability pension (DP) due to adverse psychosocial working conditions, yet the influence of age and familial factors on the associations have not been examined. We aimed to investigate associations between psychosocial working conditions and labour market marginalisation (LMM) in terms of unemployment, SA and DP adjusting for familial confounding and possible differences in these associations with different age groups and different unemployment and sick leave days. METHODS All twins living in Sweden in 2001, aged 16-64 years and not on old-age pension or DP were included (n = 56,867). The twins were followed from 2002 to 2016 regarding unemployment, SA and DP. Cox proportional hazards regression models were performed for the whole sample, and for discordant twin pairs, in five age groups. RESULTS Each one-unit increase in job demands and job control was associated with a lower risk of unemployment, SA and DP in all age groups. Moreover, each one-unit increase in social support was associated with an increased risk of 1-30 days unemployment in individuals older than 45 years and SA and DP. Social support decreased the risk of unemployment longer than 365 days in age groups 16-25 and 36-45 years. In the discordant twin pair analyses, the estimates attenuated towards statistical non-significance. CONCLUSION Even though familial factors seem to influence the associations between psychosocial working conditions and LMM, improving psychosocial working conditions by for example promoting high job control and social support at workplace may reduce the risk of future short- and long-term LMM in all age groups.
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Affiliation(s)
- Mo Wang
- Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 171 77, Stockholm, Sweden.
| | - Pia Svedberg
- Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 171 77, Stockholm, Sweden
| | - Jurgita Narusyte
- Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 171 77, Stockholm, Sweden
| | - Kristin Farrants
- Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 171 77, Stockholm, Sweden
| | - Annina Ropponen
- Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 171 77, Stockholm, Sweden
- Finnish Institute of Occupational Health, Helsinki, Finland
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10
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Evensen M, Klitkou ST, Tollånes MC, Øverland S, Lyngstad TH, Vollset SE, Kinge JM. Parental income gradients in adult health: a national cohort study. BMC Med 2021; 19:152. [PMID: 34193123 PMCID: PMC8247083 DOI: 10.1186/s12916-021-02022-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Accepted: 06/02/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Disparities in health by adult income are well documented, but we know less about the childhood origins of health inequalities, and it remains unclear how the shape of the gradient varies across health conditions. This study examined the association between parental income in childhood and several measures of morbidity in adulthood. METHODS We used administrative data on seven complete Norwegian birth cohorts born in 1967-1973 (N = 429,886) to estimate the association between parental income from birth to age 18, obtained from tax records available from 1967, linked with administrative registries on health. Health measures, observed between ages 39 and 43, were taken from registry data on consultations at primary health care services based on diagnostic codes from the International Classification of Primary Care (ICPC-2) and hospitalizations and outpatient specialist consultations registered in the National Patient Registry (ICD-10). RESULTS Low parental income during childhood was associated with a higher risk of being diagnosed with several chronic and pain-related disorders, as well as hospitalization, but not overall primary health care use. Absolute differences were largest for disorders related to musculoskeletal pain, injuries, and depression (7-9 percentage point difference). There were also differences for chronic disorders such as hypertension (8%, CI 7.9-8.5 versus 4%, CI 4.1-4.7) and diabetes (3.2%, CI 3.0-3.4 versus 1.4%, CI 1.2-1.6). There was no difference in consultations related to respiratory disorders (20.9%, CI 20.4-21.5 versus 19.7%, CI 19.2-20.3). Childhood characteristics (parental education, low birth weight, and parental marital status) and own adult characteristics (education and income) explained a large share of the association. CONCLUSIONS Children growing up at the bottom of the parental income distribution, compared to children in the top of the income distribution, had a two- to threefold increase in somatic and psychological disorders measured in adulthood. This shows that health inequalities by socioeconomic family background persist in a Scandinavian welfare-state context with universal access to health care.
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Affiliation(s)
- Miriam Evensen
- Centre for Disease Burden, Norwegian Institute of Public Health, PO Box 222, Skøyen, 0213, Oslo, Norway. .,Department of Inequality and Health, Norwegian Institute of Public Health, Oslo, Norway.
| | - Søren Toksvig Klitkou
- Centre for Disease Burden, Norwegian Institute of Public Health, PO Box 222, Skøyen, 0213, Oslo, Norway.,Department of Inequality and Health, Norwegian Institute of Public Health, Oslo, Norway
| | - Mette C Tollånes
- Norwegian Organization for Quality Improvement of Laboratory Examinations, Haraldsplass Deaconess Hospital, Bergen, Norway
| | - Simon Øverland
- Centre for Disease Burden, Norwegian Institute of Public Health, PO Box 222, Skøyen, 0213, Oslo, Norway
| | | | - Stein Emil Vollset
- Department of Health Metrics Sciences and Institute for Health Metrics and Evaluation, University of Washington, Seattle, USA
| | - Jonas Minet Kinge
- Centre for Disease Burden, Norwegian Institute of Public Health, PO Box 222, Skøyen, 0213, Oslo, Norway.,Centre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway
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11
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d'Errico A, Burr H, Pattloch D, Kersten N, Rose U. Working conditions as risk factors for early exit from work-in a cohort of 2351 employees in Germany. Int Arch Occup Environ Health 2020; 94:117-138. [PMID: 32929527 PMCID: PMC7826313 DOI: 10.1007/s00420-020-01566-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Accepted: 08/25/2020] [Indexed: 12/16/2022]
Abstract
Objectives We would assess the possible impact of a range of physical and psychosocial working conditions on early exit from paid employment (i.e., before retirement age) in a representative employee population in Germany. Methods We analysed a cohort from the German Study on Mental Health at Work (S-MGA) with a baseline of 2351 employees in 2011/12, sampled randomly from the register of integrated employment biographies (IEB) at the Institute for Employment Research (IAB). Follow-up ended mid-2015. Early Exit comprised episodes of either pensioning, long-term sickness absence or unemployment ≥ 18 months. Total follow-up years were 8.422. Working conditions were partly assessed by the Copenhagen Psychosocial Questionnaire (COPSOQ). Through Cox regressions, associations of baseline working conditions with time to event of exit were estimated—adjusting for baseline age, gender, poverty, fixed-term contract and socioeconomic position. Results In multiple regressions, awkward body postures (HR = 1.24; 95% CI = 1.07–1.44), heavy lifting (1.17; 1.00–1.37) and high work pace (1.41; 1.16–1.72) were associated with exit. The estimated attributable fraction of exit for being exposed to less than optimal work environment was 25%. Regarding specific exit routes, repetitive movements (1.25; 1.03–1.53) increased the risk for the long-term sickness absence; work pace (1.86; 1.22–2.86) and role clarity (0.55; 0.31–1.00) were associated to unemployment; and control over working time (0.72; 0.56–0.95) decreased the risk of the early retirement. Conclusions Work environment seems to be important for subsequent early exit from work. Physical and psychosocial demands seem to be associated to exit to a stronger extent than resources at work.
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Affiliation(s)
- Angelo d'Errico
- Department of Epidemiology, Local Health Unit TO 3, Turin, Italy
| | - Hermann Burr
- Department of Work and Health, Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany.
| | - Dagmar Pattloch
- Department of Work and Health, Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany
| | - Norbert Kersten
- Department of Work and Health, Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany
| | - Uwe Rose
- Department of Work and Health, Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany
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12
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Pilipiec P, Groot W, Pavlova M. The Analysis of Predictors of Retirement Preferences over Time. JOURNAL OF POPULATION AGEING 2020. [DOI: 10.1007/s12062-020-09305-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
AbstractDue to rapid demographic ageing and to sustain its pension system, the Netherlands recently initiated a pension reform that increased the retirement age, with the intention to increase labour force participation among older workers. However, there is little evidence on the preferences of workers concerning their retirement age, and on how these preferences have changed over time. To identify personal and work-related determinants of the preference toward earlier or later retirement, and how these determinants and preferences have changed over time. We use data from three consecutive measurements (waves) of a large Dutch panel. Ordered logit regression is used to investigate the predictors of retirement preferences. Analyses are performed for two groups; all workers and a subsample of workers aged 50 years or older. Furthermore, the analyses are performed for each wave separately and for the combined dataset. A preference for later retirement is primarily related to university education, high job satisfaction, and high income. Age is only positively related to later retirement among older workers. Earlier retirement is preferred by female workers and workers living with a partner. The preference toward an earlier retirement age has increased over time. The preferences toward retirement can be primarily explained by personal characteristics, job satisfaction, and net income. Furthermore, with the increase in the retirement age defined by current legislation, the preference for an earlier retirement age has increased over time.
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13
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Abstract
AbstractPrevious research finds that members of the working class have a higher risk of early retirement compared to professionals because they are pushed into early retirement. This indicates that not all workers can respond to incentives to extend their working life. Yet, little previous work has been conducted to quantify systematically the extent to which push factors explain why members of the working class have a higher risk of early retirement compared to professionals. Using longitudinal data on Danish workers, the results suggest that members of the working class have an increased risk of early retirement compared to professionals, but poor health, previous spells of unemployment and low job quality mediate a large part of this effect. Among men, the push factors mediate 57 and 86 per cent of the effect of social class on early retirement for skilled manual and unskilled manual workers, respectively. Among women, the push factors mediate 43 and 55 per cent of the effect of social class on early retirement for skilled manual and unskilled manual workers, respectively. Overly physical work demands is the most important mediator, which explains between 23 and 31 per cent of the total effect of belonging to the working class on early retirement. Moreover, the magnitudes of the indirect effects of the push factors depend on the particular pathway into retirement.
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14
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Sewdas R, Thorsen SV, Boot CRL, Bjørner JB, Van der Beek AJ. Determinants of voluntary early retirement for older workers with and without chronic diseases: A Danish prospective study. Scand J Public Health 2019; 48:190-199. [PMID: 31319774 PMCID: PMC7042495 DOI: 10.1177/1403494819852787] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
Aims: This study explored differences in determinants (i.e.
health-related, work-related and social factors) of voluntary early retirement
between older workers with and without chronic diseases in Denmark.
Methods: Workers aged 56–64 years who were members of a
voluntary early retirement scheme were selected from the Danish National Working
Environment Survey (2008–2009) and were followed in a public register for four
years. Cox regression analyses were performed separately for older workers with
and without chronic disease to identify the associations between determinants
and voluntary early retirement. To explore the differences between groups, an
interaction term between the determinant and having a chronic disease was
included in the analyses for the total population. Results: Among
1861 eligible older workers, determinants associated with a higher risk of
voluntary early retirement included poorer self-rated health, more depressive
symptoms, a higher physical workload, lower job satisfaction and lower influence
at work. For older workers with a chronic disease (n=1185), the
presence of work–family conflict was also associated with a higher risk of
voluntary early retirement, whereas for those with no chronic disease
(n=676), a poorer relationship with colleagues was an
additional determinant. Higher emotional demands, a higher work pace and higher
quantitative demands were not significantly associated with voluntary early
retirement for either group. None of the interaction terms was found to be
statistically significant (p>0.05). Conclusions:
Determinants associated with voluntary early retirement did not
significantly differ between older workers with or without a chronic disease
in Denmark. We conclude that several health-related, work-related and social
factors are important for prolonged labour force participation of older
workers (with and without a chronic disease).
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Affiliation(s)
- Ranu Sewdas
- Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, VU University Amsterdam, Amsterdam, The Netherlands
| | | | - Cécile R L Boot
- Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, VU University Amsterdam, Amsterdam, The Netherlands
| | - Jakob Bue Bjørner
- The Danish National Research Centre for the Working Environment, Denmark.,Optum Patient Insights and Faculty of Health and Medical Sciences, Department of Public Health, University of Copenhagen, Denmark
| | - Allard J Van der Beek
- Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, VU University Amsterdam, Amsterdam, The Netherlands
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15
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Massamba VK, Talbot D, Milot A, Pearce N, Trudel X, Brisson C. Assessment of the healthy worker survivor effect in the relationship between psychosocial work-related factors and hypertension. Occup Environ Med 2019; 76:414-421. [DOI: 10.1136/oemed-2018-105460] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2018] [Revised: 02/08/2019] [Accepted: 03/02/2019] [Indexed: 11/04/2022]
Abstract
ObjectivesThe healthy worker survivor effect (HWSE) usually leads to underestimation of the effects of harmful occupational exposures. HWSE is characterised by the concomitance of three associations: (1) job status–subsequent exposure, (2) job status–disease and (3) previous exposure–job status. No study has reported the coexistence of these associations in the relationship between psychosocial work-related factors and health. We assessed if HWSE is present when measuring the effects of cumulative exposure to psychosocial work-related factors on the prevalence of hypertension in white-collar workers.MethodsData were obtained from two timepoints (1991–1993 at baseline and 1999–2001 at follow-up) of a prospective cohort study. At baseline, the population was composed of 9188 white-collar employees (women: 49.9%) in Quebec City. Job strain as psychosocial work-related factor and blood pressure were measured using validated methods. Job status (retirees vs employees) at follow-up was self-reported. Multiple multilevel robust Poisson regressions were used to estimate prevalence ratios of hypertension and risk ratios of retirement separately by gender. We performed multiple imputations to control selection bias due to missing values.ResultsRetirement eliminated the subsequent exposure to job strain de facto and was associated with the reduction in the prevalence of hypertension in younger (−33%) and older (−11%) men and in older women (−39%). Job strain was associated with job status in younger men and in women of any age.ConclusionData showed the presence of HWSE in younger men and older women given the coexistence of the three structural associations.
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16
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Fouquereau E, Bosselut G, Chevalier S, Coillot H, Demulier V, Becker C, Gillet N. Better Understanding the Workers' Retirement Decision Attitudes: Development and Validation of a New Measure. Front Psychol 2018; 9:2429. [PMID: 30568614 PMCID: PMC6290337 DOI: 10.3389/fpsyg.2018.02429] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2017] [Accepted: 11/19/2018] [Indexed: 11/13/2022] Open
Abstract
The aim of the present research was to develop a measure that could be used in future research for in-depth study of the psychological management of retirement. We report the results of six studies involving 1,898 French workers designed to develop and assess the psychometric properties of a new instrument named the Workers' Retirement Motivations Inventory (WRMI) using the push pull anti-push anti-pull model. The items were constructed based on a review of the relevant psychological literature and face-to-face interviews with senior workers. A combined method of exploratory structural equations modeling and confirmatory factor analysis (CFA) was employed and provided evidence for validating this structure of the inventory. The WRMI showed consistency of the four-factor structure across different samples, internal consistency, test-retest reliability, and predictive validity of workers' plans for retirement. Implications of these findings and avenues for counseling activities and future research are discussed.
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Affiliation(s)
- Evelyne Fouquereau
- EA 2114 Psychologie des Âges de la Vie, University of Tours, Tours, France
| | - Grégoire Bosselut
- Laboratoire Epsylon EA 4556, University of Montpellier, Montpellier, France
| | - Séverine Chevalier
- EA 2114 Psychologie des Âges de la Vie, University of Tours, Tours, France
| | - Hélène Coillot
- EA 2114 Psychologie des Âges de la Vie, University of Tours, Tours, France
| | | | - Caroline Becker
- EA 2114 Psychologie des Âges de la Vie, University of Tours, Tours, France
| | - Nicolas Gillet
- EA 2114 Psychologie des Âges de la Vie, University of Tours, Tours, France
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17
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Abstract
AbstractThis article explores the conditions for extended working life from an organising perspective. Based on the idea that temporality makes up a fundamental organising dimension, it discusses conceptions of internal job mobility, and if and when employees are expected to relocate to a different unit at work. The material consists of interviews with 11 men between the ages of 56 and 74, working in manual and managerial capacities at a foundry of a Swedish branch of a large international steel company. The results show that internal work mobility is regulated by normative assumptions of mobility in terms of on- and off-time. This socio-temporal order constructs younger age groups as the age normality while designating the older employees’ transitions as a normative breach. It is also shown that the temporal order constitutes a disciplining element steering employees from an early stage to plan for limitations that may arise as a result of ageism and/or physical changes. The result confirms that transition to less-physically demanding tasks is a prerequisite for continuing working in a physically demanding job. These transitions are not, however, included in the socio-temporal order of the company, but are presented as the older employees’ individual problem. All together, these results show the need to introduce organisational practices and corporate strategies in the debate on extended working life.
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18
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Fleischmann M, Carr E, Xue B, Zaninotto P, Stansfeld SA, Stafford M, Head J. Changes in autonomy, job demands and working hours after diagnosis of chronic disease: a comparison of employed and self-employed older persons using the English Longitudinal Study of Ageing (ELSA). J Epidemiol Community Health 2018; 72:951-957. [PMID: 29936420 PMCID: PMC6161656 DOI: 10.1136/jech-2017-210328] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2017] [Revised: 04/25/2018] [Accepted: 05/29/2018] [Indexed: 11/30/2022]
Abstract
Background Modifications in working conditions can accommodate changing needs of chronically ill persons. The self-employed may have more possibilities than employees to modify their working conditions. We investigate how working conditions change following diagnosis of chronic disease for employed and self-employed older persons. Methods We used waves 2–7 from the English Longitudinal Study of Ageing (ELSA). We included 1389 participants aged 50–60 years who reported no chronic disease at baseline. Using fixed-effects linear regression analysis, we investigated how autonomy, physical and psychosocial job demands and working hours changed following diagnosis of chronic disease. Results For employees, on diagnosis of chronic disease autonomy marginally decreased (−0.10, 95% CI −0.20 to 0.00) and physical job demands significantly increased (0.13, 95% CI 0.01 to 0.25), whereas for the self-employed autonomy did not significantly change and physical job demands decreased on diagnosis of chronic disease (−0.36, 95% CI −0.64 to –0.07), compared with prediagnosis levels. Psychosocial job demands did not change on diagnosis of chronic disease for employees or the self-employed. Working hours did not change for employees, but dropped for self-employed (although non-significantly) by about 2.8 hours on diagnosis of chronic disease (−2.78, 95% CI −6.03 to 0.48). Conclusion Improvements in working conditions after diagnosis of chronic disease were restricted to the self-employed. This could suggest that workplace adjustments are necessary after diagnosis of chronic disease, but that the self-employed are more likely to realise these. Policy seeking to extend working life should consider work(place) adjustments for chronically ill workers as a means to prevent early exit from work.
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Affiliation(s)
- Maria Fleischmann
- Department of Epidemiology and Public Health, University College London, London, UK
| | - Ewan Carr
- Department of Epidemiology and Public Health, University College London, London, UK.,Institute of Psychiatry, King's College London, London, UK
| | - Baowen Xue
- Department of Epidemiology and Public Health, University College London, London, UK
| | - Paola Zaninotto
- Department of Epidemiology and Public Health, University College London, London, UK
| | - Stephen A Stansfeld
- Centre for Psychiatry, Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Mai Stafford
- MRC Unit for Lifelong Health and Ageing, University College London, London, UK
| | - Jenny Head
- Department of Epidemiology and Public Health, University College London, London, UK
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19
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Browne P, Carr E, Fleischmann M, Xue B, Stansfeld SA. The relationship between workplace psychosocial environment and retirement intentions and actual retirement: a systematic review. Eur J Ageing 2018; 16:73-82. [PMID: 30886562 PMCID: PMC6397102 DOI: 10.1007/s10433-018-0473-4] [Citation(s) in RCA: 38] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Psychosocial work characteristics are potential determinants of retirement intentions and actual retirement. A systematic review was conducted of the influence of psychosocial work characteristics on retirement intentions and actual retirement among the general population. This did not include people who were known to be ill or receiving disability pension. Relevant papers were identified by a search of PubMed, PsycINFO and Web of Science databases to December 2016. We included longitudinal and cross-sectional papers that assessed psychosocial work characteristics in relation to retirement intentions or actual retirement. Papers were filtered by title and abstract before data extraction was performed on full texts using a predetermined extraction sheet. Forty-six papers contained relevant evidence. High job satisfaction and high job control were associated with later retirement intentions and actual retirement. No consistent evidence was found for an association of job demands with retirement intentions or actual retirement. We conclude that to extend working lives policies should increase the job control available to older employees.
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Affiliation(s)
- Peter Browne
- 1Centre for Psychiatry, Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London, EC1M 6 BQ UK
| | - Ewan Carr
- 2Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London, WC1E 7HB UK.,3Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, SE5 8AF UK
| | - Maria Fleischmann
- 2Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London, WC1E 7HB UK
| | - Baowen Xue
- 2Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London, WC1E 7HB UK
| | - Stephen A Stansfeld
- 1Centre for Psychiatry, Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London, EC1M 6 BQ UK
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20
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Mid-life psychosocial work environment as a predictor of work exit by age 50. PLoS One 2018; 13:e0195495. [PMID: 29621353 PMCID: PMC5886550 DOI: 10.1371/journal.pone.0195495] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2017] [Accepted: 03/24/2018] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES To examine whether psychosocial work characteristics at age 45 years predict exit from the labour market by the age of 50 years in data from the 1958 British Birth Cohort. METHODS Psychosocial work characteristics (decision latitude, job demands, job strain and work social support at 45 years and job insecurity at 42 years) measured by questionnaire were linked to employment outcomes (unemployment, retirement, permanent sickness, homemaking) at 50 years in 6510 male and female participants. RESULTS Low decision latitude (RR = 2.01, 95%CI 1.06,3.79), low work social support (RR = 1.96, 95%CI 1.12,3.44), and high job insecurity (RR = 2.27, 95%CI 1.41, 3.67) predicted unemployment at 50, adjusting for sex, housing tenure, socioeconomic status, marital status, and education. High demands were associated with lower risk of unemployment (RR = 0.50, 95%CI 0.29,0.88) but higher risk of permanent sickness (RR = 2.14, 95%CI 1.09,4.21). CONCLUSIONS Keeping people in the workforce beyond 50 years may contribute to both personal and national prosperity. Employers may wish to improve working conditions for older workers, in particular, increase control over work, increase support and reduce demands to retain older employees in the workforce.
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21
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Sundstrup E, Hansen ÅM, Mortensen EL, Poulsen OM, Clausen T, Rugulies R, Møller A, Andersen LL. Retrospectively assessed psychosocial working conditions as predictors of prospectively assessed sickness absence and disability pension among older workers. BMC Public Health 2018; 18:149. [PMID: 29343243 PMCID: PMC5773165 DOI: 10.1186/s12889-018-5047-z] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2017] [Accepted: 01/09/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The aim was to explore the association between retrospectively assessed psychosocial working conditions during working life and prospectively assessed risk of sickness absence and disability pension among older workers. METHODS The prospective risk of register-based long-term sickness absence (LTSA) and disability pension was estimated from exposure to 12 different psychosocial work characteristics during working life among 5076 older workers from the CAMB cohort (Copenhagen Aging and Midlife Biobank). Analyses were censored for competing events and adjusted for age, gender, physical work environment, lifestyle, education, and prior LTSA. RESULTS LTSA was predicted by high levels of cognitive demands (HR 1.31 (95% CI 1.10-1.56)), high levels of emotional demands (HR 1.26 (95% CI 1.07-1.48)), low levels of influence at work (HR 1.30 (95% CI 1.03-1.64)), and high levels of role conflicts (HR 1.34 (95% CI 1.09-1.65)). Disability pension was predicted by low levels of influence at work (HR 2.73 (95% CI 1.49-5.00)) and low levels of recognition from management (HR 2.04 (95% CI 1.14-3.67)). CONCLUSIONS This exploratory study found that retrospectively assessed high cognitive demands, high and medium emotional demands, low influence at work, low recognition from management, medium role clarity, and high role conflicts predicted LTSA and/or disability pension.
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Affiliation(s)
- Emil Sundstrup
- National Research Centre for the Working Environment, Lersø Parkallé 105, 2100, Copenhagen, Denmark.
| | - Åse Marie Hansen
- National Research Centre for the Working Environment, Lersø Parkallé 105, 2100, Copenhagen, Denmark.,Department of Public Health, University of Copenhagen, Copenhagen, Denmark
| | - Erik Lykke Mortensen
- Department of Public Health, University of Copenhagen, Copenhagen, Denmark.,Center for Healthy Aging, University of Copenhagen, Copenhagen, Denmark
| | - Otto Melchior Poulsen
- National Research Centre for the Working Environment, Lersø Parkallé 105, 2100, Copenhagen, Denmark
| | - Thomas Clausen
- National Research Centre for the Working Environment, Lersø Parkallé 105, 2100, Copenhagen, Denmark
| | - Reiner Rugulies
- National Research Centre for the Working Environment, Lersø Parkallé 105, 2100, Copenhagen, Denmark.,Department of Public Health, University of Copenhagen, Copenhagen, Denmark.,Department of Psychology, University of Copenhagen, Copenhagen, Denmark
| | - Anne Møller
- Department of Occupational Medicine, Copenhagen University Hospital Holbæk, Copenhagen, Denmark.,The Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark
| | - Lars L Andersen
- National Research Centre for the Working Environment, Lersø Parkallé 105, 2100, Copenhagen, Denmark.,Department of Health Science and Technology, Physical Activity and Human Performance group, SMI, Aalborg University, Aalborg, Denmark
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22
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Topa G, Depolo M, Alcover CM. Early Retirement: A Meta-Analysis of Its Antecedent and Subsequent Correlates. Front Psychol 2018; 8:2157. [PMID: 29354075 PMCID: PMC5759094 DOI: 10.3389/fpsyg.2017.02157] [Citation(s) in RCA: 58] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2017] [Accepted: 11/28/2017] [Indexed: 01/01/2023] Open
Abstract
Early or voluntary retirement (ER) can be defined as the full exit from an organizational job or career path of long duration, decided by individuals of a certain age at the mid or late career before mandatory retirement age, with the aim of reducing their attachment to work and closing a process of gradual psychological disengagement from working life. Given the swinging movements that characterize employment policies, the potential effects of ER-both for individuals and society-are still controversial. This meta-analysis examined the relationships between ER and its antecedent and subsequent correlates. Our review of the literature was generated with 151 empirical studies, containing a total number of 706,937 participants, with a wide range of sample sizes (from N = 27 to N = 127,384 participants) and 380 independent effect sizes (ESs), which included 171 independent samples. A negligible ES value for antecedent correlates of early retirement (family pull, job stress, job satisfaction, and income) was obtained (which ranged from r = -0.13 to 0.19), while a fair ES was obtained for workplace timing for retirement, organizational pressures, financial security, and poor physical and mental health, (ranging from r = 0.28 to 0.25). Regarding ER subsequent correlates, poor ESs were obtained, ranging from r = 0.08 to 0.18 for the relationships with subsequent correlates, and fair ESs only for social engagement (r = -0.25). Examination of the potential moderator variables has been conducted. Only a reduced percentage of variability of primary studies has been explained by moderators. Although potential moderator factors were examined, there are several unknown or not measurable factors which contribute to ER and about which there are very little data available. The discussion is aimed to offer theoretical and empirical implications suggestion in order to improve employee's well-being.
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Affiliation(s)
- Gabriela Topa
- Social and Organizational Psychology, Universidad Nacional de Educación a Distancia, Madrid, Spain
| | - Marco Depolo
- Psychology, Università di Bologna, Bologna, Italy
| | - Carlos-Maria Alcover
- Medicine and Surgery, Psychology, Preventive Medicine and Public Health, Immunology and Medical Microbiology, Nursing, and Stomatology, Universidad Rey Juan Carlos, Madrid, Spain
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23
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Wargo-Sugleris M, Robbins W, Lane CJ, Phillips LR. Job satisfaction, work environment and successful ageing: Determinants of delaying retirement among acute care nurses. J Adv Nurs 2017; 74:900-913. [PMID: 29148075 DOI: 10.1111/jan.13504] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/25/2017] [Indexed: 10/18/2022]
Abstract
AIM To determine the relationships between job satisfaction, work environment and successful ageing and how these factors relate to Registered Nurses' intent to retire. BACKGROUND Although little studied, retention of older nurses by delaying early retirement, before age 65, is an important topic for research. Qualitative and quantitative studies have indicated that job satisfaction work environment and successful ageing are key motivators in acute care Registered Nurses retention and/or delaying retirement. This study was designed to provide information to administrators and policy makers about retaining older, experienced RNs longer and more productively. DESIGN This was a correlational, descriptive, cross-sectional study. METHODS An online survey of acute care Registered Nurses (N = 2,789) aged 40 years or older working in Florida was conducted from September - October 2013. Participants completed items related to job satisfaction, work environment, successful ageing and individual characteristics. Hypotheses derived from the modified Ellenbecker's Job Retention Model were tested using regression analysis. RESULTS Job satisfaction scores were high. Highest satisfaction was with scheduling issues and co-workers; lowest with advancement opportunities. Successful ageing scores were also high with 81% reporting excellent or good health. Work environment explained 55% of the variance in job satisfaction. Years to retirement were significantly associated with successful ageing (p < .001), age (p < .001) and income (p < .010). CONCLUSIONS This study provides quantitative evidence that environment and successful ageing are important areas that have an impact on job satisfaction and delay of retirement in older nurses and further studies in these areas are warranted to expand on this knowledge.
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Affiliation(s)
| | - Wendie Robbins
- School of Nursing, University of California Los Angeles, Los Angeles, CA, USA
| | | | - Linda R Phillips
- School of Nursing, University of California Los Angeles, Los Angeles, CA, USA
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24
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König S. Career histories as determinants of gendered retirement timing in the Danish and Swedish pension systems. Eur J Ageing 2017; 14:397-406. [PMID: 29180945 PMCID: PMC5684040 DOI: 10.1007/s10433-017-0424-5] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
After reforms in pension systems had taken place in most European countries within the last two decades, the concern was raised that women may be disadvantaged by these reforms. It is suggested that they are faced with a higher financial need to work longer. Retrospective data from SHARELIFE are used to run an event history analysis on the timing of the final employment exit, separately for gender, country and exit cohort. This study aims to disentangle the influence of gendered labour markets and pension regulations on retirement timing by investigating conditions in Denmark and Sweden. Some evidence was found that women compensate for lower labour market attachment due to long part-time periods by working longer, especially in younger cohorts. This seems to depend on the pension system. In countries with broad basic pensions, high replacement rates for low-income groups and fewer penalties for early retirement, the compensation is suggested to be less frequent. This study indicates the growing importance of the “compensation hypothesis” compared to the “status maintenance hypothesis” of previous careers in relation with retirement timing.
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Affiliation(s)
- Stefanie König
- Department of Psychology, University of Gothenburg, Gothenburg, Sweden
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Sewdas R, van der Beek AJ, de Wind A, van der Zwaan LGL, Boot CRL. Determinants of working until retirement compared to a transition to early retirement among older workers with and without chronic diseases: Results from a Dutch prospective cohort study. Scand J Public Health 2017; 46:400-408. [PMID: 29059016 PMCID: PMC5946665 DOI: 10.1177/1403494817735223] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Aim: The ageing society and recent policy changes may lead to an increase of older workers with chronic diseases in the workforce. To date, it is unclear whether workers with chronic diseases have specific needs while employed. The aim of this study is to explore the differences in determinants of working until retirement compared to a reference group who have transitioned to early retirement among workers with and without chronic diseases. Methods: Dutch workers aged 57–62 years (n = 2445) were selected from an existing prospective cohort study, ‘STREAM’. The potential determinants were categorized into: individual, health, work-related and social factors. Logistic regression analyses were performed to determine the associations between these determinants and working until retirement – once for workers with and once for those without chronic diseases. To test differences, we included an interaction term between the determinant and the covariate ‘having a chronic disease yes/no’ in the analyses of the total population. Results: In total, 1652 (68%) persons were employed from 2011 to 2013. The majority of the determinants appeared to be similar for workers with or without a chronic disease; the interaction terms for these determinants and the covariate ‘having a chronic disease’ showed a p-value higher than 0.05, except for one individual factor (i.e. mastery) and one work-related factor (i.e. autonomy), which showed a p-value below 0.05. Higher mastery and higher autonomy were statistically significantly associated with working until retirement for those with chronic diseases, whereas they were not for those without chronic diseases. Conclusions: Differences between workers with and without chronic diseases may exist for working until a statutory retirement age. Interventions aimed at encouraging work participation of older workers should make a distinction between the two groups. Autonomy at work and mastery were found to be factors that may promote work participation until higher age, specifically for older workers with chronic diseases.
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Affiliation(s)
- Ranu Sewdas
- 1 Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, The Netherlands.,2 Body@Work, Research Center on Physical Activity, Work and Health, TNO-VU/VUmc, Amsterdam, The Netherlands
| | - Allard J van der Beek
- 1 Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, The Netherlands.,2 Body@Work, Research Center on Physical Activity, Work and Health, TNO-VU/VUmc, Amsterdam, The Netherlands
| | - Astrid de Wind
- 1 Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, The Netherlands.,2 Body@Work, Research Center on Physical Activity, Work and Health, TNO-VU/VUmc, Amsterdam, The Netherlands
| | - Lennart G L van der Zwaan
- 2 Body@Work, Research Center on Physical Activity, Work and Health, TNO-VU/VUmc, Amsterdam, The Netherlands.,3 Netherlands Organisation for Applied Scientific Research TNO, Leiden, The Netherlands
| | - Cécile R L Boot
- 1 Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, The Netherlands.,2 Body@Work, Research Center on Physical Activity, Work and Health, TNO-VU/VUmc, Amsterdam, The Netherlands
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Fleischmann M, Carr E, Stansfeld SA, Xue B, Head J. Can favourable psychosocial working conditions in midlife moderate the risk of work exit for chronically ill workers? A 20-year follow-up of the Whitehall II study. Occup Environ Med 2017; 75:183-190. [PMID: 29042407 PMCID: PMC5869452 DOI: 10.1136/oemed-2017-104452] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2017] [Revised: 08/11/2017] [Accepted: 09/28/2017] [Indexed: 11/24/2022]
Abstract
Objectives To investigate if favourable psychosocial working conditions can reduce the risk of work exit and specifically for workers with chronic disease. Methods Men and women (32%) aged 35–55, working and having no chronic disease at baseline of the Whitehall II study of London-based civil servants were selected (n=9040). We observed participants’ exit from work through retirement, health-related exit and unemployment, new diagnosis of chronic disease (ie, coronary heart disease, diabetes, stroke and cancer) and their psychosocial working conditions in midlife. Using cause-specific Cox models, we examined the association of chronic disease and favourable psychosocial working conditions and their interaction, with the three types of work exit. We adjusted for gender, occupational grade, educational level, remaining in civil service, spouse’s employment status and mental health. Results Chronic disease significantly increased the risk of any type of work exit (HR 1.27) and specifically the risk of health-related exit (HR 2.42). High skill discretion in midlife reduced the risk of any type of work exit (HR 0.90), retirement (HR 0.91) and health-related exit (HR 0.68). High work social support in midlife decreased the risk of health-related exit (HR 0.79) and unemployment (HR 0.71). Favourable psychosocial working conditions in midlife did not attenuate the association between chronic disease and work exit significantly. Conclusions The chronically ill have increased risks of work exit, especially through health-related exit routes. Chronic disease is an obstacle to extended working lives. Favourable working conditions directly relate to reduced risks of work exit.
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Affiliation(s)
- Maria Fleischmann
- Department of Epidemiology and Public Health, University College London, London, UK
| | - Ewan Carr
- Department of Epidemiology and Public Health, University College London, London, UK.,Institute of Psychiatry, King's College London, London, UK
| | - Stephen A Stansfeld
- Centre for Psychiatry, Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Baowen Xue
- Department of Epidemiology and Public Health, University College London, London, UK
| | - Jenny Head
- Department of Epidemiology and Public Health, University College London, London, UK
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Dean Lee M, Zikic J, Noh SC, Sargent L. Human Resource Approaches to Retirement: Gatekeeping, Improvising, Orchestrating, and Partnering. HUMAN RESOURCE MANAGEMENT 2017. [DOI: 10.1002/hrm.21775] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Mary Dean Lee
- McGill University; Desautels Faculty of Management; 1001 Sherbrooke St. W. Montreal Quebec H3A 1G5 Canada
| | - Jelena Zikic
- York University; Human Resource Management; Toronto Ontario Canada
| | - Sung-Chul Noh
- 518 Bronfman Building; Desautels Faculty of Management; McGill University; 1001 Sherbrooke Street West Montreal Quebec H3A 1G5
| | - Leisa Sargent
- University of Melbourne Management; Melbourne Australia
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Wind AD, Burr H, Pohrt A, Hasselhorn HM, Van der Beek AJ, Rugulies R. The association of health and voluntary early retirement pension and the modifying effect of quality of supervision: Results from a Danish register-based follow-up study. Scand J Public Health 2017; 45:468-475. [PMID: 28381121 PMCID: PMC5495428 DOI: 10.1177/1403494817699998] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objectives: The aims of this article are to (1) determine whether and to what extent general perceived health and quality of supervision predict voluntary early retirement pension (VERP) and (2) assess whether quality of supervision modifies the association between general perceived health and VERP. Methods: Employees aged 49–64 years who participated in the Danish Work Environment Cohort Study in 2000 were selected. Their questionnaire data about health and work were linked to register data on social transfer payments, among others VERP, from 2001 to 2012 in the Danish Register for Evaluation of Marginalization (N=1167). Cox proportional hazards analyses were performed to identify the prospective association of general perceived health and quality of supervision on VERP. Relative excess risks due to interaction (RERIs) were calculated to assess whether quality of supervision modified the association between health and VERP. Results: Employees with poor health at baseline had an increased risk of VERP during follow-up (hazard ratio [HR]=1.23; 95% confidence interval [CI] 1.02–1.49). Quality of supervision at baseline was not associated to VERP during follow-up (HR=1.04; 95% CI 0.90–1.21). There was no statistically significant interaction of poor health and poor quality of supervision with regard to risk of VERP (RERI=−0.33; 95% CI −1.79 to 1.14). Conclusions:This study did not support the notion that quality of supervision buffers the association between poor health and VERP. Future research is needed to determine whether other aspects of supervision, for example supervisors’ opportunities to effectuate workplace adjustments, may modify the association of poor health and VERP.
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Affiliation(s)
- Astrid de Wind
- 1 Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, The Netherlands.,2 Netherlands Organisation for Applied Scientific Research TNO, Leiden, The Netherlands.,3 Body@Work, Research Center on Physical Activity, Work and Health, TNO-VU/VUmc, Amsterdam, The Netherlands
| | - Hermann Burr
- 4 Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany
| | - Anne Pohrt
- 4 Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany
| | | | - Allard Johan Van der Beek
- 1 Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, The Netherlands.,3 Body@Work, Research Center on Physical Activity, Work and Health, TNO-VU/VUmc, Amsterdam, The Netherlands
| | - Reiner Rugulies
- 6 National Research Centre for the Working Environment, Copenhagen, Denmark.,7 Department of Public Health, University of Copenhagen, Denmark.,8 Department of Psychology, University of Copenhagen, Denmark
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Wahrendorf M, Akinwale B, Landy R, Matthews K, Blane D. Who in Europe Works beyond the State Pension Age and under which Conditions? Results from SHARE. JOURNAL OF POPULATION AGEING 2016; 10:269-285. [PMID: 28890742 PMCID: PMC5569122 DOI: 10.1007/s12062-016-9160-4] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2016] [Accepted: 09/05/2016] [Indexed: 11/28/2022]
Abstract
There is much research about those who exit the labour market prematurely, however, comparatively little is known about people working longer and about their employment and working conditions. In this paper, we describe the employment and working conditions of men and women working between 65 and 80 years, and compare them with previous conditions of those retired in the same age group. Analyses are based on wave 4 data from the Survey of Health, Ageing and Retirement in Europe (SHARE) with information collected between 2009 and 2011 from 17,625 older men and women across 16 European countries. Besides socio-demographic and health-related factors (physical and mental health), the focus lies on employment conditions (e.g. employment status, occupational position and working hours) and on stressful working conditions, measured in terms of low control at work and effort-reward imbalance. In case of retired people, information on working conditions refer to the last job before retirement. Following descriptive analyses, we then conduct multivariable analyses and investigate how working conditions and poor health are related to labour market participation (i.e. random intercept models accounting for country affiliation and adjusted for potential confounders). Results illustrate that people working between the ages of 65 and 80 are more likely to be self-employed (either with or without employees) and work in advantaged occupational positions. Furthermore, findings reveal that psychosocial working conditions are generally better than the conditions retired respondents had in their last job. Finally, in contrast to those who work, health tends to be worse among retired people. In conclusion, findings deliver empirical evidence that paid employment beyond age 65 is more common among self-employed workers throughout Europe, in advantaged occupations and under-favourable psychosocial circumstances, and that this group of workers are in considerably good mental and physical health. This highlights that policies aimed at increasing the state pension age beyond the age of 65 years put pressure on specific disadvantaged groups of men and women.
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Affiliation(s)
- Morten Wahrendorf
- Institute for Medical Sociology, Centre for Health and Society, Medical Faculty, University of Düsseldorf, Düsseldorf, Germany
| | - Bola Akinwale
- International Centre for Life Course Studies in Society and Health, Department of Primary Care and Public Health, Imperial College London, London, UK
| | - Rebecca Landy
- Centre for Cancer Prevention, Wolfson Institute of Preventive Medicine, Queen Mary University of London, London, UK
| | - Katey Matthews
- Cathie Marsh Institute for Social Research, University of Manchester, Manchester, UK
| | - David Blane
- International Centre for Life Course Studies in Society and Health, Department of Epidemiology and Public Health, University College London, London, UK
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30
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Psychosocial work environment and retirement age: a prospective study of 1876 senior employees. Int Arch Occup Environ Health 2016; 89:891-900. [PMID: 27055542 DOI: 10.1007/s00420-016-1125-7] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2015] [Accepted: 03/02/2016] [Indexed: 10/24/2022]
Abstract
PURPOSE Retention of senior employees is a challenge for most developed countries. We aimed to identify psychosocial work environment factors of importance for the retention of older employees by evaluating the association between the psychosocial work environment and voluntary early retirement in a longitudinal study. METHODS Data about work environment, health, and background factors came from the DANES 2008 questionnaire survey. We followed members of the Danish early retirement scheme for up to 4 years in national registers-focusing on the age range, 60-64 years, where early retirement was possible. We used Cox proportional hazard regression to analyze the rate of early retirement. RESULTS The study included 16 psychosocial work environment factors. The following 10 psychosocial factors were significant predictors of early retirement in covariate adjusted analyses: Low job satisfaction, low influence in job, low possibilities for development, low role clarity, perceived age discrimination, low recognition from management, low workplace justice, poor trust in management, poor leadership quality, and poor predictability. No significant association with early retirement was found for work pace, quantitative demands, emotional demands, role conflicts, social community between colleagues, and trust between colleagues. CONCLUSION Older employees with high job satisfaction, influence, possibilities for development, positive management relations, and jobs with no age discrimination remained longer at the labor market. However, we found no evidence that low demands or good relations between colleagues could influence older employees' decision on early retirement.
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31
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Madero-Cabib I, Kaeser L. How voluntary is the active ageing life? A life-course study on the determinants of extending careers. Eur J Ageing 2015; 13:25-37. [PMID: 28804370 DOI: 10.1007/s10433-015-0355-y] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
In Switzerland, as in many other European states, there is an increasing emphasis in public policy on promoting later retirement from the labour market. But this accelerating drive in Swiss policy-making to extend occupational activity does not mean that every worker is currently likely to retire late, nor does it imply that all those who do retire late do so voluntarily. This article uses a life-course approach, first to study the determinants of late retirement, and secondly to analyse whether the decision to postpone retirement is made voluntarily or involuntarily. Both objectives are addressed on the basis of data from the Swiss survey Vivre/Leben/Vivere. The results of logistic regression modelling indicate that, whereas self-employed and more highly educated individuals are more likely to retire late, people with access to private pension funds and workers who have benefited from periods of economic growth have a lower tendency to retire late. Regarding voluntariness, those who are more likely to opt for voluntary late retirement tend to be Swiss citizens, more highly educated, and also benefited from periods of economic expansion, while the self-employed, men and widowed individuals leaving the labour market late tend to do so involuntarily. In conclusion, the article discusses the absence of a social inequality debate in the design of active ageing policies.
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Affiliation(s)
- Ignacio Madero-Cabib
- LIVES Research Centre - Life Course and Inequality Research Centre, University of Lausanne, Quartier UNIL-Mouline, Bâtiment Géopolis, Bureau 5609, 1015 Lausanne, Switzerland
| | - Laure Kaeser
- LIVES Research Centre - Centre for the Interdisciplinary Study of Gerontology and Vulnerability, University of Applied Sciences and Arts of Western Switzerland, Route des Acacias 54, 1227 Carouge, Switzerland
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32
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Boot CRL, Deeg DJH, Abma T, Rijs KJ, van der Pas S, van Tilburg TG, van der Beek AJ. Predictors of having paid work in older workers with and without chronic disease: a 3-year prospective cohort study. JOURNAL OF OCCUPATIONAL REHABILITATION 2014; 24:563-572. [PMID: 24322825 DOI: 10.1007/s10926-013-9489-y] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
BACKGROUND As the prevalence of chronic disease amongst older workers is high and increasing, it is important to know if the large subgroup of older workers with chronic disease has specific needs when it comes to prolonging participation in paid work. OBJECTIVES To investigate differences and similarities in predictors of having paid work in workers aged 55+ with and without chronic disease. METHODS Workers aged 55-62 years were selected from the 2002-2003 cohort of the Longitudinal Aging Study Amsterdam (n = 333). Potential predictors were: health, personality, work characteristics, and demographics. Per potential predictor, a logistic regression coefficient for 'having paid work in 2005-2006' was calculated for workers with and without chronic disease. A pooled estimate was computed and differences between the pooled estimate and the coefficients were tested. Results Follow-up data were available for 95 %, of whom 67 % still had paid work. Predictors of having paid work were similar for workers with and without chronic diseases, except for physical workload (χ(2) = 5.37; DF = 1) and psychosocial resources at work (χ(2) = 5.94; DF = 1). Having more psychosocial resources (OR = 3.57; 95 %CI 1.33-10.0) was predictive for having paid work in workers with chronic disease and not in workers without chronic disease. Lower age, more weekly working hours, no functional limitations, fewer depressive symptoms, lower neuroticism scores, and more sense of mastery were significantly associated with having paid work in all workers. CONCLUSIONS Differences between predictors of having paid work between workers with and without chronic disease should be taken into account when aiming to prevent exit from the workforce. In particular the vulnerable subgroup of older workers with chronic disease and low psychosocial resources at work is more likely to quit working.
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Affiliation(s)
- Cécile R L Boot
- Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Van Der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands,
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Bayl-Smith PH, Griffin B. Age discrimination in the workplace: identifying as a late-career worker and its relationship with engagement and intended retirement age. JOURNAL OF APPLIED SOCIAL PSYCHOLOGY 2014. [DOI: 10.1111/jasp.12251] [Citation(s) in RCA: 71] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
| | - Barbara Griffin
- Department of Psychology; Faculty of Human Sciences; Macquarie University
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34
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Peter R, Hasselhorn HM. [Work, age, health, and work participation. A theoretical model]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2013; 56:415-21. [PMID: 23455559 DOI: 10.1007/s00103-012-1615-z] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Research into the associations between work, age, and health and the impact of these associations on employment status has focused on health as a crucial determinant of staying on the job. In our paper, we ask whether concentrating on health is still feasible, particularly when considering the change in demographics and the increasing proportion of older people in the workplace. We introduce a theoretical model describing health as a variable that indirectly influences leaving employment. According to our model, the immediate decision to leave employment is due to work motivation and work ability. These two factors may require intervention activities different from those needed to improve health. Our model explains employment participation as a result of complex associations between work, socioeconomic status, lifestyle, and health especially with work ability and work motivation. The complexity of these processes should be considered in studies by conducting longitudinal investigations like the German lidA study (http://www.lida-studie.de). If the model is verified in scientific studies like lidA, it can be used as a basis for preventive and intervening activities in practice, i.e., in politics, enterprises, and science.
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Affiliation(s)
- R Peter
- Institut für Epidemiologie und Medizinische Biometrie, Universität Ulm, Helmholtzstrasse 22, Ulm, Germany.
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36
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De Preter H, Van Looy D, Mortelmans D. Individual and institutional push and pull factors as predictors of retirement timing in Europe: A multilevel analysis. J Aging Stud 2013; 27:299-307. [PMID: 24300050 DOI: 10.1016/j.jaging.2013.06.003] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2013] [Revised: 06/03/2013] [Accepted: 06/24/2013] [Indexed: 11/17/2022]
Abstract
The number of retired people in Europe has increased significantly in recent decades. It remains unclear, however, whether individuals are more likely to be pulled toward retirement by their expectations about life after retirement than they are to be pushed out of the labour market due to poor health or dislike of one's job. The fact that retirement timing differs rather considerably between European countries suggests that not only micro, but also macro push (i.e. labour market constraints) and pull (i.e. economic incentives) factors influence retirement decisions. This duality heightens the need to determine the influence of micro-level and macro-level push and pull indicators on the retirement timing of older workers (50+) in Europe. Results are obtained performing multilevel event history analysis using longitudinal micro data from the first (2004/05) and second (2006/07) waves of the Survey of Health, Ageing and Retirement in Europe and macro data derived from the Organisation for Economic Cooperation and Development (OECD) and Eurostat. The results indicate that at the individual level, older workers are pushed out due to health problems as well as being attracted towards retirement to spend time with their grandchildren. At the institutional level, financial incentives such as a high implicit tax on continued work and high expenditures on early exit schemes make retirement attractive, whereas the institutional push context is of lesser importance.
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Affiliation(s)
- Hanne De Preter
- Research Centre for Longitudinal and Life Course Studies (CELLO), University of Antwerp, St. Jacobstraat 2, B-2000 Antwerp, Belgium.
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Wahrendorf M, Sembajwe G, Zins M, Berkman L, Goldberg M, Siegrist J. Long-term effects of psychosocial work stress in midlife on health functioning after labor market exit--results from the GAZEL study. J Gerontol B Psychol Sci Soc Sci 2012; 67:471-80. [PMID: 22546992 DOI: 10.1093/geronb/gbs045] [Citation(s) in RCA: 53] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
OBJECTIVES To study long-term effects of psychosocial work stress in mid-life on health functioning after labor market exit using two established work stress models. METHODS In the frame of the prospective French Gazel cohort study, data on psychosocial work stress were assessed using the full questionnaires measuring the demand-control-support model (in 1997 and 1999) and the effort-reward imbalance model (in 1998). In 2007, health functioning was assessed, using the Short Form 36 mental and physical component scores. Multivariate regressions were calculated to predict health functioning in 2007, controlling for age, gender, social position, and baseline self-perceived health. RESULTS Consistent effects of both work stress models and their single components on mental and physical health functioning during retirement were observed. Effects remained significant after adjustment including baseline self-perceived health. Whereas the predictive power of both work stress models was similar in the case of the physical composite score, in the case of the mental health score, values of model fit were slightly higher for the effort-reward imbalance model (R(2): 0.13) compared with the demand-control model (R²: 0.11). CONCLUSIONS Findings underline the importance of working conditions in midlife not only for health in midlife but also for health functioning after labor market exit.
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Affiliation(s)
- Morten Wahrendorf
- Department of Medical Sociology, University of Duesseldorf, Germany.
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Li Ranzi T, d’Errico A, Costa G. Association between chronic morbidity and early retirement in Italy. Int Arch Occup Environ Health 2012; 86:295-303. [DOI: 10.1007/s00420-012-0765-5] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2011] [Accepted: 03/20/2012] [Indexed: 11/28/2022]
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Blekesaune M, Skirbekk V. Can personality predict retirement behaviour? A longitudinal analysis combining survey and register data from Norway. Eur J Ageing 2012; 9:199-206. [PMID: 28804420 DOI: 10.1007/s10433-011-0212-6] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
This study investigates how far personality can predict the timing and routes of people's retirement. It uses a large comprehensive Norwegian survey, with larger sample size than earlier related studies, providing estimates of personality based on the five-factor model. The survey data are matched with administrative data, allowing observations of retirement over the 2002-2007 period. The analysis distinguishes between the disability and the non-disability retirements. Retirement is investigated using discrete time, competing risk, logistic regression models amongst individuals aged 50-69. Results indicate that personality predicts disability retirement but not non-disability retirement. Neuroticism increases the risk of disability retirement in women. Agreeableness and extraversion may prevent disability retirement, whereas openness may increase the risk of disability in men. Personality effects are generally consistent across models controlling, or not controlling, for well-known predictors of retirement behaviour including education, income and occupational group. The main exception is that poor health explains the effect of neuroticism on women's disability retirement.
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Affiliation(s)
- Morten Blekesaune
- Department of Sociology and Social Work, University of Agder, Post Box 422, 4604 Kristiansand, Norway
| | - Vegard Skirbekk
- International Institute for Applied Systems Analysis, Schlossplatz 1, 2361 Laxenburg, Austria
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The association between psychosocial work environment, attitudes towards older workers (ageism) and planned retirement. Int Arch Occup Environ Health 2011; 85:437-45. [PMID: 21830146 DOI: 10.1007/s00420-011-0689-5] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2010] [Accepted: 07/19/2011] [Indexed: 10/17/2022]
Abstract
PURPOSE The aim of this study was to examine the association between psychosocial factors (in particular ageism) at the workplace and older workers' retirement plans, while taking health and workability of the employee into account. METHODS In the fall and winter of 2008, self-report data on work environment, health, workability and retirement plans were collected in a representative national sample (n = 3,122) of Danish employees 50 years or older. Ordinal logistic regression was used to analyse associations in a cross-sectional design. Predictor variables were standardized. RESULTS In analyses adjusted for socio-demography, socio-economy, health, workability and work performance, 4 out of 6 examined psychosocial factors (ageism, lack of recognition, lack of development possibilities, lack of predictability) were significantly associated with plans of early retirement (OR: 1.10-1.13). Stratified on gender, three psychosocial factors (ageism, lack of recognition, lack of development possibilities) remained significant for men (OR: 1.15-1.25) and none for women. In particular was the association between retirement plans and ageism highly significant in the male subgroup, but no association was found in the female subgroup. CONCLUSION Ageism, lack of recognition and lack of development possibilities are associated with older male workers' retirement plans in our analyses. Workability has the strongest association with retirement plans for both genders.
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Fernández Muñoz JJ, Crego Díaz A, Alcover de la Hera CM. [The transition towards retirement: adaptation of the Retirement Satisfaction Inventory scale in a Spanish sample of early-pensioners]. Rev Esp Geriatr Gerontol 2011; 46:139-146. [PMID: 21514010 DOI: 10.1016/j.regg.2010.11.009] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2010] [Revised: 11/12/2010] [Accepted: 11/17/2010] [Indexed: 05/30/2023]
Abstract
OBJECTIVES This study provides psychometric data for the Spanish adaptation of the scale of Retirement Satisfaction Inventory (RSI). We explore the factor structure and psychometric properties a sample of Spanish early retirees. RSI measures the motivation to retirement, satisfaction with life in retirement and leisure activities. MATERIAL AND METHODS The RSI scale (Floyd et al, 1992) was applied to a sample of 638 Spanish early-pensioners with a mean age of 61.28 (SD: 5.77) years and a mean age at early retirement of 53.89 years (SD: 2.71). An exploratory factorial analysis was performed using the SPSS statistics package, and a confirmatory factorial using the AMOS 6.0 module. The data collection process was carried out by means of the questionnaires by post method. RESULTS The adaptation of the RSI to Spanish showed a three-scale structure:: the reasons for retirement, satisfaction with life in retirement, and leisure activities. These scales showed a structure with four, two and three main factors, respectively, which differ slightly from those reported in the original instrument.The confirmatory factorial analysis demonstrated the optimum fit of the model for the three scales. CONCLUSIONS The RSI adaptation to Spanish provides a tool that could asses the motivation towards retirement during the leaving work process, satisfaction with retirement life, and the leisure sources in the Spanish early retired population.
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Affiliation(s)
- Juan José Fernández Muñoz
- Departamento de Psicología, Área Psicología Social, Universidad Rey Juan Carlos, Alcorcón, Madrid, España.
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Kubicek B, Korunka C, Hoonakker P, Raymo JM. Work and Family Characteristics as Predictors of Early Retirement in Married Men and Women. Res Aging 2010; 32:467-498. [PMID: 21430790 DOI: 10.1177/0164027510364120] [Citation(s) in RCA: 81] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This study presents an integrative model of early retirement using data from the Wisconsin Longitudinal Study. The model extends prior work by incorporating work-family conflict to capture the interaction between the work and family domains and by assuming proximal and distal predictors of early retirement. More precisely, the model suggests that family and job demands and resources predict family-to-work and work-to-family conflict, respectively. All of these factors are presumed to have only indirect effects on retirement timing via the intervening effect of quality of life measures, that is, marital satisfaction, job satisfaction and health. The authors assume that these three factors constitute predictors of early retirement in addition to socioeconomic status and the availability of a pension plan and health insurance. The model was tested with structural equation modeling techniques, and the results were supportive. Therefore, the proposed model offers a general framework for the integration of previous research findings.
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Abstract
The current study proposes that personal need fulfillment (relatedness, generativity, identity, growth, and finances) predicts early and late retirement intentions. The personal needs of 160 full-time older employees were measured by personal goals, job satisfactions, job characteristics, and intrinsic motivation. Results suggest that the personal needs fulfilled by job employment remain important in retirement. The expectation for personal need fulfillment for identity, growth, and relatedness shifts from work to retirement for those who intend to retire early. The results are discussed in terms of the need for greater study of the relationship between expectations of personal need fulfillment, worker self-concept, and retirement decisions.
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Affiliation(s)
- Ruby R Brougham
- Department of Psychology, Chapman University, Orange, CA 92866, USA.
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44
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Pejtersen JH, Bjorner JB, Hasle P. Determining minimally important score differences in scales of the Copenhagen Psychosocial Questionnaire. Scand J Public Health 2009; 38:33-41. [DOI: 10.1177/1403494809347024] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Aim: To determine minimally important differences (MIDs) for scales in the first version of the Copenhagen Psychosocial Questionnaire (COPSOQ). Methods: Data were taken from two separate studies: a national population survey (N = 1062), and an intervention study at 14 workplaces (N = 1505). On the basis of the population survey, the MID for each COPSOQ scale was calculated as one-half of a standard deviation (0.5 SD). For the core COPSOQ scales on ‘‘Quantitative demands’’, ‘‘Influence at work’’, ‘‘Predictability’’, ‘‘Social support (from colleagues and supervisors, respectively)’’, and ‘‘Job satisfaction’’, the MIDs were evaluated in the intervention study, where score differences for the scales were linked to the respondents’ global self-evaluation of the impact of the interventions. The scales were scored from 0 to 100 in both studies. Results: The MIDs calculated as 0.5 SD were, on average, 9.2 (range 6.8—14.9) for the long version scales, and 10.8 (range 7.6—14.9) for the medium-length version scales. The analysis of the self-evaluated changes on the scale scores for the core COPSOQ scales showed that the anchor-based estimates of MID were generally lower than 0.5 SD. Conclusions: We recommend the following MID values for the COPSOQ scales: ‘‘Quantitative demands’’, 0.3 SD; ‘‘Influence’’, 0.2 SD; ‘‘Predictability’’, 0.3 SD; ‘‘Social support from colleagues’’, 0.3 SD; ‘‘Social support from supervisor’’, 0.7 SD; and ‘‘Job satisfaction’’, 0.4 SD. For all other COPSOQ scales, where we do not have anchor-based results, we recommend the conventional MID value of 0.5 SD.
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Affiliation(s)
- Jan Hyld Pejtersen
- National Research Centre for the Working Environment,
Copenhagen, Denmark,
| | - Jakob Bue Bjorner
- National Research Centre for the Working Environment,
Copenhagen, Denmark
| | - Peter Hasle
- National Research Centre for the Working Environment,
Copenhagen, Denmark
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45
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Pejtersen JH, Kristensen TS, Borg V, Bjorner JB. The second version of the Copenhagen Psychosocial Questionnaire. Scand J Public Health 2009; 38:8-24. [DOI: 10.1177/1403494809349858] [Citation(s) in RCA: 645] [Impact Index Per Article: 43.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Aims: The aim of the present paper is to present the development of the second version of the Copenhagen Psychosocial Questionnaire (COPSOQ II). Methods: The development of COPSOQ II took place in five main steps: (1) We considered practical experience from the use of COPSOQ I, in particular feedback from workplace studies where the questionnaire had been used; (2) All scales concerning workplace factors in COPSOQ I were analyzed for differential item functioning (DIF) with regard to gender, age and occupational status; (3) A test version of COPSOQ II including new scales and items was developed and tested in a representative sample of working Danes between 20 and 59 years of age. In all, 3,517 Danish employees participated in the study. The overall response rate was 60.4%; (4) Based on psychometric analyses, the final questionnaire was developed; and (5) Criteria-related validity of the new scales was tested. Results: The development of COPSOQ II resulted in a questionnaire with 41 scales and 127 items. New scales on values at the workplace were introduced including scales on Trust, Justice and Social inclusiveness. Scales on Variation, Work pace, Recognition, Work-family conflicts and items on offensive behaviour were also added. New scales regarding health symptoms included: Burnout, Stress, Sleeping troubles and Depressive symptoms. In general, the new scales showed good criteria validity. All in all, 57% of the items of COPSOQ I were retained in COPSOQ II. Conclusions: The COPSOQ I concept has been further developed and new validated scales have been included.
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Affiliation(s)
- Jan Hyld Pejtersen
- National Research Centre for the Working Environment,
Copenhagen, Denmark,
| | | | - Vilhelm Borg
- National Research Centre for the Working Environment,
Copenhagen, Denmark
| | - Jakob Bue Bjorner
- National Research Centre for the Working Environment,
Copenhagen, Denmark
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Topa G, Moriano JA, Depolo M, Alcover CM, Morales JF. Antecedents and consequences of retirement planning and decision-making: A meta-analysis and model. JOURNAL OF VOCATIONAL BEHAVIOR 2009. [DOI: 10.1016/j.jvb.2009.03.002] [Citation(s) in RCA: 112] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Boumans NPG, de Jong AHJ, Vanderlinden L. Determinants of early retirement intentions among Belgian nurses. J Adv Nurs 2008; 63:64-74. [PMID: 18598252 DOI: 10.1111/j.1365-2648.2008.04651.x] [Citation(s) in RCA: 43] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
AIM This paper is a report of a study to gain insight into older nurses' retirement intentions and to establish factors determining early retirement intention in these individuals. BACKGROUND In many developed countries, the working population is ageing. This will lead to a structural labour shortage in the near future. In nursing, this is already taking place. To retain nurses in employment, information on the determinants of their early retirement intentions are imperative. METHOD A cross-sectional study was carried out in 2005 in one Belgian hospital. Data were collected by questionnaire with 100 nurses aged 45 or older. The response rate was 69.9%. FINDINGS No fewer than 77% of the nurses wanted to stop working before the age of 65 years. The following individual, work-related, and organizational factors contributed to older nurses' intention to retire early: perceived health, marital status, gender, opportunities for change and development, workload, and negative stereotyping of older employees. CONCLUSION Our findings offer insight regarding the influencing factors of early retirement intentions in nurses. This information may be useful to human resource managers and may enable them to successfully prevent early retirement in nurses. More research on this topic is needed as this will enable the development, implementation and evaluation of well-founded measures for retaining older nurses in the workplace.
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Affiliation(s)
- Nicolle P G Boumans
- Department of Health Organisation, Policy and Economics, Maastricht University, Maastricht, The Netherlands.
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Rennemark M, Berggren T. Relationships between work-status and leisure lifestyle at the age of 60 years old. Eur J Ageing 2006; 3:82-88. [PMID: 28794753 DOI: 10.1007/s10433-006-0029-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
The tendency to leave work before the formal pension age is reached has increased in most OECD-countries. The societal economical consequences of these circumstances are worrying and knowledge about the mechanisms behind this trend is urgent. Previous research has focused on the role of pension rules, work environments, health and education. In this study, it was investigated if there are differences in personality and in leisure lifestyle between individuals who have retired at the age of 60 and individuals who still work at the same age. The effects of health, work satisfaction, education level and household economy were taken into account. The sample was drawn from the SNAC-Blekinge database and the participants were 184 randomly selected individuals aged 60 years. The variables were measured using standardised questionnaire data. The results show that early retirement due to health problems was negatively related to visiting museums and art expositions and positively related to number of symptoms of disease. Retirement due to other reasons than disability was negatively related to reading books and to number of symptoms. The study suggests there is a possible stress-reducing effect of participation in cultural/intellectual activities. This effect may strengthen the ability and motivation to continue working at the age of 60 years old.
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Affiliation(s)
- Mikael Rennemark
- Halmstad University, Box 823, 301 18 Halmstad, Sweden.,V. Marksgatan 2, 371 41 Karlskrona, Sweden
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