scholarly journals Learning to Work With Chronic Health Conditions: How Time Since Diagnosis Affects Older Workers' Vitality and Worries

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 556-557
Author(s):  
Anushiya Vanajan ◽  
Ute Bültmann ◽  
Kène Henkens
Keyword(s):  
Older Workers ◽  
Least Square ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Vulnerable Groups ◽  
Physical Endurance ◽  
Newly Diagnosed ◽  
Work Lives ◽  
Chronic Health ◽  
New Diagnosis

Abstract Background. Chronic health conditions (CHCs) pose stark detrimental effects on the health and abilities of older workers. The extent of these effects depend on the CHC, the time since its diagnosis and the type of health measure: a rarely explored combination of heterogeneities. Objective. This study examined how four existing and newly diagnosed CHCs influences older workers’ vitality and worries about enduring physically and mentally until retirement age. Method: Data from two waves of the NIDI Pension Panel survey conducted in the Netherlands in 2015 and 2018 were used. We analyzed a sample of 1,894 older workers between the ages of 60-62 years at wave 1 using conditional change ordinal least square regression models. Results: Having a CHC at wave 1 was associated with lower levels of vitality and higher levels of worries at wave 2. These effects of CHCs on vitality and worries were much larger for older workers who were newly diagnosed with CHCs compared to those who experienced CHCs for longer. Intriguingly, the new diagnosis of physically disabling conditions increased worries about physical endurance at wave 2, while the new diagnosis of mentally disabling conditions increased worries about mental endurance at wave 2. Conclusion: By distinguishing the effects of four existing and newly diagnosed CHCs on vitality and worries, this study allows the identification of vulnerable groups of older workers. The findings may inform work accommodations and interventions which could improve both the quality and sustainability of work lives, while promoting healthy ageing of older workers.

scholarly journals Chronic health conditions and work-related stress in older adults participating in the Dutch workforce

2020 ◽  
Vol 17 (4) ◽  
pp. 499-508
Author(s):  
Miriam Mutambudzi ◽  
Kene Henkens
Keyword(s):  
Older Adults ◽  
Sleep Disorders ◽  
Work Stress ◽  
Older Workers ◽  
Pension Reform ◽  
Panel Study ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Physical Demands ◽  
Chronic Health

AbstractThe proportion of workers with chronic health conditions (CHCs) will increase over the years as pension reform is increasing the age of retirement in many European countries. This will increase the percentage of older adults with CHCs performing highly demanding work. This study sought to examine the association between common CHCs [cardiovascular disease (CVD), diabetes, arthritis, respiratory and sleep disorders] and three domains of work stress in older Dutch workers. This study used data from the first wave of the NIDI Pension Panel Study for working adults aged 60–65 years (n = 6793). Logistic regression models examined the strength of association between CHCs and (1) general work stress, (2) emotional, and (3) physical demands. All five CHC were independently associated with one or more domains of stress. After including all CHCs in the model, CVD, sleep disorders, and arthritis were significantly associated with general stress. Respiratory disorders, sleep disorders, and arthritis were significantly associated with physical demands. Diabetes (1.25, 95% CI 1.01–1.53), sleep disorders (1.99, 95% CI 1.72–2.31), and arthritis (1.18, 95% CI 1.06–1.31) were significantly associated with emotional demands. Our findings demonstrate that work stress is associated with prevalent CHCs, and these conditions are differentially associated with several domains of work stress in adults approaching retirement. More research is needed to understand the causal relationship between CHCs and work stress. Such research may provide insights for effective workplace and public health interventions to ensure that older workers remain physically and mentally healthy, and productive through their working years.

scholarly journals Why do older workers with chronic health conditions prefer to retire early?

2020 ◽  
Vol 49 (3) ◽  
pp. 403-410 ◽  
Author(s):  
Anushiya Vanajan ◽  
Ute Bültmann ◽  
Kène Henkens
Keyword(s):  
Cardiovascular Disease ◽  
Older Workers ◽  
Early Retirement ◽  
Psychological Disorders ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Chronic Health ◽  
Targeted Interventions ◽  
Working Lives ◽  
Health Related

Abstract Background older workers experiencing chronic health conditions (CHCs) are more likely to retire early. The different pathways through which CHCs stimulate retirement preferences, however, remain largely unexplored. Objective we present a more comprehensive model in which we test the different pathways through which four specific CHCs—arthritis, cardiovascular disease, sleep disorders and psychological disorders—influence early retirement preferences. We hypothesize that the association between CHCs and early retirement preferences is differentially mediated by subjective life expectancy (SLE), perceived health-related work limitations (HRWL) and vitality. Methods we collected data from 5,696 wage-employed older workers (60 to 64 years) in the Netherlands in 2015. Regression models were estimated to examine the associations between CHCs and early retirement preferences. Mediation analysis with the Karlson, Holm and Breen method was used to examine potential mediation pathways. Results SLE, HRWL and vitality mediated the association between CHCs and older workers’ early retirement preferences. The dominant mediator differed depending on the CHC. Severe HRWL predominantly guided the retirement preferences of older workers with arthritis and cardiovascular disease. Lower vitality mainly mediated retirement preferences of older workers with sleep and psychological disorders. Lower SLE was a significant mediation pathway for older workers with cardiovascular diseases. Conclusions HRWL and vitality play a major role in determining retirement preferences of older workers experiencing CHCs. Since both mediators are modifiable, targeted interventions may not only extend older workers’ working lives, but also improve the quality of their working lives.

scholarly journals Support for a Lower State Pension Age for Disadvantaged Older Workers

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 463-464
Author(s):  
Jaap Oude Mulders ◽  
Hendrik Van Dalen ◽  
Kène Henkens
Keyword(s):  
Labor Market ◽  
Informal Care ◽  
Older Workers ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Lower State ◽  
Physical Strain ◽  
Chronic Health ◽  
State Pension ◽  
Pension Benefits

Abstract Due to policy reforms, early exit from the labor market has decreased substantially and people are participating in the labor market until much higher ages than before. As a result, there are increasingly many people that struggle to continue working until they can comfortably retire, for example due to chronic health conditions or having to provide informal care. A potential solution would be to grant earlier access to state pension benefits (such as Social Security) for disadvantaged older workers. While it is known that many people are supportive of such a policy, the question remains how much earlier access would be granted under which circumstances. Here, using a quasi-experimental vignette design (10,350 observations nested in 2,070 respondents), we study how much earlier Dutch people would like to grant access to disadvantaged older workers. Relevant characteristics of older workers that are judged are the age at which they started working, the level of physical strain in their job, whether they have chronic health conditions, and whether they provide informal care to a loved one. The result show that, on average, people would grant older workers with chronic muscoskeletal conditions or cardiovascular disease one year earlier access to the state pension than normal, while older workers that provide daily informal care would be granted 10 months earlier access. Cumulative disadvantage could lead to a maximum of three years earlier access to pension benefits. This study provides important insights into fairness considerations surrounding state pension provisions, and implications for practice will be discussed.

scholarly journals WHY DO OLDER WORKERS WITH CHRONIC HEALTH CONDITIONS PREFER TO RETIRE EARLY?

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S43-S43
Author(s):  
Anushiya Vanajan ◽  
Ute Bültmann ◽  
Kène Henkens
Keyword(s):  
Cardiovascular Disease ◽  
Life Expectancy ◽  
Older Workers ◽  
Psychological Disorders ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Chronic Health ◽  
Work Limitations ◽  
Working Lives ◽  
Health Related

Abstract Older workers experiencing chronic health conditions (CHCs) are more likely to retire early. Current literature, however, lacks knowledge on the different pathways through which CHCs stimulate retirement preference. Earlier research is highly fragmented. Some studies have found CHCs to impact vitality, work limitations, or subjective life expectancy. Others have found vitality, work limitations, or subjective life expectancy to predict retirement preferences. We present a comprehensive model in which we hypothesize that the effects of four CHCs - arthritis, cardiovascular disease, sleep disorders, and psychological disorders - on retirement preferences are differentially mediated by vitality, health-related work limitations, and subjective life expectancy. We analyzed data from 6,294 older workers (60 – 65 years) in the Netherlands. Effects of CHCs on older workers’ retirement preferences were mediated by vitality, health-related work limitations, and subjective life expectancy. The main mediation pathway differed for each CHC. Severe health-related work limitations among older workers with arthritis (65.6% mediated) and cardiovascular disease (44.0%) predominantly guided their retirement preferences. Lower vitality levels mainly mediated retirement preferences of older workers with sleep (59.1%) and psychological disorders (52.9%). Lower subjective life expectancy was a significant mediation pathway (13.7%) for older workers with cardiovascular diseases. Extending working lives is a key public health and policy challenge. We show that health-related work limitations and vitality play a major role in determining retirement preferences of older workers experiencing CHCs. Since both mediators are modifiable, targeted interventions may not only extend the working lives of older workers, but also improve its quality.

Saskatoon in motion: Class vs. home-based exercise intervention in older adults with chronic health conditions

2005 ◽  
Author(s):  
Bruce Reeder ◽  
Karen Chad ◽  
Liz Harrison ◽  
Nigel Ashworth ◽  
Suzanne Sheppard ◽  
...  
Keyword(s):  
Older Adults ◽  
Exercise Intervention ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Chronic Health ◽  
Home Based
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