2023-09-28 14:46:10 +00:00
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abstract: 'Objectives Past studies have identified socioeconomic inequalities in
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the timing and route of labour market exit at older ages. However, few
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studies have compared these trends cross-nationally and existing
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evidence focuses on specific institutional outcomes (such as disability
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pension and sickness absence) in Nordic countries. We examined
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differences by education level and occupational grade in the risks of
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work exit and health-related work exit.
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Methods Prospective longitudinal data were drawn from seven studies
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(n=99164). Participants were in paid work at least once around age 50.
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Labour market exit was derived based on reductions in working hours,
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changes in self-reported employment status or from administrative
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records. Health-related exit was ascertained by receipt of
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health-related benefit or pension or from the reported reason for
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stopping work. Cox regression models were estimated for each study,
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adjusted for baseline self-rated health and birth cohort.
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Results There were 50003 work exits during follow-up, of which an
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average of 14\% (range 2-32\%) were health related. Low level education
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and low occupational grade were associated with increased risks of
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health-related exit in most studies. Low level education and
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occupational grade were also associated with an increased risk of any
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exit from work, although with less consistency across studies.
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Conclusions Workers with low socioeconomic position have an increased
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risk of health-related exit from employment. Policies that extend
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working life may disadvantage such workers disproportionally, especially
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where institutional support for those exiting due to poor health is
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minimal.'
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affiliation: 'Carr, E (Corresponding Author), Kings Coll London, Inst Psychiat Psychol
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\& Neurosci, Dept Biostat \& Hlth Informat, London SE5 8AF, England.
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Carr, Ewan, UCL, Dept Epidemiol \& Publ Hlth, London, England.
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Carr, Ewan, Kings Coll London, Inst Psychiat Psychol \& Neurosci, Dept Biostat \&
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Hlth Informat, London SE5 8AF, England.
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Fleischmann, Maria; Murray, Emily T.; Xue, Baowen; Zaninotto, Paola; Head, Jenny,
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UCL, Dept Epidemiol \& Publ Hlth, London, England.
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Goldberg, Marcel; Zins, Marie, INSERM, Populat Based Epidemiol Cohorts Unit UMS
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011, Villejuif, France.
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Goldberg, Marcel; Zins, Marie, Paris Descartes Univ, Paris, France.
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Kuh, Diana; Stafford, Mai, UCL, MRC Unit Lifelong Hlth \& Ageing, London, England.
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Stansfeld, Stephen, Queen Mary Univ London, Wolfson Inst Prevent Med, London, England.
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Vahtera, Jussi, Univ Turku, Dept Publ Hlth, Turku, Finland.
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Vahtera, Jussi, Turku Univ Hosp, Turku, Finland.
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Zins, Marie, INSERM UMR 1168, VIMA, Villejuif, France.'
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author: Carr, Ewan and Fleischmann, Maria and Goldberg, Marcel and Kuh, Diana and
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Murray, Emily T. and Stafford, Mai and Stansfeld, Stephen and Vahtera, Jussi and
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Xue, Baowen and Zaninotto, Paola and Zins, Marie and Head, Jenny
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author-email: ewan.carr@kcl.ac.uk
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author_list:
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- family: Carr
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given: Ewan
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- family: Fleischmann
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given: Maria
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- family: Goldberg
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given: Marcel
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- family: Kuh
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given: Diana
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- family: Murray
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given: Emily T.
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- family: Stafford
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given: Mai
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- family: Stansfeld
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given: Stephen
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- family: Vahtera
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given: Jussi
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- family: Xue
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given: Baowen
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- family: Zaninotto
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given: Paola
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- family: Zins
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given: Marie
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- family: Head
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given: Jenny
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da: '2023-09-28'
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doi: 10.1136/oemed-2017-104619
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eissn: 1470-7926
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files: []
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issn: 1351-0711
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journal: OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
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keywords-plus: 'CORONARY-HEART-DISEASE; SOCIOECONOMIC INEQUALITIES; DISABILITY
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RETIREMENT; HEALTH INEQUALITIES; PAID EMPLOYMENT; WESTERN-EUROPE;
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WHITEHALL-II; RISK-FACTORS; SOCIAL-CLASS; WORK'
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language: English
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month: MAY
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number: '5'
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number-of-cited-references: '39'
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orcid-numbers: 'Goldberg, Marcel/0000-0002-6161-5880
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Kuh, Diana/0000-0001-7386-2857
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Xue, Baowen/0000-0003-0180-8776
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Zaninotto, Paola/0000-0003-3036-0499
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Vahtera, Jussi/0000-0002-6036-061X
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Murray, Emily/0000-0001-6297-6920
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Fleischmann, Maria/0000-0001-9023-5150'
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pages: 369-377
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papis_id: b6caa0315525ad880980791dcb348985
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ref: Carr2018occupationaleducatio
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researcherid-numbers: 'Head, Jenny/GYA-2625-2022
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Goldberg, Marcel/I-7834-2012
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Kuh, Diana/L-6019-2014
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Vahtera, Jussi/J-3271-2013
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Zins, Marie/AAX-6551-2021
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'
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times-cited: '40'
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title: 'Occupational and educational inequalities in exit from employment at older
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ages: evidence from seven prospective cohorts'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000430495900008
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usage-count-last-180-days: '3'
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usage-count-since-2013: '17'
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volume: '75'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2018'
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