Skip to main content
Top
Published in: BMC Public Health 1/2019

Open Access 01-12-2019 | Research article

Role of age and health in perceptions of returning to work: a qualitative study

Authors: Joanne Neary, Srinivasa Vittal Katikireddi, Judith Brown, Ewan B. Macdonald, Hilary Thomson

Published in: BMC Public Health | Issue 1/2019

Login to get access

Abstract

Background

People aged over 50 years form a growing proportion of the working age population, but are at increased risk of unemployment compared to other age groups. It is often difficult to return to work after unemployment, particularly for those with health issues. In this paper, we explored the perceptions, attitudes, and experiences of returning to work after a period of unemployment (hereafter RTW) barriers among unemployed adults aged over 50 years.

Method

In-depth semi-structured interviews were conducted with a diverse sample of 26 unemployed individuals aged 50–64 years who were engaged with the UK Government’s Work Programme. Data were thematically analysed.

Results

Age alone was not discussed by participants as a barrier to work; rather their discussions of barriers to work focused on the ways in which age influenced other issues in their lives. For participants reporting chronic health conditions, or disabilities, there was a concern about being unfit to return to their previous employment area, and therefore having to “start again” in a new career, with associated concerns about their health status and managing their treatment burden. Some participants also reported experiencing either direct or indirect ageism (including related to their health status or need to access healthcare) when looking for work. Other issues facing older people included wider socio-political changes, such as the increased pension age, were felt to be unfair in many ways and contradicted existing expectations of social roles (such as acting as a carer for other family members).

Conclusion

Over-50s experienced multiple and interacting issues, at both the individual and societal level, that created RTW barriers. There is a need for employability interventions that focus on supporting the over-50s who have fallen out of the labour market to take a holistic approach, working across healthcare, employability and the local labour market, providing treatment and skills training for both those out of work and for employers, in order to create an intervention that that helps achieve RTW and its associated health benefit.
Appendix
Available only for authorised users
Literature
1.
go back to reference OECD. Live longer, work longer: a synthesis report. Paris: Directorate for Employment, Labour and Social Affairs; 2006.CrossRef OECD. Live longer, work longer: a synthesis report. Paris: Directorate for Employment, Labour and Social Affairs; 2006.CrossRef
2.
go back to reference DWP. Older workers statistical information booklet 2013. London: The Stationary Office; 2013. DWP. Older workers statistical information booklet 2013. London: The Stationary Office; 2013.
3.
go back to reference DWP. Employment statistics for workers aged 50 and over. By 5-year age bands and gender. London: The Stationary Office; 2015. DWP. Employment statistics for workers aged 50 and over. By 5-year age bands and gender. London: The Stationary Office; 2015.
4.
go back to reference Zaidi A, Makovec M, Fuchs M. Transition from work to retirement in EU25. London: Centre for Analysis of Social Exclusion; 2006. Zaidi A, Makovec M, Fuchs M. Transition from work to retirement in EU25. London: Centre for Analysis of Social Exclusion; 2006.
5.
go back to reference Hamblin KA. Changes to policies for work and retirement in EU15 nations (1995–2005): an exploration of policy packages for the 50-plus cohort. Int J Ageing Later Life. 2010;5(1):13–43.CrossRef Hamblin KA. Changes to policies for work and retirement in EU15 nations (1995–2005): an exploration of policy packages for the 50-plus cohort. Int J Ageing Later Life. 2010;5(1):13–43.CrossRef
6.
go back to reference Walker A, Maltby T. Active ageing: a strategic policy solution to demographic ageing in the European Union. Int J Soc Welf. 2012;21:117–39.CrossRef Walker A, Maltby T. Active ageing: a strategic policy solution to demographic ageing in the European Union. Int J Soc Welf. 2012;21:117–39.CrossRef
7.
go back to reference OECD. Pensionable Age and Life Expectancy, 1950–2050. In: Pensions at a Glance 2011: Retirement-income Systems in OECD and G20 Countries. Paris: OECD Publishing; 2011.CrossRef OECD. Pensionable Age and Life Expectancy, 1950–2050. In: Pensions at a Glance 2011: Retirement-income Systems in OECD and G20 Countries. Paris: OECD Publishing; 2011.CrossRef
8.
go back to reference Wübbeke C. The limitations of activation policies: unemployment at the end of working life. Ageing Soc. 2011;31(6):977–1002.CrossRef Wübbeke C. The limitations of activation policies: unemployment at the end of working life. Ageing Soc. 2011;31(6):977–1002.CrossRef
9.
go back to reference DWP. Fuller working lives- a framework for action. London: The Stationary Office; 2014. DWP. Fuller working lives- a framework for action. London: The Stationary Office; 2014.
10.
go back to reference European Commision for Employment Social Affairs and Inclusion. European Employment Observatory Review: Employment policies to promote active ageing. Luxemboroug: Directorate-General for Employment, Social Affairs and Inclusion Unit C1; 2012. European Commision for Employment Social Affairs and Inclusion. European Employment Observatory Review: Employment policies to promote active ageing. Luxemboroug: Directorate-General for Employment, Social Affairs and Inclusion Unit C1; 2012.
11.
go back to reference Dwyer P. Creeping conditionality in the UK: from welfare rights to conditional entitlements? Can J Sociol. 2004;29(2):265–87. Dwyer P. Creeping conditionality in the UK: from welfare rights to conditional entitlements? Can J Sociol. 2004;29(2):265–87.
12.
go back to reference Lindsay C, Greve B, Cabras I, Ellison N, Kellett S. Assessing the evidence base on health, employability and the labour market–lessons for activation in the UK. Soc Policy Adm. 2015;49(2):143–60.CrossRef Lindsay C, Greve B, Cabras I, Ellison N, Kellett S. Assessing the evidence base on health, employability and the labour market–lessons for activation in the UK. Soc Policy Adm. 2015;49(2):143–60.CrossRef
13.
go back to reference Clasen J, Clegg D. Levls and levers of conditionality: measuring change within welfare states. In: Clasen J, Siegel NA, editors. Investigating welfare state change: the 'dependent variable problem' in comparative analysis. Cheltenham: Edward Elgar; 2007. p. 166–97.CrossRef Clasen J, Clegg D. Levls and levers of conditionality: measuring change within welfare states. In: Clasen J, Siegel NA, editors. Investigating welfare state change: the 'dependent variable problem' in comparative analysis. Cheltenham: Edward Elgar; 2007. p. 166–97.CrossRef
14.
go back to reference Carter E, Whitworth A. Work activation regimes and well-being of unemployed people: rhetoric, risk and reality of quasi-marketization in the UK work Programme. Soc Policy Adm. 2017;51(5):796–816.CrossRef Carter E, Whitworth A. Work activation regimes and well-being of unemployed people: rhetoric, risk and reality of quasi-marketization in the UK work Programme. Soc Policy Adm. 2017;51(5):796–816.CrossRef
15.
go back to reference Loretto W, Vickerstaff S, White PJ. The future for older workers: new perspectives. Brisol: Policy Press; 2007. Loretto W, Vickerstaff S, White PJ. The future for older workers: new perspectives. Brisol: Policy Press; 2007.
16.
go back to reference Foster S, Metcalf H, Purvis A, Lanceley L, Foster R, Lane P, et al. Work programme evaluation: operation of the commisioning model, finance and programme delivery. London: Department of Work and Pensions; 2014. Foster S, Metcalf H, Purvis A, Lanceley L, Foster R, Lane P, et al. Work programme evaluation: operation of the commisioning model, finance and programme delivery. London: Department of Work and Pensions; 2014.
17.
go back to reference Department for Work and Pensions. The Work Programme. London: The Stationary Office; 2012. Department for Work and Pensions. The Work Programme. London: The Stationary Office; 2012.
18.
go back to reference van den Berg T, Schuring M, Avendano M, Mackenbach J, Burdorf A. The impact of ill health on exit from paid employment in Europe among older workers. Occup Environ Med. 2010;67(12):845–52.PubMedCrossRef van den Berg T, Schuring M, Avendano M, Mackenbach J, Burdorf A. The impact of ill health on exit from paid employment in Europe among older workers. Occup Environ Med. 2010;67(12):845–52.PubMedCrossRef
19.
go back to reference Gallo WT, Bradley EH, Siegel M, Kasl SV. The impact of involuntary job loss on subsequent alcohol consumption by older workers: findings from the health and retirement survey. J Gerontol Ser B Psychol Sci Soc Sci. 2001;56(1):S3–9.CrossRef Gallo WT, Bradley EH, Siegel M, Kasl SV. The impact of involuntary job loss on subsequent alcohol consumption by older workers: findings from the health and retirement survey. J Gerontol Ser B Psychol Sci Soc Sci. 2001;56(1):S3–9.CrossRef
20.
go back to reference Marengoni A, Angleman S, Melis R, Mangialasche F, Karp A, Garmen A, et al. Aging with multimorbidity: a systematic review of the literature. Ageing Res Rev. 2011;10(4):430–9.PubMedCrossRef Marengoni A, Angleman S, Melis R, Mangialasche F, Karp A, Garmen A, et al. Aging with multimorbidity: a systematic review of the literature. Ageing Res Rev. 2011;10(4):430–9.PubMedCrossRef
21.
go back to reference Barnett K, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B. Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet. 2012;380(9836):37–43.PubMedCrossRef Barnett K, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B. Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet. 2012;380(9836):37–43.PubMedCrossRef
22.
go back to reference De Preter H, Van Looy D, Mortelmans D. Individual and institutional push and pull factors as predictors of retirement timing in Europe: a multilevel analysis. J Aging Stud. 2013;27(4):299–307.PubMedCrossRef De Preter H, Van Looy D, Mortelmans D. Individual and institutional push and pull factors as predictors of retirement timing in Europe: a multilevel analysis. J Aging Stud. 2013;27(4):299–307.PubMedCrossRef
23.
go back to reference Robertson A. “I saw the handwriting on the wall”: shades of meaning in reasons for early retirement. J Aging Stud. 2000;14(1):63–79.CrossRef Robertson A. “I saw the handwriting on the wall”: shades of meaning in reasons for early retirement. J Aging Stud. 2000;14(1):63–79.CrossRef
24.
go back to reference Loretto W, Vickerstaff S. The domestic and gendered context for retirement. Hum Relat. 2013;66(1):65–86.CrossRef Loretto W, Vickerstaff S. The domestic and gendered context for retirement. Hum Relat. 2013;66(1):65–86.CrossRef
25.
go back to reference Collins C. Not ready for the scrapheap: looking for work after 50. London: Age Concern; 2006. Collins C. Not ready for the scrapheap: looking for work after 50. London: Age Concern; 2006.
26.
go back to reference Alavinia SM, Burdorf A. Unemployment and retirement and ill-health: a cross-sectional analysis across European countries. Int Arch Occup Environ Health. 2008;82(1):39–45.PubMedPubMedCentralCrossRef Alavinia SM, Burdorf A. Unemployment and retirement and ill-health: a cross-sectional analysis across European countries. Int Arch Occup Environ Health. 2008;82(1):39–45.PubMedPubMedCentralCrossRef
27.
go back to reference Cappellari L, Dorsett R, Haile G. Labour market transitions among the over-50s. Leeds: UK Corporate Document Services; 2005. Cappellari L, Dorsett R, Haile G. Labour market transitions among the over-50s. Leeds: UK Corporate Document Services; 2005.
28.
go back to reference Schofield DJ, Shrestha RN, Passey ME, Earnest A, Fletcher SL. Chronic disease and labour force participation among older Australians. Med J Aust. 2008;189(8):447.PubMedCrossRef Schofield DJ, Shrestha RN, Passey ME, Earnest A, Fletcher SL. Chronic disease and labour force participation among older Australians. Med J Aust. 2008;189(8):447.PubMedCrossRef
29.
go back to reference Porcellato L, Carmichael F, Hulme C, Ingham B, Prashar A. Giving older workers a voice: constraints on the employment of older people in the north west of England. Work Employ Soc. 2010;24(1):85–103.CrossRef Porcellato L, Carmichael F, Hulme C, Ingham B, Prashar A. Giving older workers a voice: constraints on the employment of older people in the north west of England. Work Employ Soc. 2010;24(1):85–103.CrossRef
30.
go back to reference McQuaid RW, Lindsay C. The employability gap': long-term unemployment and barriers to work in buoyant labour markets. Environ Plan C. 2002;20(4):613–28.CrossRef McQuaid RW, Lindsay C. The employability gap': long-term unemployment and barriers to work in buoyant labour markets. Environ Plan C. 2002;20(4):613–28.CrossRef
31.
go back to reference Beatty C, Fothergill S, Houston D, Powell R, Sissons P. A gendered theory of employment, unemployment, and sickness. Environ Plan C Gov Policy. 2009;27(6):958–74.CrossRef Beatty C, Fothergill S, Houston D, Powell R, Sissons P. A gendered theory of employment, unemployment, and sickness. Environ Plan C Gov Policy. 2009;27(6):958–74.CrossRef
32.
go back to reference Loretto W, Vickerstaff S. Gender, age and flexible working in later life. Work Employment Soc. 2015;29(2):233–49.CrossRef Loretto W, Vickerstaff S. Gender, age and flexible working in later life. Work Employment Soc. 2015;29(2):233–49.CrossRef
33.
go back to reference Phillipson C, Smith A. Extending working life: a review of the research literature. Leeds: Department for Work and Pensions; 2005. Phillipson C, Smith A. Extending working life: a review of the research literature. Leeds: Department for Work and Pensions; 2005.
34.
go back to reference Beatty C, Fothergill S, Macmillan R. A theory of employment, unemployment and sickness. Reg Stud. 2000;34(7):617–30.CrossRef Beatty C, Fothergill S, Macmillan R. A theory of employment, unemployment and sickness. Reg Stud. 2000;34(7):617–30.CrossRef
35.
go back to reference Westerlund H, Kivimäki M, Singh-Manoux A, Melchior M, Ferrie JE, Pentti J, et al. Self-rated health before and after retirement in France (GAZEL): a cohort study. Lancet. 2009;374(9705):1889–96.PubMedCrossRef Westerlund H, Kivimäki M, Singh-Manoux A, Melchior M, Ferrie JE, Pentti J, et al. Self-rated health before and after retirement in France (GAZEL): a cohort study. Lancet. 2009;374(9705):1889–96.PubMedCrossRef
36.
go back to reference McKee-Ryan F, Song Z, Wanberg CR, Kinicki AJ. Psychological and physical well-being during unemployment: a meta-analytic study. J Appl Psychol. 2005;90(1):53.PubMedCrossRef McKee-Ryan F, Song Z, Wanberg CR, Kinicki AJ. Psychological and physical well-being during unemployment: a meta-analytic study. J Appl Psychol. 2005;90(1):53.PubMedCrossRef
38.
go back to reference Whitley E, Popham F. Leaving the labour market later in life: how does it impact on mechanisms for health? Occup Environ Med. 2017;74(12):877-886. Whitley E, Popham F. Leaving the labour market later in life: how does it impact on mechanisms for health? Occup Environ Med. 2017;74(12):877-886.
39.
go back to reference Weller SA. Discrimination, labour markets and the labour market prospects of older workers: what can a legal case teach us? Work Employ Soc. 2007;21(3):417–37.CrossRef Weller SA. Discrimination, labour markets and the labour market prospects of older workers: what can a legal case teach us? Work Employ Soc. 2007;21(3):417–37.CrossRef
40.
go back to reference Brown J, Neary J, Katikireddi SV, Thomson H, McQuaid RW, Leyland AH, et al. Protocol for a mixed-methods longitudinal study to identify factors influencing return to work in the over 50s participating in the UK work Programme: supporting older people into employment (SOPIE). BMJ Open. 2015;5(12):e010525.PubMedPubMedCentralCrossRef Brown J, Neary J, Katikireddi SV, Thomson H, McQuaid RW, Leyland AH, et al. Protocol for a mixed-methods longitudinal study to identify factors influencing return to work in the over 50s participating in the UK work Programme: supporting older people into employment (SOPIE). BMJ Open. 2015;5(12):e010525.PubMedPubMedCentralCrossRef
41.
go back to reference Palinkas LA, Horwitz SM, Green CA, Wisdom JP, Duan N, Hoagwood K. Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Adm Policy Ment Health Ment Health Serv Res. 2015;42(5):533–44.CrossRef Palinkas LA, Horwitz SM, Green CA, Wisdom JP, Duan N, Hoagwood K. Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Adm Policy Ment Health Ment Health Serv Res. 2015;42(5):533–44.CrossRef
42.
go back to reference Quick HE, Moen P. Gender, employment and retirement quality: a life course approach to the differential experiences of men and women. J Occup Health Psychol. 1998;3(1):44.PubMedCrossRef Quick HE, Moen P. Gender, employment and retirement quality: a life course approach to the differential experiences of men and women. J Occup Health Psychol. 1998;3(1):44.PubMedCrossRef
43.
go back to reference Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.CrossRef Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.CrossRef
44.
go back to reference Rodham K, Fox F, Doran N. Exploring analytical trustworthiness and the process of reaching consensus in interpretative phenomenological analysis: lost in transcription. Int J Soc Res Methodol. 2015;18(1):59–71.CrossRef Rodham K, Fox F, Doran N. Exploring analytical trustworthiness and the process of reaching consensus in interpretative phenomenological analysis: lost in transcription. Int J Soc Res Methodol. 2015;18(1):59–71.CrossRef
45.
go back to reference Saldana J. The coding manual for qualitative researchers. London: SAGE; 2016. Saldana J. The coding manual for qualitative researchers. London: SAGE; 2016.
46.
go back to reference May CR, Eton DT, Boehmer K, Gallacher K, Hunt K, MacDonald S, et al. Rethinking the patient: using burden of treatment theory to understand the changing dynamics of illness. BMC Health Serv Res. 2014;14(1):281–92.PubMedPubMedCentralCrossRef May CR, Eton DT, Boehmer K, Gallacher K, Hunt K, MacDonald S, et al. Rethinking the patient: using burden of treatment theory to understand the changing dynamics of illness. BMC Health Serv Res. 2014;14(1):281–92.PubMedPubMedCentralCrossRef
47.
go back to reference Magnussen L, Nilsen S, Råheim M. Barriers against returning to work-as perceived by disability pensioners with back pain: a focus group based qualitative study. Disabil Rehabil. 2007;29(3):191–7.PubMedCrossRef Magnussen L, Nilsen S, Råheim M. Barriers against returning to work-as perceived by disability pensioners with back pain: a focus group based qualitative study. Disabil Rehabil. 2007;29(3):191–7.PubMedCrossRef
48.
go back to reference Moore S. ‘No matter what I did I would still end up in the same position’: age as a factor defining older women’s experience of labour market participation. Work Employ Soc. 2009;23(4):655–71.CrossRef Moore S. ‘No matter what I did I would still end up in the same position’: age as a factor defining older women’s experience of labour market participation. Work Employ Soc. 2009;23(4):655–71.CrossRef
49.
go back to reference McQuaid RW, Lindsay C. The concept of employability. Urban Stud. 2005;42(2):197–219.CrossRef McQuaid RW, Lindsay C. The concept of employability. Urban Stud. 2005;42(2):197–219.CrossRef
51.
go back to reference Kalleberg AL. Precarious work, insecure workers: employment relations in transition. Am Sociol Rev. 2009;74(1):1–22.CrossRef Kalleberg AL. Precarious work, insecure workers: employment relations in transition. Am Sociol Rev. 2009;74(1):1–22.CrossRef
52.
go back to reference Gallacher K, Jani B, Morrison D, Macdonald S, Blane D, Erwin P, et al. Qualitative systematic reviews of treatment burden in stroke, heart failure and diabetes - methodological challenges and solutions. BMC Med Res Methodol. 2013;13(1):10.PubMedPubMedCentralCrossRef Gallacher K, Jani B, Morrison D, Macdonald S, Blane D, Erwin P, et al. Qualitative systematic reviews of treatment burden in stroke, heart failure and diabetes - methodological challenges and solutions. BMC Med Res Methodol. 2013;13(1):10.PubMedPubMedCentralCrossRef
53.
go back to reference Macdonald EB, Sanati KA. Occupational health services now and in the future: the need for a paradigm shift. J Occup Environ Med. 2010;52(12):1273-7. Macdonald EB, Sanati KA. Occupational health services now and in the future: the need for a paradigm shift. J Occup Environ Med. 2010;52(12):1273-7.
54.
go back to reference Beatty C, Fothergill S. Hidden unemployment among men: a case study. Reg Stud. 2002;36(8):811–23.CrossRef Beatty C, Fothergill S. Hidden unemployment among men: a case study. Reg Stud. 2002;36(8):811–23.CrossRef
55.
go back to reference Dewson S, Hill D, Meager N, Willison R. Evaluation of access to work: Core evaluation. London: Department for Work and Pensions; 2009. Dewson S, Hill D, Meager N, Willison R. Evaluation of access to work: Core evaluation. London: Department for Work and Pensions; 2009.
Metadata
Title
Role of age and health in perceptions of returning to work: a qualitative study
Authors
Joanne Neary
Srinivasa Vittal Katikireddi
Judith Brown
Ewan B. Macdonald
Hilary Thomson
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/s12889-019-6819-9

Other articles of this Issue 1/2019

BMC Public Health 1/2019 Go to the issue