Worker and workplace determinants of employment exit: a register study.

Journal: BMJ open

Volume: 14

Issue: 3

Year of Publication: 2024

Affiliated Institutions:  Health and Social Sciences, NORCE Norwegian Research Centre, Bergen, Norway hary@norceresearch.no. Health and Social Sciences, NORCE Norwegian Research Centre, Bergen, Norway.

Abstract summary 

Workers with chronic illness are in higher risk of unemployment. This article investigated the worker and workplace characteristics associated with labour market inclusion for workers with a diagnosed chronic illness.Linked employer-employee register data covering all Norwegian employers and employees each month from February 2015 to December 2019 were merged with patient data from specialist healthcare (136 196 observations (job spells); 70 923 individual workers). Survival analysis was used to estimate the risk of employment exit, with age, gender, chronic illness, full-time/part-time employment, skill level, marital status, children in household, branch, share of chronically ill workers, firm size and unemployment rate as covariates.85% of the study population was employed in December 2019; 58% remain employed throughout the follow-up period. Mental illness, male gender, young age, part-time employment and lower skill levels were the worker-level predictors of labour market exit. Employments in secondary industries, in firms with high shares of chronically ill workers and, to some extent, in larger firms were the significant workplace-level determinants.Only a minority of our sample of workers with chronic illness experienced labour market exclusion. Targeted measures should be considered towards workers with poor mental health and/or low formal skills. Chronically ill workers within public administration have the best labour market prospects, while workplaces within the education branch have an unfulfilled potential.

Authors & Co-authors:  Rydland Islam Kjerstad

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Holland P, Burström B, Whitehead M, et al. . 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;41:395–413. 10.2190/HS.41.3.a
Authors :  3
Identifiers
Doi : e080464
SSN : 2044-6055
Study Population
Male
Mesh Terms
Child
Other Terms
chronic disease;epidemiology;health economics;occupational & industrial medicine
Study Design
Study Approach
Country of Study
Publication Country
England