scholarly journals Age, period, and cohort effects for future employment, sickness absence, and disability pension by occupational gender segregation: a population-based study of all employed people in a country (> 3 million)

2019 ◽  
Vol 110 (5) ◽  
pp. 584-594 ◽  
Author(s):  
Lena Gonäs ◽  
Anders Wikman ◽  
Kristina Alexanderson ◽  
Klas Gustafsson
Keyword(s):  
Sickness Absence ◽  
Disability Pension ◽  
Population Based ◽  
Gender Segregation ◽  
Cohort Effects ◽  
Population Based Study ◽  
Occupational Gender ◽  
Occupational Gender Segregation

Changes in the gender segregation of occupations in Sweden between 2003 and 2011

2019 ◽  
Vol 47 (3) ◽  
pp. 344-347 ◽  
Author(s):  
Lena Gonäs ◽  
Anders Wikman ◽  
Marjan Vaez ◽  
Kristina Alexanderson ◽  
Klas Gustafsson
Keyword(s):  
Sickness Absence ◽  
Disability Pension ◽  
Service Sector ◽  
Gender Segregation ◽  
Gender Composition ◽  
Working Population ◽  
Skilled Professional ◽  
Occupational Gender ◽  
Male Dominated ◽  
Occupational Gender Segregation

Aim: The aim of this study was to analyze possible changes in the gender composition of occupations in Sweden, using register data covering the whole working population. Methods: Cross tabulations on gender by occupation were computed and comparisons made of numbers and proportions of women and men aged 20–64 years to illustrate occupational gender-segregation categories in 2003 and 2011, respectively. All of those in working ages, employed in 2003 and 2011 (4.2 resp 4.7 millions individuals), were included. Differences in the distribution of women and men in all occupations were summarized using two gender-segregation indexes from 2003 and 2011, separately. Results: The proportion of women increased in the gender-integrated (⩾40–<60% women) occupations. Also, the proportion of women in high-skilled professional occupations in the male-dominated category increased, as well as the proportion of men in mostly low-skilled female-dominated occupations, mainly in the service sector. The gender-segregation of occupations measured by the Index of Dissimilarly and the Karmel and MacLachlan Index was lower in 2011 than in 2003. Conclusions: The process of de-segregation has continued during our study period, from 2003 to 2011. The proportion of women increased in occupations that demand higher education, both in gender-integrated and in male-dominated occupations, which can contribute to a decrease in the level of sickness absence for women. Men increased their proportion in low-skilled, female-dominated occupations – a group with high levels of sickness absence or disability pension.

Gender segregation of occupations and sustainable employment: A prospective population-based cohort study

2018 ◽  
Vol 47 (3) ◽  
pp. 348-356 ◽  
Author(s):  
Lena Gonäs ◽  
Anders Wikman ◽  
Marjan Vaez ◽  
Kristina Alexanderson ◽  
Klas Gustafsson
Keyword(s):  
Cohort Study ◽  
Labour Market ◽  
Sickness Absence ◽  
Disability Pension ◽  
Population Based ◽  
Gender Segregation ◽  
Labour Market Situation ◽  
Market Situation ◽  
Male Dominated

Background: Although the labour market is characterized by a strong numerical gender segregation of occupations, there is little knowledge about the associations of this with the future labour market situation for an individual person. Objectives: This study aimed to elucidate whether working in a gender-segregated or gender-integrated occupation is associated with future labour market attachment and sickness absence or disability pensions among women and men. Methods: We used a population-based prospective cohort study with univariate and multiple logistic regression analyses stratified by gender, including all people living in Sweden aged 20–56 years and in paid work in 2003 ( n=3,239,989). They were followed up eight years later with regard to employment status, sickness absence and disability pension. Results: Women and men employed in extremely female-dominated occupations in 2003 had the highest employment levels and the lowest unemployment levels at follow up in 2011. When adjusting for age, level of education and sector of employment, the highest odds ratios (ORs) for not being employed in 2011 were found for women working in extremely male-dominated occupations in 2003 (OR 1.27; 95% CI 1.21–1.33) and for men in female-dominated occupations (OR 1.42; 95% CI 1.39–1.45) relative to those in gender-integrated occupations. Women in extremely male-dominated occupations had the highest ORs for sickness absence or the receipt of a disability pension at follow up (OR 1.26; 95% CI 1.17–1.36) and men in female-dominated occupations had the highest OR 1.15 (95% CI 1.11–1.20). Conclusions: For both women and men, the gender composition of the occupation they work in seems to be of importance for their future labour market attachment and sickness absence or receipt of a disability pension.

scholarly journals Gender, occupational gender segregation and sickness absence

2017 ◽  
Vol 61 (3) ◽  
pp. 227-245 ◽  
Author(s):  
Anne May Melsom ◽  
Arne Mastekaasa
Keyword(s):  
Labour Market ◽  
Sickness Absence ◽  
Working Conditions ◽  
Gender Segregation ◽  
Individual Characteristics ◽  
Fixed Effect ◽  
Health Differences ◽  
Occupational Gender ◽  
Occupational Gender Segregation ◽  
New Evidence

Women have much higher sickness absence rates than men. One prominent hypothesis is that this is a result of gender segregation in the labour market and the differences in employment or working conditions that follow from this. Previous studies assessing this idea give mixed results, but they do not take into account the possibility of selection effects. Long-term health differences between individuals may, for instance, influence both what jobs people end up in and their levels of sickness absence. In this paper, we provide new evidence on employment and working conditions as a cause of gender differences in sickness absence. We use individual fixed-effect models to account for selection based on stable individual characteristics. Like several previous studies, we find a U-shaped relationship with high absence in both male- and female-dominated occupations. However, the fixed-effect models show that this relationship is primarily caused by overrepresentation of absence-prone individuals in female-dominated occupations. Accounting for selection, the association between the proportion of women in the occupation and sickness absence is negative. As far as sickness absence is concerned, the gender segregation in the labour market thus seems to work to the advantage of women.

scholarly journals Trajectories of sickness absence and disability pension in colorectal cancer: a Swedish cohort study

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Chen ◽  
K Alexanderson
Keyword(s):  
Colorectal Cancer ◽  
Cohort Study ◽  
Sickness Absence ◽  
Educational Level ◽  
Disability Pension ◽  
Population Based ◽  
Work Situation ◽  
Working Age ◽  
Future Work ◽  
Very High

Abstract Background Working-aged colorectal cancer (CRC) patients have a much better survival nowadays, indicating the importance of their future work situation. We aimed to investigate trajectories of sickness absence and disability pension (SADP) days before and after CRC diagnosis and in references, and risk factors associated with different trajectories. Methods A longitudinal, population-based matched cohort study of 4735 CRC survivors in Sweden aged 19-62 when first diagnosed with CRC in 2008-2011, and 18,230 matched references was conducted, using microdata linked from several nationwide registers. The annual SADP net days for 2 years before through 5 years after diagnosis date were computed. A group-based trajectory model was used to depict SADP trajectories. Associations between trajectory membership, and sociodemographic and clinical variables were tested by chi2 test and multinomial logistic regression. Results Four trajectories of SADP days/year for CRC survivors were identified: “only increase around diagnosis” (52% of all, n = 2481), “slight increase after diagnosis” (27%), “high then decrease moderately after diagnosis” (13%), and “constantly very high” (8%). Educational level (R2=0.022), Charlson's Comorbidity Index (R2=0.029), and prediagnostic mental disorders (R2=0.066) were the strongest factors determining the SADP trajectory groups. In references, three trajectories (”constantly low” (80% of all), “constantly moderate and decrease gradually” (12%), and “very high then decrease overtime” (8%)) were identified. Conclusions Approximately 80% of CRC survivors return to a low level of SADP (0-60 days/year) at 5 years postdiagnosis. Prediagnostic status of mental disorders, somatic comorbidity, and low educational level are good indicators of future high SADP levels for CRC survivors. Key messages Most of working-age colorectal cancer survivors have low levels of sickness absence and disability pension days five years after their diagnosis. Trajectory analyses based on population-based register data can be used as a good approach in understanding future work situation regarding sick leave among working-age cancer survivors.

Future risk for disability pension among people with sickness absence due to otoaudiological diagnoses: a population-based cohort study with a 12-year follow-up

2011 ◽  
Vol 39 (5) ◽  
pp. 501-507 ◽  
Author(s):  
Klas Gustafsson ◽  
Gunnel Backenroth-Ohsako ◽  
Ulf Rosenhall ◽  
Elisabeth Ternevall-Kjerulf ◽  
Mats Ulfendahl ◽  
...  
Keyword(s):  
Cohort Study ◽  
Sickness Absence ◽  
Disability Pension ◽  
Population Based ◽  
Future Risk ◽  
Risk For Disability

Occupational Gender Segregation and the Earnings Gap: Changes in the 1980s

1995 ◽  
Vol 24 (4) ◽  
pp. 439-454 ◽  
Author(s):  
D.A. Cotter ◽  
J.M. Defiore ◽  
J.M. Hermsen ◽  
B.M. Kowalewski ◽  
R. Vanneman
Keyword(s):  
Gender Segregation ◽  
Earnings Gap ◽  
Occupational Gender ◽  
Occupational Gender Segregation

scholarly journals Associations of sickness absence and disability pension due to mental and somatic diagnoses when aged 60–64 with paid work after the standard retirement age; a prospective population-based cohort study in Sweden

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Aleksiina Martikainen ◽  
Alice Svensson Alavi ◽  
Kristina Alexanderson ◽  
Kristin Farrants
Keyword(s):  
Cohort Study ◽  
Sickness Absence ◽  
Disability Pension ◽  
Sociodemographic Factors ◽  
Population Based ◽  
Outcome Variable ◽  
Retirement Age ◽  
Paid Work ◽  
Diagnosis Group ◽  
Lower Likelihood

Abstract Background The proportion of people working beyond age 65 is increasing. We aimed to explore whether sickness absence (SA) and disability pension (DP) due to mental, somatic, or both diagnoses when aged 60–64 were associated with being in paid work when aged 66–71. Methods This prospective population-based cohort study included all 98,551 individuals who in 2010 turned 65 years, lived in Sweden, and were in paid work at some point when aged 60–64. Data from three nationwide registers were used with 2010 as baseline, with SA or/and DP as the exposure variables (2005–2009) and paid work as the outcome variable (2011–2016). Logistic regression was conducted to calculate odds ratios (OR) with 95% confidence intervals (CI) for the association between exposures and outcome, controlling for sociodemographic factors. The analyses were also stratified by sex. Results Nearly half were in paid work during follow-up. Those with SA due to mental diagnoses had lower likelihood of being in paid work among both sexes (women OR: 0.76; 95% CI: 0.69–0.84; men 0.74; 0.65–0.84), while this association was smaller for SA due to somatic diagnoses (women 0.87; 0.84–0.91; men 0.92; 0.89–0.96). SA due to both mental and somatic diagnoses was associated with a lower likelihood of paid work for men (0.77; 0.65–0.91), but not women (0.98; 0.88–1.09). Regardless of diagnosis group and sex, DP had the strongest association with not being in paid work (women mental DP 0.39; 0.34–0.45; women somatic DP 0.38; 0.35–0.41; women mental and somatic DP 0.28; 0.15–0.56; men mental DP 0.36; 0.29–0.43; men somatic DP 0.35; 0.32–0.38; men mental and somatic DP 0.22; 0.10–0.51). Combined SA and/or DP demonstrated ORs in-between the diagnosis groups of SA and DP alone (e.g., mental SA and/or DP women and men combined 0.61; 0.57–0.65). Conclusions SA and DP were negatively associated with being in paid work after the standard retirement age of 65. The association was especially strong for DP, irrespective of diagnosis group. Moreover, compared to somatic diagnoses, SA due to mental diagnoses had a stronger association with not being in paid work. More knowledge is needed on how mental SA impedes extending working life.

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