Publicatie

Publicatie datum

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

Boer, A.G.E.M. de, Geuskens, G.A., Bultmann, U., Boot, C.R.L., Wind, H., Koppes, L.L.J., Frings-Dresen, M.H.W. Employment status transitions in employees with and without chronic disease in the Netherlands. International Journal of Public Health: 2018, 63(6), 713-722
Lees online
Objectives
Objectives were to:
(1) longitudinally assess transitions in employment status of employees with and without chronic disease;
(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.