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Published in: International Journal of Behavioral Medicine 2/2016

01-04-2016

Perceived Work Ability in the Light of Long-Term and Stress-Related Unhealthy Behaviors—a Prospective Cohort Study

Authors: Nina Nevanperä, Jorma Seitsamo, Leena Ala-Mursula, Jouko Remes, Leila Hopsu, Juha Auvinen, Tuija Tammelin, Marjo-Riitta Järvelin, Jaana Laitinen

Published in: International Journal of Behavioral Medicine | Issue 2/2016

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Abstract

Background

Most of the few studies that exist on the longitudinal associations between health behaviors and work ability target to single health behaviors.

Purpose

To investigate how lifetime clusters of unhealthy behaviors associate with perceived work ability in early midlife.

Methods

The study population consisted of 46-year-old men and women (n = 3107) born in Northern Finland in 1966. Their current perceived work ability compared to lifetime best, and their unhealthy behaviors (physical inactivity, smoking, and alcohol consumption) were assessed by questionnaires. We determined clusters of unhealthy behaviors at the ages of 14, 31, and 46 and created lifetime development trajectories of health behaviors. We also assessed stress-related eating and drinking at the ages of 31 and 46.
Cross-tabulations and multivariate logistic regression models were used to investigate the associations between clusters of health behaviors, stress-related eating and drinking, and work ability at 46 years. The analyses were controlled for basic education and physical strenuousness of work, psychosocial job characteristics, perceived work ability, and BMI (kg/m2) at 31 years.

Results

Four health behavior trajectories emerged: always healthy, moderate (reference group), deteriorated. and always unhealthy. Among men, always unhealthy behaviors [OR (95 % confidence interval) 2.81 (1.35, 5.86)], and among women, deteriorated health behaviors [1.67 (1.07, 2.58)] associated with poor perceived work ability at 46 years. In addition, stress-related eating and drinking associated independently with poor perceived work ability at 46 years [men 2.58 (1.62, 4.12) and women 2.48 (1.70, 3.61)].

Conclusion

Long-lasting and stress-related unhealthy behaviors increase the risk of poor work ability in midlife.
Literature
1.
go back to reference Tuomi K, Huuhtanen P, Nykyri E, Ilmarinen J. Promotion of work ability, the quality of work and retirement. Occup Med. 2001;51:318–24.CrossRef Tuomi K, Huuhtanen P, Nykyri E, Ilmarinen J. Promotion of work ability, the quality of work and retirement. Occup Med. 2001;51:318–24.CrossRef
2.
go back to reference Feldt T, Hyvonen K, Mäkikangas A, Kinnunen U, Kokko K. Development trajectories of Finnish managers’ work ability over a 10-year follow-up period. Scand J Work Environ Health. 2009;35:37–47.CrossRefPubMed Feldt T, Hyvonen K, Mäkikangas A, Kinnunen U, Kokko K. Development trajectories of Finnish managers’ work ability over a 10-year follow-up period. Scand J Work Environ Health. 2009;35:37–47.CrossRefPubMed
3.
go back to reference Sell L, Bultmann U, Rugulies R, Villadsen E, Faber A, Sogaard K. Predicting long-term sickness absence and early retirement pension from self-reported work ability. Int Arch Occup Environ Health. 2009;82:1133–8.CrossRefPubMed Sell L, Bultmann U, Rugulies R, Villadsen E, Faber A, Sogaard K. Predicting long-term sickness absence and early retirement pension from self-reported work ability. Int Arch Occup Environ Health. 2009;82:1133–8.CrossRefPubMed
4.
go back to reference van den Berg TI, Robroek SJ, Plat JF, Koopmanschap MA, Burdorf A. The importance of job control for workers with decreased work ability to remain productive at work. Int Arch Occup Environ Health. 2011;84:705–12.CrossRefPubMedPubMedCentral van den Berg TI, Robroek SJ, Plat JF, Koopmanschap MA, Burdorf A. The importance of job control for workers with decreased work ability to remain productive at work. Int Arch Occup Environ Health. 2011;84:705–12.CrossRefPubMedPubMedCentral
5.
go back to reference Ahlstrom L, Grimby-Ekman A, Hagberg M, Dellve L. The work ability index and single-item question: associations with sick leave, symptoms, and health—a prospective study of women on long-term sick leave. Scand J Work Environ Health. 2010;36:404–12.CrossRefPubMed Ahlstrom L, Grimby-Ekman A, Hagberg M, Dellve L. The work ability index and single-item question: associations with sick leave, symptoms, and health—a prospective study of women on long-term sick leave. Scand J Work Environ Health. 2010;36:404–12.CrossRefPubMed
6.
go back to reference Alavinia SM, van den Berg TI, van Duivenbooden C, Elders LA, Burdorf A. Impact of work-related factors, lifestyle, and work ability on sickness absence among Dutch construction workers. Scand J Work Environ Health. 2009;35:325–33.CrossRefPubMed Alavinia SM, van den Berg TI, van Duivenbooden C, Elders LA, Burdorf A. Impact of work-related factors, lifestyle, and work ability on sickness absence among Dutch construction workers. Scand J Work Environ Health. 2009;35:325–33.CrossRefPubMed
7.
go back to reference Kujala V, Tammelin T, Remes J, Vammavaara E, Ek E, Laitinen J. Work ability index of young employees and their sickness absence during the following year. Scand J Work Environ Health. 2006;32:75–84.CrossRefPubMed Kujala V, Tammelin T, Remes J, Vammavaara E, Ek E, Laitinen J. Work ability index of young employees and their sickness absence during the following year. Scand J Work Environ Health. 2006;32:75–84.CrossRefPubMed
8.
go back to reference Koskinen S, Martelin T, Sainio P, Gould R. Factors affecting work ability. In the book of Gould R, Ilmarinen J, Järivisalo J, Koskinen S. Dimensions of Work Ability. Results of the Health 2000 Survey. Helsinki: Finnish Centre for Pensions; 2008. Koskinen S, Martelin T, Sainio P, Gould R. Factors affecting work ability. In the book of Gould R, Ilmarinen J, Järivisalo J, Koskinen S. Dimensions of Work Ability. Results of the Health 2000 Survey. Helsinki: Finnish Centre for Pensions; 2008.
9.
go back to reference van den Berg TI, Elders LA, de Zwart BC, Burdorf A. The effects of work-related and individual factors on the work ability index: a systematic review. Occup Environ Med. 2009;66:211–20.CrossRefPubMed van den Berg TI, Elders LA, de Zwart BC, Burdorf A. The effects of work-related and individual factors on the work ability index: a systematic review. Occup Environ Med. 2009;66:211–20.CrossRefPubMed
10.
go back to reference Airila A, Hakanen J, Punakallio A, Lusa S, Luukkonen R. Is work engagement related to work ability beyond working conditions and lifestyle factors? Int Arch Occup Environ Health. 2012;85:915–25.CrossRefPubMed Airila A, Hakanen J, Punakallio A, Lusa S, Luukkonen R. Is work engagement related to work ability beyond working conditions and lifestyle factors? Int Arch Occup Environ Health. 2012;85:915–25.CrossRefPubMed
11.
go back to reference Arvidson E, Börjesson M, Ahlborg G, Lindegåd A, Jonsdottir IH. The level of leisure time physical activity is associated with work ability-a cross sectional and prospective study of health care workers. BMC Public Health. 2013;13:855.CrossRefPubMedPubMedCentral Arvidson E, Börjesson M, Ahlborg G, Lindegåd A, Jonsdottir IH. The level of leisure time physical activity is associated with work ability-a cross sectional and prospective study of health care workers. BMC Public Health. 2013;13:855.CrossRefPubMedPubMedCentral
12.
go back to reference Kaleta D, Makowiec-Dabrowska T, Jegier A. Leisure-time physical activity, cardiorespiratory fitness and work ability: a study in randomly selected residents of Lodz. Int J Occup Med Environ Health. 2004;17:457–64.PubMed Kaleta D, Makowiec-Dabrowska T, Jegier A. Leisure-time physical activity, cardiorespiratory fitness and work ability: a study in randomly selected residents of Lodz. Int J Occup Med Environ Health. 2004;17:457–64.PubMed
13.
go back to reference Tuomi K, Ilmarinen J, Seitsamo J, Huuhtanen P, Martikainen R, Nygård C-H, et al. Summary of the Finnish research project (1981-1992) to promote the health and work ability of ageing workers. Scand J Work Environ Health. 1997;23:66–71.PubMed Tuomi K, Ilmarinen J, Seitsamo J, Huuhtanen P, Martikainen R, Nygård C-H, et al. Summary of the Finnish research project (1981-1992) to promote the health and work ability of ageing workers. Scand J Work Environ Health. 1997;23:66–71.PubMed
14.
go back to reference Tuomi K, Vanhala S, Nykyri E, Janhonen M. Organizational practices, work demands and the well-being of employees: a follow-up study in the metal industry and retail trade. Occup Med. 2004;54:115–21.CrossRef Tuomi K, Vanhala S, Nykyri E, Janhonen M. Organizational practices, work demands and the well-being of employees: a follow-up study in the metal industry and retail trade. Occup Med. 2004;54:115–21.CrossRef
15.
go back to reference Fischer FM, Martinez MC. Individual features, working conditions and work injuries are associated with work ability among nursing professionals. Work. 2013;45:509–17.PubMed Fischer FM, Martinez MC. Individual features, working conditions and work injuries are associated with work ability among nursing professionals. Work. 2013;45:509–17.PubMed
16.
go back to reference Kaleta D, Makowiec-Dabrowska T, Jegier A. Life style index and work ability. Int J Occup Med Environ Health. 2006;19:170–7.PubMed Kaleta D, Makowiec-Dabrowska T, Jegier A. Life style index and work ability. Int J Occup Med Environ Health. 2006;19:170–7.PubMed
17.
go back to reference Laitinen J, Näyhä S, Kujala V. Body mass index and weight change from adolescence into adulthood, waist-hip ratio and perceived work ability among young adults. Int J Obes. 2005;29:697–702.CrossRef Laitinen J, Näyhä S, Kujala V. Body mass index and weight change from adolescence into adulthood, waist-hip ratio and perceived work ability among young adults. Int J Obes. 2005;29:697–702.CrossRef
18.
go back to reference van den Berg TI, Alavinia SM, Bredt FJ, Lindeboom D, Elders LAM, Burdorf A. The influence of psychosocial factors at work and life style on health and work ability among professional workers. Int J Occup Environ Health. 2008;81:1029–36.CrossRef van den Berg TI, Alavinia SM, Bredt FJ, Lindeboom D, Elders LAM, Burdorf A. The influence of psychosocial factors at work and life style on health and work ability among professional workers. Int J Occup Environ Health. 2008;81:1029–36.CrossRef
19.
go back to reference Laitinen J, Ek E, Sovio U. Stress-related eating and drinking behavior and body mass index and predictors of this behavior. Prev Med. 2002;34:29–39.CrossRefPubMed Laitinen J, Ek E, Sovio U. Stress-related eating and drinking behavior and body mass index and predictors of this behavior. Prev Med. 2002;34:29–39.CrossRefPubMed
20.
go back to reference Jääskeläinen A, Nevanperä N, Remes J, Rahkonen F, Järvelin MR, Laitinen J. Stress-related eating, obesity and associated behavioural traits in adolescents: a prospective population-based cohort study. BMC Public Health. 2014;14:321–35.CrossRefPubMedPubMedCentral Jääskeläinen A, Nevanperä N, Remes J, Rahkonen F, Järvelin MR, Laitinen J. Stress-related eating, obesity and associated behavioural traits in adolescents: a prospective population-based cohort study. BMC Public Health. 2014;14:321–35.CrossRefPubMedPubMedCentral
21.
go back to reference van de Vijfeijke H, Leijten FR, Ybema JF, van den Heuvel SG, Robroek SJ, van der Beek AJ, et al. Differential effects of mental and physical health and coping style on work ability: a 1-year follow-up study among aging workers. J Occup Environ Med. 2013;55:1238–43.CrossRefPubMed van de Vijfeijke H, Leijten FR, Ybema JF, van den Heuvel SG, Robroek SJ, van der Beek AJ, et al. Differential effects of mental and physical health and coping style on work ability: a 1-year follow-up study among aging workers. J Occup Environ Med. 2013;55:1238–43.CrossRefPubMed
22.
go back to reference Harkonmäki K, Korkeila K, Vantera J, Kivimäki M, Suominen S, Sillanmäki L, et al. Childhood adversities as a predictor of disability retirement. J Epidemiol Community Health. 2007;61:479–84.CrossRefPubMedPubMedCentral Harkonmäki K, Korkeila K, Vantera J, Kivimäki M, Suominen S, Sillanmäki L, et al. Childhood adversities as a predictor of disability retirement. J Epidemiol Community Health. 2007;61:479–84.CrossRefPubMedPubMedCentral
23.
go back to reference Isohanni I, Järvelin M-R, Rantakallio P, Jokelainen J, Jones PB, Nieminen P, et al. Juvenile and early adulthood smoking and adult educational achievements—a 31-year follow-up of the Northern Finland 1966 Birth Cohort. Scand J Public Health. 2001;29:87–95.CrossRefPubMed Isohanni I, Järvelin M-R, Rantakallio P, Jokelainen J, Jones PB, Nieminen P, et al. Juvenile and early adulthood smoking and adult educational achievements—a 31-year follow-up of the Northern Finland 1966 Birth Cohort. Scand J Public Health. 2001;29:87–95.CrossRefPubMed
24.
go back to reference Tuomi K, Eskelinen J, Toikkanen J, Järvinen E, Ilmarinen J, Klockars M. Work load and individual factors affecting work ability among aging municipal employees. Scand J WEH. 1991;17:128–34. Tuomi K, Eskelinen J, Toikkanen J, Järvinen E, Ilmarinen J, Klockars M. Work load and individual factors affecting work ability among aging municipal employees. Scand J WEH. 1991;17:128–34.
25.
go back to reference Seitsamo J, Ilmarinen J. Life style, aging and work ability among active Finnish workers in 1981-1992. Scand J WEH. 1997;23:20–6. Seitsamo J, Ilmarinen J. Life style, aging and work ability among active Finnish workers in 1981-1992. Scand J WEH. 1997;23:20–6.
26.
go back to reference Laaksonen M, Prättälä R, Karisto A. Patterns of unhealthy behaviour in Finland. Eur J Public Health. 2001;11:294–300.CrossRefPubMed Laaksonen M, Prättälä R, Karisto A. Patterns of unhealthy behaviour in Finland. Eur J Public Health. 2001;11:294–300.CrossRefPubMed
27.
go back to reference Rantakallio P. Groups at risk in low birth weight infants and perinatal mortality. Acta Paediat Scand. 1969;193:1–71 Rantakallio P. Groups at risk in low birth weight infants and perinatal mortality. Acta Paediat Scand. 1969;193:1–71
28.
go back to reference Rantakallio P. The longitudinal study of the Northern Finland birth cohort of 1966. Paediatr Perinat Epidemiol. 1988;2:59–88.CrossRefPubMed Rantakallio P. The longitudinal study of the Northern Finland birth cohort of 1966. Paediatr Perinat Epidemiol. 1988;2:59–88.CrossRefPubMed
29.
go back to reference Rantakallio P. A follow-up study up to the age of 14 of children whose mothers smoked during pregnancy. Acta Paediatr Scand. 1983;72:747–53.CrossRefPubMed Rantakallio P. A follow-up study up to the age of 14 of children whose mothers smoked during pregnancy. Acta Paediatr Scand. 1983;72:747–53.CrossRefPubMed
30.
go back to reference Rantakallio P. Family background to and personal characteristics underlying teenage smoking. Background to teenage smoking. Scand J Soc Med. 1983;11:17–22.PubMed Rantakallio P. Family background to and personal characteristics underlying teenage smoking. Background to teenage smoking. Scand J Soc Med. 1983;11:17–22.PubMed
31.
go back to reference Tuomi K, Ilmarinen J, Jahkola A, Katajarinne L, Tulkki A. Work Ability Index, Occupational Health Care No 19. 2 revisedth ed. Helsinki: Finnish Institute of Occupational Health; 2006. Tuomi K, Ilmarinen J, Jahkola A, Katajarinne L, Tulkki A. Work Ability Index, Occupational Health Care No 19. 2 revisedth ed. Helsinki: Finnish Institute of Occupational Health; 2006.
32.
go back to reference Tammelin T, Näyhä S, Hills AP, Järvelin M-R. Adolescent participation in sports and adults physical activity. Am J Prev Med. 2003;24(1):22–8.CrossRefPubMed Tammelin T, Näyhä S, Hills AP, Järvelin M-R. Adolescent participation in sports and adults physical activity. Am J Prev Med. 2003;24(1):22–8.CrossRefPubMed
33.
go back to reference Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer; 1984. Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer; 1984.
34.
go back to reference Folkman S, Lazarus RS. An analysis of coping in a middle-aged community sample. J Health Soc Behav 1980;21:219–39. Folkman S, Lazarus RS. An analysis of coping in a middle-aged community sample. J Health Soc Behav 1980;21:219–39.
35.
go back to reference Folkman S, Lazarus RS. If it changes it must be a process: a study of emotional and coping during three stages of a college examination. J Pers Soc Psychol. 1985;48:150–70.CrossRefPubMed Folkman S, Lazarus RS. If it changes it must be a process: a study of emotional and coping during three stages of a college examination. J Pers Soc Psychol. 1985;48:150–70.CrossRefPubMed
36.
go back to reference Karazek R, Brisson C, Kawakami N, Houtman I, Bongers P, Amick B. The Job Content Questinnaire (JCQ): an instrument for psychosocial job characteristics. J Occup Health Psychol. 1998;3(4):322–55.CrossRef Karazek R, Brisson C, Kawakami N, Houtman I, Bongers P, Amick B. The Job Content Questinnaire (JCQ): an instrument for psychosocial job characteristics. J Occup Health Psychol. 1998;3(4):322–55.CrossRef
37.
go back to reference Nagin DS. Analyzing development trajectories: a semi-parametric, group-based approach. Psychol Methods. 1999;4:139–77.CrossRef Nagin DS. Analyzing development trajectories: a semi-parametric, group-based approach. Psychol Methods. 1999;4:139–77.CrossRef
38.
go back to reference Jones BL, Nagin DS. Advances in group-based trajectory modeling and a SAS procedure for estimating them. Soc Meth Res. 2007;35:542–71.CrossRef Jones BL, Nagin DS. Advances in group-based trajectory modeling and a SAS procedure for estimating them. Soc Meth Res. 2007;35:542–71.CrossRef
39.
go back to reference Jones BL, Nagin DS, Roeder K. A SAS procedure on mixture models for estimating developmental trajectories. Soc Meth Res. 2001;29:374–93.CrossRef Jones BL, Nagin DS, Roeder K. A SAS procedure on mixture models for estimating developmental trajectories. Soc Meth Res. 2001;29:374–93.CrossRef
40.
go back to reference Andruff H, Carraro N, Thompson A, Gaudreau P. Latent class growth modelling: a tutorial. Tutor Quant Methods Psychol. 2009;5(1):11–24. Andruff H, Carraro N, Thompson A, Gaudreau P. Latent class growth modelling: a tutorial. Tutor Quant Methods Psychol. 2009;5(1):11–24.
41.
go back to reference Virtanen P, Janlert U, Hammarström A. Health status and health behavior as predictors of the occurrence of unemployment and prolonged unemployment. Public Health. 2013;127:46–52.CrossRefPubMed Virtanen P, Janlert U, Hammarström A. Health status and health behavior as predictors of the occurrence of unemployment and prolonged unemployment. Public Health. 2013;127:46–52.CrossRefPubMed
42.
go back to reference Robroek SJW, Reeuwijk KG, Hillier FC, Bambra CL, van Rijn RM, Burdorf A. The contribution of overweight, obesity, and lack of physical activity to exit from paid employment: a meta-analysis. Scand J WEH. 2013;39(3):233–40. Robroek SJW, Reeuwijk KG, Hillier FC, Bambra CL, van Rijn RM, Burdorf A. The contribution of overweight, obesity, and lack of physical activity to exit from paid employment: a meta-analysis. Scand J WEH. 2013;39(3):233–40.
43.
go back to reference Salonsalmi A, Laaksonen M, Lahelma E, Rahkonen O. Drinking habits and disability retirement. Addiction. 2012;107:2128–36.CrossRefPubMed Salonsalmi A, Laaksonen M, Lahelma E, Rahkonen O. Drinking habits and disability retirement. Addiction. 2012;107:2128–36.CrossRefPubMed
44.
go back to reference Korkiakangas E, Alahuhta M, Laitinen J. Barriers to regular exercise among adults at high risk or diagnosed with type 2 diabetes: a systematic review. Health Prom Int. 2009;29(3):1–12. Korkiakangas E, Alahuhta M, Laitinen J. Barriers to regular exercise among adults at high risk or diagnosed with type 2 diabetes: a systematic review. Health Prom Int. 2009;29(3):1–12.
45.
go back to reference Mäkinen T, Kestilä L, Borodulin K, Martelin T, Rahkonen O, Leino-Arjas P, et al. Occupational class differences in leisure-time physical inactivity—contribution of past and current physical workload and other working conditions. Scand J WEH. 2010;36:62–70. Mäkinen T, Kestilä L, Borodulin K, Martelin T, Rahkonen O, Leino-Arjas P, et al. Occupational class differences in leisure-time physical inactivity—contribution of past and current physical workload and other working conditions. Scand J WEH. 2010;36:62–70.
46.
go back to reference Lallukka T, Sarlio-Lähteenkorva S, Roos E, Laaksonen M, Rahkonen O, Lahelma E. Working conditions and health behaviors among employed women and men: the Helsinki Health Study. Prev Med. 2004;38:48–56.CrossRefPubMed Lallukka T, Sarlio-Lähteenkorva S, Roos E, Laaksonen M, Rahkonen O, Lahelma E. Working conditions and health behaviors among employed women and men: the Helsinki Health Study. Prev Med. 2004;38:48–56.CrossRefPubMed
47.
go back to reference Telama R, Yang X. Decline of physical activity from youth to young adulthood in Finland. Med Sci Sports Exercice. 2000;32:1617–22.CrossRef Telama R, Yang X. Decline of physical activity from youth to young adulthood in Finland. Med Sci Sports Exercice. 2000;32:1617–22.CrossRef
48.
go back to reference Rongen A, Robroek SJW, van Lenthe FJ, Burdorf A. Workplace health promotion. A meta-analysis of effectiveness. Am J Prev Med. 2013;44:406–15.CrossRefPubMed Rongen A, Robroek SJW, van Lenthe FJ, Burdorf A. Workplace health promotion. A meta-analysis of effectiveness. Am J Prev Med. 2013;44:406–15.CrossRefPubMed
49.
go back to reference El Fassi M, Bocquet V, Majery N, Lair ML, Couffignal S, Mairiaux P. Work ability assessment in a worker population: comparison and determinants of Work Ability Index and Work Ability score. BMC Public Health. 2013;13:305. doi:10.1186/1471-2458-13-305. El Fassi M, Bocquet V, Majery N, Lair ML, Couffignal S, Mairiaux P. Work ability assessment in a worker population: comparison and determinants of Work Ability Index and Work Ability score. BMC Public Health. 2013;13:305. doi:10.​1186/​1471-2458-13-305.
50.
go back to reference Ilmarinen J, Gould R, Järvikoski A, Järvisalo J. Dimensions of work ability. In: Gould R, Ilmarinen J, Järvisalo J, Koskinen S, editors. Dimensions of work ability: results of the Health 2000 survey. Helsinki: Finnish Centre of Pensions, The Social Insurance Institution, National Public Health Institute, Institute of Occupational Health; 2006. Ilmarinen J, Gould R, Järvikoski A, Järvisalo J. Dimensions of work ability. In: Gould R, Ilmarinen J, Järvisalo J, Koskinen S, editors. Dimensions of work ability: results of the Health 2000 survey. Helsinki: Finnish Centre of Pensions, The Social Insurance Institution, National Public Health Institute, Institute of Occupational Health; 2006.
51.
go back to reference Ilmarinen J, Tuomi K. Past, present and future of work ability. People Work Res Rep. 2004;65:1–25. Ilmarinen J, Tuomi K. Past, present and future of work ability. People Work Res Rep. 2004;65:1–25.
52.
go back to reference von Bonsdorff ME, Kokko K, Seitsamo J, von Bonsdorff MB, Nygård C-H, Ilmarinen J, et al. Work strain in midlife and 28-year work ability trajectories. Scand J Work Environ Health. 2011;37:455–63.CrossRef von Bonsdorff ME, Kokko K, Seitsamo J, von Bonsdorff MB, Nygård C-H, Ilmarinen J, et al. Work strain in midlife and 28-year work ability trajectories. Scand J Work Environ Health. 2011;37:455–63.CrossRef
53.
go back to reference Bonsdorff MB, Seitsamo J, Ilmarinen J, Nygård CH, Bonsdorff ME, Rantanen T. Work ability in midlife as a predictor of mortality and disability in later life: a 28-year prospective follow-up study. CMAJ. 2011;183(4):E235–42.CrossRef Bonsdorff MB, Seitsamo J, Ilmarinen J, Nygård CH, Bonsdorff ME, Rantanen T. Work ability in midlife as a predictor of mortality and disability in later life: a 28-year prospective follow-up study. CMAJ. 2011;183(4):E235–42.CrossRef
Metadata
Title
Perceived Work Ability in the Light of Long-Term and Stress-Related Unhealthy Behaviors—a Prospective Cohort Study
Authors
Nina Nevanperä
Jorma Seitsamo
Leena Ala-Mursula
Jouko Remes
Leila Hopsu
Juha Auvinen
Tuija Tammelin
Marjo-Riitta Järvelin
Jaana Laitinen
Publication date
01-04-2016
Publisher
Springer US
Published in
International Journal of Behavioral Medicine / Issue 2/2016
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-015-9512-0

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