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International Journal of Public Health
Published in: International Journal of Public Health 6/2018

Open Access 01-07-2018 | Original Article

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

Authors: Angela G. E. M. de Boer, Goedele A. Geuskens, Ute Bültmann, Cécile R. L. Boot, Haije Wind, Lando L. J. Koppes, Monique H. W. Frings-Dresen

Published in: International Journal of Public Health | Issue 6/2018

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Abstract

Objectives

Objectives were to: (1) longitudinally assess transitions in employment status of employees with and without chronic disease; and (2) assess predictors of exit from paid employment.

Methods

Transitions in employment status at 1- and 2-year follow-up were assessed in a longitudinal cohort study of employees aged 15–63 years. Generalised estimating equations (GEE) and logistic regression analyses were performed to analyse differences in transitions and identify sociodemographic, health- and work-related predictors.

Results

At 1- and 2-year follow-up, 10,038 employees (37% with chronic disease) and 7636 employees responded. Employees with chronic disease had higher probability of leaving paid employment [OR 1.4 (1.1–1.6)] and unemployment, disability pension and early retirement. Employees without chronic disease had higher chance of moving into self-employment or study. At 2-year follow-up, employees with cardiovascular disease (15%), chronic mental disease (11%), diabetes (10%) and musculoskeletal disease (10%), had left paid employment most often. Higher age, poor health, burnout, low co-worker support and chronic disease limitations were predictors for leaving paid employment.

Conclusions

Employees with chronic disease leave paid work more often for unfavourable work outcomes.
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Metadata
Title
Employment status transitions in employees with and without chronic disease in the Netherlands
Authors
Angela G. E. M. de Boer
Goedele A. Geuskens
Ute Bültmann
Cécile R. L. Boot
Haije Wind
Lando L. J. Koppes
Monique H. W. Frings-Dresen
Publication date
01-07-2018
Publisher
Springer International Publishing
Published in
International Journal of Public Health / Issue 6/2018
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-018-1120-8

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