Shiri R, Hiilamo A, Lallukka T. Indicators and determinants of the years of working life lost: a narrative review.
Scand J Public Health 2021;
49:666-674. [PMID:
33645306 PMCID:
PMC8512267 DOI:
10.1177/1403494821993669]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objective:
This narrative review summarizes the available indicators for working life
expectancy and years of working life lost (YWLL) and their determinants.
Methods:
We searched PubMed and Embase databases from their inception until August
2020 and screened all studies proposing an indicator for working life
expectancy or YWLL. We also reviewed studies focusing on sociodemographic,
lifestyle and work-related determinants of working life expectancy and YWLL.
The results were synthesized narratively.
Results:
We identified 13 different indicators for the length of working life or YWLL.
The most frequently used indicators were ‘working life expectancy’, ‘healthy
working life expectancy’, and YWLL. Working life expectancy and healthy
working life expectancy are longer for men than women. Working life
expectancy at the age of 50 has been increasing since the mid-90s, and the
increase has been larger for women, reducing the sex difference. Working
life is shorter for people with a low level of education, in lower
occupational classes, for people exposed to high physical work demands,
those living in the most socioeconomically deprived areas, people with
overweight or obesity, smokers, people who are inactive during leisure time
and in people with a chronic health problem.
Conclusions:
Despite increasing interest in understanding the determinants of YWLL,
only a few studies have simultaneously considered multiple exit routes
from the labour market. We propose a new measure for total YWLL
considering all relevant exit routes from employment. This comprehensive
measure can be used to assess the effect of given policy changes on
prolonging working life.
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