The impact of longstanding illness and common mental disorder on competing employment exits routes in older working age: A longitudinal data-linkage study in Sweden

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The impact of longstanding illness and common mental disorder on competing employment exits routes in older working age : A longitudinal data-linkage study in Sweden. / Harber-Aschan, Lisa; Chen, Wen-Hao; McAllister, Ashley; Koitzsch Jensen, Natasja; Thielen, Karsten; Andersen, Ingelise; Diderichsen, Finn; Barr, Ben; Burström, Bo.

In: PLoS ONE, Vol. 15, No. 2, e0229221, 2020.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Harber-Aschan, L, Chen, W-H, McAllister, A, Koitzsch Jensen, N, Thielen, K, Andersen, I, Diderichsen, F, Barr, B & Burström, B 2020, 'The impact of longstanding illness and common mental disorder on competing employment exits routes in older working age: A longitudinal data-linkage study in Sweden', PLoS ONE, vol. 15, no. 2, e0229221. https://doi.org/10.1371/journal.pone.0229221

APA

Harber-Aschan, L., Chen, W-H., McAllister, A., Koitzsch Jensen, N., Thielen, K., Andersen, I., ... Burström, B. (2020). The impact of longstanding illness and common mental disorder on competing employment exits routes in older working age: A longitudinal data-linkage study in Sweden. PLoS ONE, 15(2), [e0229221]. https://doi.org/10.1371/journal.pone.0229221

Vancouver

Harber-Aschan L, Chen W-H, McAllister A, Koitzsch Jensen N, Thielen K, Andersen I et al. The impact of longstanding illness and common mental disorder on competing employment exits routes in older working age: A longitudinal data-linkage study in Sweden. PLoS ONE. 2020;15(2). e0229221. https://doi.org/10.1371/journal.pone.0229221

Author

Harber-Aschan, Lisa ; Chen, Wen-Hao ; McAllister, Ashley ; Koitzsch Jensen, Natasja ; Thielen, Karsten ; Andersen, Ingelise ; Diderichsen, Finn ; Barr, Ben ; Burström, Bo. / The impact of longstanding illness and common mental disorder on competing employment exits routes in older working age : A longitudinal data-linkage study in Sweden. In: PLoS ONE. 2020 ; Vol. 15, No. 2.

Bibtex

@article{80ca82c507884a7daab17addfe9e50f2,
title = "The impact of longstanding illness and common mental disorder on competing employment exits routes in older working age: A longitudinal data-linkage study in Sweden",
abstract = "OBJECTIVES: Comorbidity is prevalent in older working ages and might affect employment exits. This study aimed to 1) assess the associations between comorbidity and different employment exit routes, and 2) examine such associations by gender.METHODS: We used data from employed adults aged 50-62 in the Stockholm Public Health Survey 2002 and 2006, linked to longitudinal administrative income records (N = 10,416). The morbidity measure combined Limiting Longstanding Illness and Common Mental Disorder-captured by the General Health Questionnaire-12 (≥4)-into a categorical variable: 1) No Limiting Longstanding Illness, no Common Mental Disorder, 2) Limiting Longstanding Illness only, 3) Common Mental Disorder only, and 4) comorbid Limiting Longstanding Illness+Common Mental Disorder. Employment status was followed up until 2010, treating early retirement, disability pension and unemployment as employment exits. Competing risk regression analysed the associations between morbidity and employment exit routes, stratifying by gender.RESULTS: Compared to No Limiting Longstanding Illness, no Common Mental Disorder, comorbid Limiting Longstanding Illness+Common Mental Disorder was associated with early retirement in men (subdistribution hazard ratio = 1.73, 95{\%} confidence intervals: 1.08-2.76), but not in women. For men and women, strong associations for disability pension were observed with Limiting Longstanding Illness only (subdistribution hazard ratio = 11.43, 95{\%} confidence intervals: 9.40-13.89) and Limiting Longstanding Illness+Common Mental Disorder (subdistribution hazard ratio = 14.25, 95{\%} confidence intervals: 10.91-18.61), and to a lesser extent Common Mental Disorder only (subdistribution hazard ratio = 2.00, 95{\%} confidence intervals: 1.31-3.05). Women were more likely to exit through disability pension than men (subdistribution hazard ratio = 1.96, 95{\%} confidence intervals: 1.60-2.39). Common Mental Disorder only was the only morbidity category associated with unemployment (subdistribution hazard ratio = 1.70, 95{\%} confidence intervals: 1.36-2.15).CONCLUSIONS: Strong associations were observed between specific morbidity categories with different employment exit routes, which differed by gender. Initiatives to extend working lives should consider older workers' varied health needs to prevent inequalities in older age.",
author = "Lisa Harber-Aschan and Wen-Hao Chen and Ashley McAllister and {Koitzsch Jensen}, Natasja and Karsten Thielen and Ingelise Andersen and Finn Diderichsen and Ben Barr and Bo Burstr{\"o}m",
year = "2020",
doi = "10.1371/journal.pone.0229221",
language = "English",
volume = "15",
journal = "P L o S One",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "2",

}

RIS

TY - JOUR

T1 - The impact of longstanding illness and common mental disorder on competing employment exits routes in older working age

T2 - A longitudinal data-linkage study in Sweden

AU - Harber-Aschan, Lisa

AU - Chen, Wen-Hao

AU - McAllister, Ashley

AU - Koitzsch Jensen, Natasja

AU - Thielen, Karsten

AU - Andersen, Ingelise

AU - Diderichsen, Finn

AU - Barr, Ben

AU - Burström, Bo

PY - 2020

Y1 - 2020

N2 - OBJECTIVES: Comorbidity is prevalent in older working ages and might affect employment exits. This study aimed to 1) assess the associations between comorbidity and different employment exit routes, and 2) examine such associations by gender.METHODS: We used data from employed adults aged 50-62 in the Stockholm Public Health Survey 2002 and 2006, linked to longitudinal administrative income records (N = 10,416). The morbidity measure combined Limiting Longstanding Illness and Common Mental Disorder-captured by the General Health Questionnaire-12 (≥4)-into a categorical variable: 1) No Limiting Longstanding Illness, no Common Mental Disorder, 2) Limiting Longstanding Illness only, 3) Common Mental Disorder only, and 4) comorbid Limiting Longstanding Illness+Common Mental Disorder. Employment status was followed up until 2010, treating early retirement, disability pension and unemployment as employment exits. Competing risk regression analysed the associations between morbidity and employment exit routes, stratifying by gender.RESULTS: Compared to No Limiting Longstanding Illness, no Common Mental Disorder, comorbid Limiting Longstanding Illness+Common Mental Disorder was associated with early retirement in men (subdistribution hazard ratio = 1.73, 95% confidence intervals: 1.08-2.76), but not in women. For men and women, strong associations for disability pension were observed with Limiting Longstanding Illness only (subdistribution hazard ratio = 11.43, 95% confidence intervals: 9.40-13.89) and Limiting Longstanding Illness+Common Mental Disorder (subdistribution hazard ratio = 14.25, 95% confidence intervals: 10.91-18.61), and to a lesser extent Common Mental Disorder only (subdistribution hazard ratio = 2.00, 95% confidence intervals: 1.31-3.05). Women were more likely to exit through disability pension than men (subdistribution hazard ratio = 1.96, 95% confidence intervals: 1.60-2.39). Common Mental Disorder only was the only morbidity category associated with unemployment (subdistribution hazard ratio = 1.70, 95% confidence intervals: 1.36-2.15).CONCLUSIONS: Strong associations were observed between specific morbidity categories with different employment exit routes, which differed by gender. Initiatives to extend working lives should consider older workers' varied health needs to prevent inequalities in older age.

AB - OBJECTIVES: Comorbidity is prevalent in older working ages and might affect employment exits. This study aimed to 1) assess the associations between comorbidity and different employment exit routes, and 2) examine such associations by gender.METHODS: We used data from employed adults aged 50-62 in the Stockholm Public Health Survey 2002 and 2006, linked to longitudinal administrative income records (N = 10,416). The morbidity measure combined Limiting Longstanding Illness and Common Mental Disorder-captured by the General Health Questionnaire-12 (≥4)-into a categorical variable: 1) No Limiting Longstanding Illness, no Common Mental Disorder, 2) Limiting Longstanding Illness only, 3) Common Mental Disorder only, and 4) comorbid Limiting Longstanding Illness+Common Mental Disorder. Employment status was followed up until 2010, treating early retirement, disability pension and unemployment as employment exits. Competing risk regression analysed the associations between morbidity and employment exit routes, stratifying by gender.RESULTS: Compared to No Limiting Longstanding Illness, no Common Mental Disorder, comorbid Limiting Longstanding Illness+Common Mental Disorder was associated with early retirement in men (subdistribution hazard ratio = 1.73, 95% confidence intervals: 1.08-2.76), but not in women. For men and women, strong associations for disability pension were observed with Limiting Longstanding Illness only (subdistribution hazard ratio = 11.43, 95% confidence intervals: 9.40-13.89) and Limiting Longstanding Illness+Common Mental Disorder (subdistribution hazard ratio = 14.25, 95% confidence intervals: 10.91-18.61), and to a lesser extent Common Mental Disorder only (subdistribution hazard ratio = 2.00, 95% confidence intervals: 1.31-3.05). Women were more likely to exit through disability pension than men (subdistribution hazard ratio = 1.96, 95% confidence intervals: 1.60-2.39). Common Mental Disorder only was the only morbidity category associated with unemployment (subdistribution hazard ratio = 1.70, 95% confidence intervals: 1.36-2.15).CONCLUSIONS: Strong associations were observed between specific morbidity categories with different employment exit routes, which differed by gender. Initiatives to extend working lives should consider older workers' varied health needs to prevent inequalities in older age.

U2 - 10.1371/journal.pone.0229221

DO - 10.1371/journal.pone.0229221

M3 - Journal article

C2 - 32097437

VL - 15

JO - P L o S One

JF - P L o S One

SN - 1932-6203

IS - 2

M1 - e0229221

ER -

ID: 238386919