4.6 Article

Do chronic diseases moderate the association between psychosocial working conditions and work exit? Longitudinal results from 55 950 Dutch workers

期刊

JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH
卷 76, 期 10, 页码 847-852

出版社

BMJ PUBLISHING GROUP
DOI: 10.1136/jech-2021-218432

关键词

employment; epidemiology; morbidity; public health; workplace

资金

  1. Dutch Ministry of Health, Welfare and Sport
  2. Dutch Ministry of Economic Affairs
  3. University Medical Center Groningen (UMCG)
  4. Groningen University
  5. Province in the North of the Netherlands (Drenthe)
  6. Province in the North of the Netherlands (Friesland)
  7. Province in the North of the Netherlands (Groningen)

向作者/读者索取更多资源

This study aimed to investigate whether the presence of chronic diseases or multimorbidity moderates the associations between psychosocial working conditions and work exit. The results showed that higher social support and higher meaning of work were associated with a decreased risk of work exit, while more possibilities for development were associated with a decreased risk of work disability. Chronic disease status generally did not moderate the associations between working conditions and work exit, except for the association between more possibilities for development and unemployment among workers without a chronic disease.
Background This study aims to examine whether the presence of chronic diseases or multimorbidity moderates the associations between psychosocial working conditions and work exit through unemployment, work disability or early retirement. Methods Data from Lifelines (n=55 950), a prospective population-based cohort study, were enriched with monthly information on employment status from Statistics Netherlands. Working conditions were measured with the Copenhagen Psychosocial Questionnaire. Work exit was defined as unemployment, work disability and early retirement. Participants were classified as having no chronic disease, one chronic disease or multimorbidity. Cause-specific Cox proportional hazard regression models, adjusted for age, gender, education and partnership status, were used to analyse associations between working conditions and work exit. Interaction terms were used to examine moderation by chronic disease status. Results Higher social support decreased the risk for unemployment, work disability and early retirement. Higher meaning of work decreased the risk of unemployment, and more possibilities for development decreased the risk for work disability. Chronic disease status did generally not moderate associations between working conditions and work exit. Only among workers without a chronic disease, more possibilities for development was associated with a lower risk for unemployment (HR: 0.89; 95% CI: 0.85 to 0.94). Conclusion While efforts to retain workers with chronic diseases in the labour market should continue, favourable psychosocial working conditions are important for all workers.

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