2023-09-28 14:46:10 +00:00
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abstract: 'Objective The study investigates the trends in health-related
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inequalities in paid employment among men and women in different
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educational groups in 26 countries in 5 European regions.
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Design Individual-level analysis of repeated cross-sectional annual data
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(2005-2014) from the EU Statistics on Income and Living Conditions.
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Setting 26 European countries in 5 European regions.
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Participants 1 844 915 individuals aged 30-59 years were selected with
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information on work status, chronic illness, educational background, age
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and gender.
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Outcome measures Absolute differences were expressed by absolute
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differences in proportion in paid employment between participants with
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and without a chronic illness, using linear regression. Relative
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differences were expressed by prevalence ratios in paid employment,
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using a Cox proportional hazard model. Linear regression was used to
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examine the trends of inequalities.
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Results Participants with a chronic illness had consistently lower
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labour force participation than those without illnesses. Educational
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inequalities were substantial with absolute differences larger within
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lower educated (men 21\%-35\%, women 10\%-31\%) than within higher
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educated (men 5\%-13\%, women 6\%-16\%). Relative differences showed
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that low-educated men with a chronic illness were 1.4-1.9 times (women
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1.3-1.8 times) more likely to be out of paid employment than
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low-educated persons without a chronic illness, whereas this was 1.1-1.2
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among high-educated men and women. In the Nordic, Anglo-Saxon and
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Eastern regions, these health-related educational inequalities in paid
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employment were more pronounced than in the Continental and Southern
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region. For most regions, absolute health-related educational
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inequalities in paid employment were generally constant, whereas
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relative inequalities increased, especially among low-educated persons.
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Conclusions Men and women with a chronic illness have considerable less
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access to the labour market than their healthy colleagues, especially
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among lower educated persons. This exclusion from paid employment will
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increase health inequalities.'
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affiliation: 'Schuring, M (Corresponding Author), Erasmus MC, Dept Publ Hlth, Rotterdam,
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Netherlands.
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Schram, Jolinda L. D.; Schuring, Merel; Hengel, Karen M. Oude; Burdorf, Alex, Erasmus
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MC, Dept Publ Hlth, Rotterdam, Netherlands.
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Hengel, Karen M. Oude, Netherlands Org Appl Sci Res TNO, Leiden, Netherlands.'
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article-number: e024823
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author: Schram, Jolinda L. D. and Schuring, Merel and Hengel, Karen M. Oude and Burdorf,
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Alex
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author-email: m.schuring@erasmusmc.nl
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author_list:
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- family: Schram
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given: Jolinda L. D.
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- family: Schuring
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given: Merel
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- family: Hengel
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given: Karen M. Oude
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- family: Burdorf
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given: Alex
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da: '2023-09-28'
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doi: 10.1136/bmjopen-2018-024823
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files: []
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issn: 2044-6055
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journal: BMJ OPEN
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keywords-plus: 'SELF-RATED HEALTH; SOCIAL INEQUALITIES; WELFARE REGIMES; CHRONIC
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ILLNESS; ODDS RATIO; CONSEQUENCES; UNEMPLOYMENT; DIFFERENCE; MORTALITY;
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SICKNESS'
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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: '48'
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orcid-numbers: Burdorf, Alex/0000-0003-3129-2862
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papis_id: 9987b60f37f603dffa71560bbc1b717a
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ref: Schram2019healthrelatededucati
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researcherid-numbers: Burdorf, Alex/A-2226-2008
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times-cited: '11'
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title: 'Health-related educational inequalities in paid employment across 26 European
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countries in 2005-2014: repeated cross-sectional study'
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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:000471192800090
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usage-count-last-180-days: '0'
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usage-count-since-2013: '1'
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volume: '9'
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web-of-science-categories: Medicine, General \& Internal
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year: '2019'
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