abstract: 'Objectives The primary aim of this study was to investigate educational

  inequalities in health-related exit from paid employment through

  different pathways in five European regions. A secondary objective was

  to estimate the proportion of different routes out of paid employment

  that can be attributed to poor health across educational groups in five

  European regions.

  Methods Longitudinal data from 2005 up to 2014 were obtained from the

  four-year rotating panel of the European Union Statistics on Income and

  Living Conditions (EU-SILC), including 337 444 persons with 1 056 779

  observations from 25 countries. Cox proportional hazards models with

  censoring for competing events were used to examine associations between

  health problems and exit from paid employment. The population

  attributable fraction was calculated to quantify the impact of health

  problems on labor force exit.

  Results In all European regions, lower-educated workers had higher risks

  of leaving paid employment due to disability benefits {[}relative

  inequality (RI) 3.3-6.2] and unemployment (RI 1.9-4.5) than those with

  higher education. The fraction of exit from paid employment that could

  be attributed to poor health varied between the five European regions

  among lower-educated persons from 0.06-0.21 and among higher-educated

  workers from 0.03-0.09. The disadvantaged position of lower-educated

  persons on the labor market was primarily due to a higher prevalence of

  poor health.

  Conclusion In all European regions, educational inequalities exist in

  health-related exclusion from paid employment. Policy measures are

  needed to reduce educational inequalities in exit from paid employment

  due to poor health.'
affiliation: 'Schuring, M (Corresponding Author), Erasmus MC, Dept Publ Hlth, POB
  2040, NL-3000 CA Rotterdam, Netherlands.

  Schuring, Merel; Schram, Jolinda L. D.; Robroek, Suzan J. W.; Burdorf, Alex, Erasmus
  MC, Dept Publ Hlth, POB 2040, NL-3000 CA Rotterdam, Netherlands.'
author: Schuring, Merel and Schram, Jolinda L. D. and Robroek, Suzan J. W. and Burdorf,
  Alex
author-email: m.schuring@erasmusmc.nl
author_list:
- family: Schuring
  given: Merel
- family: Schram
  given: Jolinda L. D.
- family: Robroek
  given: Suzan J. W.
- family: Burdorf
  given: Alex
da: '2023-09-28'
doi: 10.5271/sjweh.3796
eissn: 1795-990X
files: []
issn: 0355-3140
journal: SCANDINAVIAN JOURNAL OF WORK ENVIRONMENT \& HEALTH
keywords: 'chronic disease; disability benefit; economic inactivity; Europe; labor

  force exit; leaving the labor force; limitation; retirement;

  unemployment'
keywords-plus: 'SELF-RATED HEALTH; ILL HEALTH; ATTRIBUTABLE FRACTION; JOB

  CHARACTERISTICS; DISABILITY PENSION; SOCIAL-CLASS; POOR HEALTH;

  FOLLOW-UP; POPULATION; RETIREMENT'
language: English
number: '4'
number-of-cited-references: '33'
orcid-numbers: 'Burdorf, Alex/0000-0003-3129-2862

  Robroek, Suzan/0000-0002-9427-9676'
pages: 346-355
papis_id: b615af0e9038788d6dd4b49ceed4c3bb
ref: Schuring2019contributionhealth
researcherid-numbers: 'Burdorf, Alex/A-2226-2008

  '
times-cited: '18'
title: The contribution of health to educational inequalities in exit from paid employment
  in five European regions
type: Article
unique-id: WOS:000473173000004
usage-count-last-180-days: '1'
usage-count-since-2013: '2'
volume: '45'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2019'