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Chronic diseases as predictors of labour market attachment after participation in subsidised re-employment programme: a 6-year follow-up study

Kivimäki M.; Pentti J.; Virtanen P.; Vahtera J.; Nwaru C.; Peutere L.

dc.contributor.authorKivimäki M.
dc.contributor.authorPentti J.
dc.contributor.authorVirtanen P.
dc.contributor.authorVahtera J.
dc.contributor.authorNwaru C.
dc.contributor.authorPeutere L.
dc.date.accessioned2022-10-28T13:05:49Z
dc.date.available2022-10-28T13:05:49Z
dc.identifier.urihttps://www.utupub.fi/handle/10024/162764
dc.description.abstract<p>Background: Little is known about the work patterns of re-employed people. We investigated the labour market attachment trajectories of re-employed people and assessed the influence of chronic diseases on these trajectories.</p><p>Methods: The study was based on register data of 18 944 people (aged 18–60 years) who participated in a subsidised re-employment programme in Finland. Latent class growth analysis with zero-inflated Poisson was used to model the labour market attachment trajectories over a 6-year follow-up time. Multinomial logistic regression was used to examine the associations between chronic diseases and labour market attachment trajectories, adjusting for age, gender, educational level, size of town and calendar year in subsidised re-employment programme.</p><p>Results: We identified four distinct labour market attachment trajectories, namely: strengthening (a relatively stable attachment throughout the follow-up time; 77%), delayed (initial weak attachment increasing later; 6%), leavers (attachment declined with time; 10%) and none-attached (weak attachment throughout the study period; 7%). We found that severe mental problems strongly increased the likelihood of belonging in the leavers (OR 3.61; 95% CI 2.23 to 5.37) and none-attached (OR 3.41; 95% CI 1.91 to 6.10) trajectories, while chronic hypertension was associated with none-attached (OR 1.37; 95% CI 1.06 to 1.77) trajectory. The associations between other chronic diseases (diabetes, heart disease, asthma and arthritics) and labour market attachment trajectories were less evident.</p><p>Conclusion:s Re-employed people appear to follow distinct labour market attachment trajectories over time. Having chronic diseases, especially mental disorders appear to increase the risk for relatively poor labour market attachment.<br /></p>
dc.language.isoen
dc.publisherBMJ Publishing Group
dc.titleChronic diseases as predictors of labour market attachment after participation in subsidised re-employment programme: a 6-year follow-up study
dc.identifier.urnURN:NBN:fi-fe2021042717400
dc.relation.volume71
dc.contributor.organizationfi=kansanterveystiede|en=Public Health|
dc.contributor.organizationfi=tyks, vsshp|en=tyks, vsshp|
dc.contributor.organization-code2607307
dc.converis.publication-id27313007
dc.converis.urlhttps://research.utu.fi/converis/portal/Publication/27313007
dc.format.pagerange1106
dc.format.pagerange1101
dc.identifier.eissn1470-2738
dc.identifier.jour-issn0143-005X
dc.okm.affiliatedauthorDataimport, tyks, vsshp
dc.okm.affiliatedauthorVahtera, Jussi
dc.okm.discipline3142 Public health care science, environmental and occupational healthen_GB
dc.okm.discipline3142 Kansanterveystiede, ympäristö ja työterveysfi_FI
dc.okm.internationalcopublicationinternational co-publication
dc.okm.internationalityInternational publication
dc.okm.typeJournal article
dc.publisher.countryBritanniafi_FI
dc.publisher.countryUnited Kingdomen_GB
dc.publisher.country-codeGB
dc.relation.doi10.1136/jech-2017-209271
dc.relation.ispartofjournalJournal of Epidemiology and Community Health
dc.relation.issue11
dc.year.issued2017


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