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Published in: BMC Public Health 1/2019

Open Access 01-12-2019 | Research article

Inequalities in employment rates among older men and women in Canada, Denmark, Sweden and the UK

Authors: Ashley McAllister, Lee Bentley, Henrik Brønnum-Hansen, Natasja Koitzsch Jensen, Lotta Nylen, Ingelise Andersen, Qing Liao, Theo Bodin, Cameron Mustard, Bo Burström

Published in: BMC Public Health | Issue 1/2019

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Abstract

Background

In most developed countries, governments are implementing policies encouraging older persons to work past 65 years to reduce the burden on societies related to disability benefits and pension payments. Despite this push to extend working lives, we know little about who already works past this age and any inequalities that may exist. Our study investigates the employment rates of those aged 65–75 years of age by educational level, health status and sex in Canada (CAN), Denmark (DK), Sweden (SE) and the United Kingdom (UK). Secondly, we aim to relate findings on employment rates to prevailing policies in the different countries, to increase the understanding on how to further extend working lives.

Methods

We used nationally representative cross-sectional survey data from the 2012–2013 Canadian Community Health Survey, 2013/14 Survey of Health, Ageing and Retirement in Europe for Denmark and Sweden and the 2013 English Longitudinal Study of Ageing to examine employment rates for those aged 65–75 years by sex, educational level and health status (having limiting longstanding illness (LLI) or not).

Results

Employment rates decline by age, but we see a linear decline in CAN and the UK compared to an initial decline then a plateau of employment rates from 66 to 68 years in DK and SE. Employment rates among persons aged 65–75 years were lower in the UK than in CAN, DK and SE. Among women, employment rates were highest in SE. Women with low education and a LLI had considerably lower employment rates than men with low education and a LLI (employment rates for men ranged from 27% to 12% compared with employment rates for women which ranged from 12% to 0%).

Conclusions

Our results suggest that educational level, sex and health all play a role in extending working lives. The variation in employment rates between the four countries implies that policies do matter, but that social differentials show that policies cannot be ‘one size fits all’. Policy-makers must consider different groups (i.e. low-educated women with a LLI) when designing policies to extend working lives.
Literature
1.
go back to reference Cai L, Kalb G. Health status and labour force participation: evidence from Australia. Health Econ. 2006;15(3):241–61.PubMed Cai L, Kalb G. Health status and labour force participation: evidence from Australia. Health Econ. 2006;15(3):241–61.PubMed
2.
go back to reference Duval R. The retirement effects of old-age pension and early retirement schemes in OECD countries. Paris: OECD Publishing; 2003. Duval R. The retirement effects of old-age pension and early retirement schemes in OECD countries. Paris: OECD Publishing; 2003.
3.
go back to reference Nilsson K, Hydbom AR, Rylander L. Factors influencing the decision to extend working life or retire. Scand J Work Environ Health. 2011:473–80. Nilsson K, Hydbom AR, Rylander L. Factors influencing the decision to extend working life or retire. Scand J Work Environ Health. 2011:473–80.
4.
go back to reference Oxley H. Policies for healthy ageing: an overview: OECD Health Working Papers. Paris: OECD Publishing; 2009. Oxley H. Policies for healthy ageing: an overview: OECD Health Working Papers. Paris: OECD Publishing; 2009.
5.
go back to reference van Rijn RM, Robroek SJ, Brouwer S, Burdorf A. Influence of poor health on exit from paid employment: a systematic review. Occup Environ Med. 2014;71(4):295–301.PubMed van Rijn RM, Robroek SJ, Brouwer S, Burdorf A. Influence of poor health on exit from paid employment: a systematic review. Occup Environ Med. 2014;71(4):295–301.PubMed
6.
go back to reference Siegrist J, Wahrendorf M, Von dem Knesebeck O, Jürges H, Börsch-Supan A. Quality of work, well-being, and intended early retirement of older employees—baseline results from the SHARE study. Eur J Pub Health. 2007;17(1):62–8. Siegrist J, Wahrendorf M, Von dem Knesebeck O, Jürges H, Börsch-Supan A. Quality of work, well-being, and intended early retirement of older employees—baseline results from the SHARE study. Eur J Pub Health. 2007;17(1):62–8.
7.
go back to reference McAllister A, Nylén L, Backhans M, Boye K, Thielen K, Whitehead M, et al. Do ‘flexicurity’policies work for people with low education and health problems? A comparison of labour market policies and employment rates in Denmark, the Netherlands, Sweden, and the United Kingdom 1990–2010. Int J Health Serv. 2015;45(4):679–705.PubMed McAllister A, Nylén L, Backhans M, Boye K, Thielen K, Whitehead M, et al. Do ‘flexicurity’policies work for people with low education and health problems? A comparison of labour market policies and employment rates in Denmark, the Netherlands, Sweden, and the United Kingdom 1990–2010. Int J Health Serv. 2015;45(4):679–705.PubMed
8.
go back to reference Antecol H. An examination of cross-country differences in the gender gap in labor force participation rates. Labour Econ. 2000;7(4):409–26. Antecol H. An examination of cross-country differences in the gender gap in labor force participation rates. Labour Econ. 2000;7(4):409–26.
9.
go back to reference Nilsson K, Östergren P-O, Kadefors R, Albin M. Has the participation of older employees in the workforce increased? Study of the total Swedish population regarding exit from working life. Scand J Public Health. 2016;44(5):506–16.PubMedPubMedCentral Nilsson K, Östergren P-O, Kadefors R, Albin M. Has the participation of older employees in the workforce increased? Study of the total Swedish population regarding exit from working life. Scand J Public Health. 2016;44(5):506–16.PubMedPubMedCentral
10.
go back to reference Clougherty JE, Souza K, Cullen MR. Work and its role in shaping the social gradient in health. Ann N Y Acad Sci. 2010;1186(1):102–24.PubMedPubMedCentral Clougherty JE, Souza K, Cullen MR. Work and its role in shaping the social gradient in health. Ann N Y Acad Sci. 2010;1186(1):102–24.PubMedPubMedCentral
11.
go back to reference Bambra C. Work, worklessness and the political economy of health inequalities. J Epidemiol Community Health. 2011;65(9):746–50.PubMed Bambra C. Work, worklessness and the political economy of health inequalities. J Epidemiol Community Health. 2011;65(9):746–50.PubMed
12.
go back to reference Larsen M, Pedersen PJ. Labour force activity after 65: what explain recent trends in Denmark, Germany and Sweden? J Labour Market Res. 2017;50(1):15–27. Larsen M, Pedersen PJ. Labour force activity after 65: what explain recent trends in Denmark, Germany and Sweden? J Labour Market Res. 2017;50(1):15–27.
13.
go back to reference Carr E, Fleischmann M, Goldberg M, et al. Occupational and educational inequalities in exit from employment at older ages: evidence from seven prospective cohorts. Occup Environ Med. 2018;75:369–77.PubMedPubMedCentral Carr E, Fleischmann M, Goldberg M, et al. Occupational and educational inequalities in exit from employment at older ages: evidence from seven prospective cohorts. Occup Environ Med. 2018;75:369–77.PubMedPubMedCentral
14.
go back to reference Kanabar R. Post-retirement labour supply in England. J Econ Ageing. 2015;6:123–32. Kanabar R. Post-retirement labour supply in England. J Econ Ageing. 2015;6:123–32.
15.
16.
go back to reference Platts LG, Corna LM, Worts D, McDonough P, Price D, Glaser K. Returns to work after retirement: a prospective study of unretirement in the United Kingdom. Aging Soc. 2017:1–26. Platts LG, Corna LM, Worts D, McDonough P, Price D, Glaser K. Returns to work after retirement: a prospective study of unretirement in the United Kingdom. Aging Soc. 2017:1–26.
17.
go back to reference Zhan Y, Wang M, Shi J. Retirees’ motivational orientations and bridge employment: testing the moderating role of gender. J Appl Psychol. 2015;100(5):1319.PubMed Zhan Y, Wang M, Shi J. Retirees’ motivational orientations and bridge employment: testing the moderating role of gender. J Appl Psychol. 2015;100(5):1319.PubMed
18.
go back to reference Torka N, Goedegebure I, Van Ewijk I, Looise JK. On the motives and needs for work beyond age 65: comparing voluntary workers versus agency workers. German J Human Resour Manag. 2012;26(2):167–88. Torka N, Goedegebure I, Van Ewijk I, Looise JK. On the motives and needs for work beyond age 65: comparing voluntary workers versus agency workers. German J Human Resour Manag. 2012;26(2):167–88.
19.
go back to reference Fasbender U, Wang M, Voltmer JB, Deller J. The meaning of work for post-retirement employment decisions. Work Aging Retire. 2015;2(1):12–23. Fasbender U, Wang M, Voltmer JB, Deller J. The meaning of work for post-retirement employment decisions. Work Aging Retire. 2015;2(1):12–23.
20.
go back to reference Nikolova M, Graham C. Employment, late-life work, retirement, and well-being in Europe and the United States. IZA J Eur Labor Stud. 2014;3(1):5. Nikolova M, Graham C. Employment, late-life work, retirement, and well-being in Europe and the United States. IZA J Eur Labor Stud. 2014;3(1):5.
21.
go back to reference Burström B, Nylén L, Barr B, Clayton S, Holland P, Whitehead M. Delayed and differential effects of the economic crisis in Sweden in the 1990s on health-related exclusion from the labour market: a health equity assessment. Soc Sci Med. 2012;75(12):2431–6.PubMed Burström B, Nylén L, Barr B, Clayton S, Holland P, Whitehead M. Delayed and differential effects of the economic crisis in Sweden in the 1990s on health-related exclusion from the labour market: a health equity assessment. Soc Sci Med. 2012;75(12):2431–6.PubMed
22.
go back to reference Holland P, Burström B, Whitehead M, Diderichsen F, Dahl E, Barr B, Nylén L, Chen WH, Thielen K, van der Wel KA, Clayton S. How do macro-level contexts and policies affect the employment chances of chronically ill and disabled people? Part I: the impact of recession and deindustrialization. Int J Health Serv. 2011;41(3):395–413.PubMed Holland P, Burström B, Whitehead M, Diderichsen F, Dahl E, Barr B, Nylén L, Chen WH, Thielen K, van der Wel KA, Clayton S. How do macro-level contexts and policies affect the employment chances of chronically ill and disabled people? Part I: the impact of recession and deindustrialization. Int J Health Serv. 2011;41(3):395–413.PubMed
23.
go back to reference Keese M. Live longer, work longer. Paris: OECD Publishing; 2006. Keese M. Live longer, work longer. Paris: OECD Publishing; 2006.
24.
go back to reference Diderichsen F, Andersen I, Manuel C. Working Group of the Danish Review on social determinants of health, Andersen AM, Bach E, Baadsgaard M, Brønnum-Hansen H, Hansen FK, Jeune B, Jørgensen T. Health inequality-determinants and policies. Scand J Public Health Suppl. 2012:12–05. Diderichsen F, Andersen I, Manuel C. Working Group of the Danish Review on social determinants of health, Andersen AM, Bach E, Baadsgaard M, Brønnum-Hansen H, Hansen FK, Jeune B, Jørgensen T. Health inequality-determinants and policies. Scand J Public Health Suppl. 2012:12–05.
25.
go back to reference Bambra C, Eikemo T. Welfare state regimes, unemployment and health: a comparative study of the relationship between unemployment and self-reported health in 23 European countries. J Epidemiol Community Health. 2009;63:92–8.PubMed Bambra C, Eikemo T. Welfare state regimes, unemployment and health: a comparative study of the relationship between unemployment and self-reported health in 23 European countries. J Epidemiol Community Health. 2009;63:92–8.PubMed
26.
go back to reference Falk J, Burström B, Dalman C, Jörgensen L, Bruce D, Nylén L. Employment and income among first-time cases diagnosed with non-affective psychosis in Stockholm, Sweden: a follow-up study 2004/2005–2010. Soc Psychiatry Psychiatr Epidemiol. 2016;51(2):259–67.PubMed Falk J, Burström B, Dalman C, Jörgensen L, Bruce D, Nylén L. Employment and income among first-time cases diagnosed with non-affective psychosis in Stockholm, Sweden: a follow-up study 2004/2005–2010. Soc Psychiatry Psychiatr Epidemiol. 2016;51(2):259–67.PubMed
27.
go back to reference Farrants K, Bambra C, Nylen L, Kasim A, Burstrom B, Hunter D. Recommodification, unemployment, and health inequalities: trends in England and Sweden 1991–2011. Int J Health Serv. 2016;46(2):300–24.PubMed Farrants K, Bambra C, Nylen L, Kasim A, Burstrom B, Hunter D. Recommodification, unemployment, and health inequalities: trends in England and Sweden 1991–2011. Int J Health Serv. 2016;46(2):300–24.PubMed
30.
go back to reference (ESDC) Employment and Social Development Canada. Annual Report of the Canadian Pension Plan 2014–2015 2015. Contract No.: ISBN/ISSN: 1494–4987. (ESDC) Employment and Social Development Canada. Annual Report of the Canadian Pension Plan 2014–2015 2015. Contract No.: ISBN/ISSN: 1494–4987.
31.
go back to reference OECD. Back to work: Canada: improving the re-employment prospects of displaced workers. Paris: OECD Publishing; 2015. OECD. Back to work: Canada: improving the re-employment prospects of displaced workers. Paris: OECD Publishing; 2015.
32.
go back to reference Myles J. The maturation of Canada's retirement income system: income levels, income inequality and low income among older persons. Can J Aging/La Revue Canadienne Du Vieillissement. 2000;19(3):287–316. Myles J. The maturation of Canada's retirement income system: income levels, income inequality and low income among older persons. Can J Aging/La Revue Canadienne Du Vieillissement. 2000;19(3):287–316.
33.
go back to reference Osberg L. Poverty among senior citizens: a Canadian success story. (Place): Centre for the Study of Living Standards; 2001. Osberg L. Poverty among senior citizens: a Canadian success story. (Place): Centre for the Study of Living Standards; 2001.
34.
go back to reference The Organisation for Economic Co-operation and Development [OECD]. Ageing and employment policies: Denmark 2015. Working better with age. Paris: OECD Publishing; 2015. The Organisation for Economic Co-operation and Development [OECD]. Ageing and employment policies: Denmark 2015. Working better with age. Paris: OECD Publishing; 2015.
35.
go back to reference Sarfati H. Social dialogue: a potential “highroad” to policies addressing ageing in the EU member states. Int Soc Security Rev. 2006;59(1):49–74. Sarfati H. Social dialogue: a potential “highroad” to policies addressing ageing in the EU member states. Int Soc Security Rev. 2006;59(1):49–74.
36.
go back to reference Statistics Sweden. The future population of Sweden 2016–2060. Stockholm: Statistics Sweden; 2016. Statistics Sweden. The future population of Sweden 2016–2060. Stockholm: Statistics Sweden; 2016.
37.
go back to reference Holmlund B. What are the effects of active labour market policy? An introduction. Swedish Economic Policy Review. 2001;8(2):3–8. Holmlund B. What are the effects of active labour market policy? An introduction. Swedish Economic Policy Review. 2001;8(2):3–8.
38.
go back to reference Office for National Statistics. Overview of the UK population: July 2017. London: Office for National Statistics; 2017. Office for National Statistics. Overview of the UK population: July 2017. London: Office for National Statistics; 2017.
39.
go back to reference Office for National Statistics. National Population Projections: 2014-based statistical bulletin. London: Office for National Statistics; 2015. Office for National Statistics. National Population Projections: 2014-based statistical bulletin. London: Office for National Statistics; 2015.
40.
go back to reference OECD. Social Expenditure: Aggregated data. OECD Social Expenditure Statistics (database). Paris: OECD Publishing; 2016. OECD. Social Expenditure: Aggregated data. OECD Social Expenditure Statistics (database). Paris: OECD Publishing; 2016.
41.
go back to reference Department for Work and Pensions. Improving lives: the work, health and disability green paper. London: DWP; 2016. Department for Work and Pensions. Improving lives: the work, health and disability green paper. London: DWP; 2016.
42.
go back to reference Béland Y. Canadian community health survey--methodological overview. Health Rep. 2002;13(3):9.PubMed Béland Y. Canadian community health survey--methodological overview. Health Rep. 2002;13(3):9.PubMed
43.
go back to reference Börsch-Supan A, Brandt M, Hunkler C, Kneip T, Korbmacher J, Malter F, et al. Data resource profile: the survey of health, ageing and retirement in Europe (SHARE). Int J Epidemiol. 2013;42(4):992–1001.PubMedPubMedCentral Börsch-Supan A, Brandt M, Hunkler C, Kneip T, Korbmacher J, Malter F, et al. Data resource profile: the survey of health, ageing and retirement in Europe (SHARE). Int J Epidemiol. 2013;42(4):992–1001.PubMedPubMedCentral
44.
go back to reference Steptoe A, Breeze E, Banks J, Nazroo J. Cohort profile: the English longitudinal study of ageing. Int J Epidemiol. 2012;42(6):1640–8.PubMedPubMedCentral Steptoe A, Breeze E, Banks J, Nazroo J. Cohort profile: the English longitudinal study of ageing. Int J Epidemiol. 2012;42(6):1640–8.PubMedPubMedCentral
45.
go back to reference Dwyer DS, Mitchell OS. Health problems as determinants of retirement: are self-rated measures endogenous? J Health Econ. 1999;18(2):173–93.PubMed Dwyer DS, Mitchell OS. Health problems as determinants of retirement: are self-rated measures endogenous? J Health Econ. 1999;18(2):173–93.PubMed
46.
go back to reference McGarry K. Health and retirement do changes in health affect retirement expectations? J Hum Resour. 2004;39(3):624–48. McGarry K. Health and retirement do changes in health affect retirement expectations? J Hum Resour. 2004;39(3):624–48.
47.
go back to reference Burström B, Whitehead M, Lindholm C, Diderichsen F. Inequality in the social consequences of illness: how well do people with long-term illness fare in the British and Swedish labor markets? Int J Health Serv. 2000;30(3):435–51.PubMed Burström B, Whitehead M, Lindholm C, Diderichsen F. Inequality in the social consequences of illness: how well do people with long-term illness fare in the British and Swedish labor markets? Int J Health Serv. 2000;30(3):435–51.PubMed
48.
go back to reference Burström B, Holland P, Diderichsen F, Whitehead M. Winners and losers in flexible labor markets: the fate of women with chronic illness in contrasting policy environments—Sweden and Britain. Int J Health Serv. 2003;33(2):199–217.PubMed Burström B, Holland P, Diderichsen F, Whitehead M. Winners and losers in flexible labor markets: the fate of women with chronic illness in contrasting policy environments—Sweden and Britain. Int J Health Serv. 2003;33(2):199–217.PubMed
49.
go back to reference Berecki-Gisolf J, Lucke J, Hockey R, Dobson A. Transitions into informal caregiving and out of paid employment of women in their 50s. Soc Sci Med. 2008;67(1):122–7.PubMed Berecki-Gisolf J, Lucke J, Hockey R, Dobson A. Transitions into informal caregiving and out of paid employment of women in their 50s. Soc Sci Med. 2008;67(1):122–7.PubMed
50.
go back to reference Whitehead M, Clayton S, Holland P, Burstrom B, Nylen L, Dahl E, van der Wel K, Diderichsen F, Thielen K, et al. Helping chronically ill or disabled people into work: what can we learn from international comparative analyses? Project Report. Liverpool: Public Health Research Consortium; 2009. Whitehead M, Clayton S, Holland P, Burstrom B, Nylen L, Dahl E, van der Wel K, Diderichsen F, Thielen K, et al. Helping chronically ill or disabled people into work: what can we learn from international comparative analyses? Project Report. Liverpool: Public Health Research Consortium; 2009.
51.
go back to reference Brønnum-Hansen H, Baadsgaard M, Eriksen ML, Andersen-Ranberg K, Jeune B. Educational inequalities in health expectancy during the financial crisis in Denmark. Int J Pub Health. 2015;60(8):927–35. Brønnum-Hansen H, Baadsgaard M, Eriksen ML, Andersen-Ranberg K, Jeune B. Educational inequalities in health expectancy during the financial crisis in Denmark. Int J Pub Health. 2015;60(8):927–35.
52.
go back to reference Adler NE, Ostrove JM. Socioeconomic status and health: what we know and what we don't. Ann N Y Acad Sci. 1999;896(1):3–15.PubMed Adler NE, Ostrove JM. Socioeconomic status and health: what we know and what we don't. Ann N Y Acad Sci. 1999;896(1):3–15.PubMed
Metadata
Title
Inequalities in employment rates among older men and women in Canada, Denmark, Sweden and the UK
Authors
Ashley McAllister
Lee Bentley
Henrik Brønnum-Hansen
Natasja Koitzsch Jensen
Lotta Nylen
Ingelise Andersen
Qing Liao
Theo Bodin
Cameron Mustard
Bo Burström
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2019
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-019-6594-7

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