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Trends in labour participation rate and retirement age in citizens with and without chronic conditions in the Netherlands.

Putter, I. de. Trends in labour participation rate and retirement age in citizens with and without chronic conditions in the Netherlands. European Journal of Public Health: 2017, 27(s3) . Abstracts: 10th European Public Health Conference Sustaining resilient and healthy communities Stockholm, Sweden 1–4 November 2017
Background
To protect the social security system, western countries have taken measures to encourage older citizens (50+) to extend their working lives. As a consequence of policy changes in the Netherlands, the labour participation rate and the average retirement age of the older population has increased substantially. It is, however, unknown whether citizens with chronic conditions also succeed in extending their working lives.

Object
Therefore, the aim of this study was to investigate to what extent older citizens with chronic conditions have contributed to the increase in the labour participation rate and the retirement age among the general population.

Methods
Citizens with and without self-reported somatic chronic conditions aged 50 to 67 years were selected from the annual Statistics Netherlands’ Health Survey (data covering 2003-2015, N per year varied from1643 to 2314). (Logistic) regression analyses were conducted to estimate trends in the labour participation rate and the average retirement age of
citizens with and without chronic conditions. Sub-group analyses were conducted for gender and education levels.

Results
The participation rate as well as the retirement age increased significantly for both citizens with and without chronic conditions (53to72% and 59.7 to 62.0 years for citizens without chronic conditions (p<.01); 47 to 62% and 59.9 to 61.4 years for citizens with chronic conditions (p<.01)). Also when analysed for sub-groups significant increases were found for those with and without chronic conditions.

Conclusions
The increase in the labour participation rate and retirement age of the older population in the Netherlands occurred among both the citizens with and without chronic conditions. These results suggest that the generic measures taken to extend the working lives of the population are also effective for citizens with chronic conditions. However, more research is needed to investigate how they manage to extend their working lives. (aut. ref.)