De invloed van psychosociale en fysieke werkgerelateerde factoren op vroegpensioen in elf Europese landen

2011 ◽  
Vol 24 (4) ◽  
Author(s):  
Suzan J.W. Robroek ◽  
Tilja I.J. Van den Berg ◽  
Alex Burdorf

The role of work-related factors on early retirement in 11 European countries The role of work-related factors on early retirement in 11 European countries Gedrag & Organisatie, volume 24, November 2011, nr. 4, pp. 451-463.With the ageing population there is a need to increase work participation. The longitudinal ‘Survey on Health and Ageing in Europe’ (SHARE-study) makes it possible to identify possible predictors of early retirement. The hypothesis is that poor working conditions might predict early retirement. The SHARE-study contains data from 4,673 workers aged 50-60 year with paid employment at baseline and information on work status during the four-year follow-up. During the follow-up period 14% of the workers exited the workforce due to early retirement. A low educational level, excessive alcohol consumption, a reduced self-perceived health, and a lack of job control were the most important predictors of early retirement. Preventive interventions aimed to prevent health problems might contribute to the prevention of early exit from work.

Author(s):  
Tea Lallukka ◽  
Leena Kaila-Kangas ◽  
Minna Mänty ◽  
Seppo Koskinen ◽  
Eija Haukka ◽  
...  

The contribution of physically demanding work to the developmental trajectories of sickness absence (SA) has seldom been examined. We analyzed the associations of 12 physical work exposures, individually and in combination, with SA trajectories among the occupationally active in the Finnish nationally representative Health 2000 survey. We included 3814 participants aged 30–59 years at baseline, when exposure history to work-related factors was reported. The survey and interview responses were linked with the annual number of medically confirmed SA spells through 2002–2008 from national registries. Trajectory analyses identified three SA subgroups: 1 = low (54.6%), 2 = slowly increasing (33.7%), and 3 = high (11.7%). After adjustments, sitting or use of keyboard >1 year was inversely associated with the high SA trajectory (odds ratio, OR, 0.57; 95% 95% confidence interval, CI, 0.43–0.77). The odds of belonging to the trajectory of high SA increased with an increasing number of risk factors, and was highest for those with ≥4 physical workload factors (OR 2.71; 95% CI 1.99–3.69). In conclusion, these findings highlight the need to find ways to better maintain the work ability of those in physically loading work, particularly when there occurs exposure to several workload factors.


RMD Open ◽  
2019 ◽  
Vol 5 (2) ◽  
pp. e001009 ◽  
Author(s):  
Isabelle Legroux ◽  
Bernard Cortet

Decreased mineral density is one of the major complications of anorexia nervosa. The phenomenon is even more pronounced when the disease occurs during adolescence and when the duration of amenorrhoea is long. The mechanisms underlying bone loss in anorexia are complex. Oestrogen deficiency has long been considered as the main factor, but cannot explain the phenomenon on its own. The essential role of nutrition-related factors—especially leptin and adiponectin—has been reported in recent studies. Therapeutic strategies to mitigate bone involvement in anorexia are still a matter for debate. Although resumption of menses and weight recovery appear to be essential, they are not always accompanied by a total reversal of bone loss. There are no studies in the literature demonstrating that oestrogen treatment is effective, and the best results seem to have been obtained with agents that induce bone formation—such as IGF-1—especially when associated with oestrogen. As such, bone management in anorexia remains difficult, hence, the importance of early detection and multidisciplinary follow-up.


2016 ◽  
Vol 215 ◽  
pp. 332-337 ◽  
Author(s):  
T.A. Kouwenhoven-Pasmooij ◽  
A. Burdorf ◽  
J.W. Roos-Hesselink ◽  
M.G.M. Hunink ◽  
S.J.W. Robroek

2013 ◽  
Vol 29 (3) ◽  
Author(s):  
Toon Taris ◽  
Irene Houtman ◽  
Wilmar Schaufeli

Burnout: the state of the art Burnout: the state of the art This manuscript presents an overview of the state-of-the-art in burnout research. Burnout is a work-related syndrome of extreme fatigue (exhaustion), distancing from work (cynicism), and low levels of professional efficacy, that is rooted in either the characteristics of one’s job or on individual’s way of coping with these characteristics. Being a work-related phenomenon, burnout can be distinguished from other, more general mental illness such as depression. Further, burnout and engagement can be distinguished as well.Burnout can be assessed by asking workers about their personal and subjective experience of their health. Objective ways of measuring burnout (e.g., using psychophysiological measures) have as yet not been useful. The emphasis on burnout as a work-related phenomenon is also evident from current theoretical perspectives. On the one hand, these perspectives highlight the role of work-related factors, whereas on the other hand these perspectives focus on the role of personality characteristics such as neuroticism and (over-)commitment. Burnout affects the organization as well as individual workers; it is related to elevated levels of sickness absence, a higher risk of work disability, and a lower level of work performance. Both person-directed and organization-directed interventions may affect burnout positively.


2012 ◽  
Vol 30 (5_suppl) ◽  
pp. 410-410 ◽  
Author(s):  
Alireza Mohammad Mohammadi ◽  
Samuel T. Chao ◽  
Brian I. Rini ◽  
Jorge A. Garcia ◽  
John H. Suh ◽  
...  

410 Background: Whole brain radiation therapy (WBRT) is considered standard treatment in patients with multiple brain metastases (BM). However, WBRT has limited efficacy in patients with BM from radio resistant tumors like renal cell carcinoma (RCC) where median survival is 2–4 months. The aim of this study is to evaluate outcomes in RCC patients with ≥5 BM treated with Stereotactic Radio-surgery (SRS) monotherapy or as part of a multimodality regimen. Methods: Data from 16 consecutive RCC patients with ≥5 simultaneous BM (99 lesions) treated with SRS at our institution (1999–2010) were analyzed. Patient demographics, tumor characteristics, treatment related factors and outcomes were statistically evaluated. Results: 12 male and 4 female patients (median age of 59) were treated. 62% of patients had concurrent systemic metastases to multiple organs at the time of treatment. 31% of patients were on active systemic treatment before SRS. Patients had prior cranial surgery 2(12%), WBRT 6(37%) and SRS 2(12%) previous to their presentation with ≥5 BM. Median interval between primary diagnoses and SRS was 2years (range 0–16). At the time of current SRS treatment 75% of patients had only mild neurological symptoms and median KPS was 80; 87% of patients were Recursive Partitioning Analysis Class II. Median number of lesion was 5 (max 10), and median total intracranial disease burden was 2cc (range 0.2–36.4). Post SRS for ≥5 BM, 9 of 16 patients required further intracranial therapy for new lesions, WBRT 3(19%) and SRS 6(37%). Mean follow up was 6.5 months from SRS for ≥5 BM (range 1-19). 12 patients (75%) died during follow up with neurological cause of death in 3(25%). Median overall survival (OS) was 7.1 months (range1–21). OS was 50% after 6 month and 31% after 1 year. Local control rate was achieved in 91% of targets in all evaluated patients. Conclusions: SRS is traditionally used to treat patients with a limited number of BM. This is the first series to evaluate the role of SRS in the management ≥5 BM in RCC. We demonstrate that using SRS in these patients results in excellent local disease control (91%) and acceptable OS. Hence, SRS should be considered in the ongoing management of patients even with extensive intracranial disease.


Author(s):  
Sookja Choi ◽  
Yunjeong Yi ◽  
Jiyun Kim

Adverse social behavior (ASB) by colleagues or superiors in the workplace is considered highly stressful for workers in South Korea. The authors investigate the mechanism by which ASB reduces productivity (measured in terms of sickness presenteeism (SP)), by examining the potential mediating role of musculoskeletal disorders (MSDs). All data are derived from the fourth Korean Working Conditions Survey, which investigated a representative sample of the working population. The authors analyze their general characteristics (age, gender, income, and education), work-related factors (job type, occupational ergonomic risk, job resource, employment contract, work schedule, working hour, and job demand), and health-related factors (self-rated health and MSDs). The authors use a two-step regression analysis to estimate the direct effect of ASB on SP and the indirect effect of SP via MSDs. The authors find that MSDs mediate 16.7% of the total effect of ASB on SP. When employment type and job conditions are considered, the role of the mediating variable in the group with a permanent contract, no shift or night work, and high working time is greater than the counterpart of each variable. Various strategies are needed to address MSDs according to the working environment, which might help limit the negative impact of ASB on SP.


2016 ◽  
Vol 25 (4) ◽  
pp. 590-597 ◽  
Author(s):  
Lady Catherine Cantor Cutiva ◽  
Alex Burdorf

Purpose We determined the natural course of voice complaints among school workers and established the risk factors associated with incidence and chronic voice complaints. Method We conducted a longitudinal study with an 11-month follow-up among 682 school workers. Participants filled out a questionnaire on individual and work-related conditions and the nature and severity of voice complaints. All participants who provided baseline data were contacted in the 11-month follow-up, if they were still working in the school. Short-term environmental measurements of physical work-related factors were conducted during visits at the workplaces. Logistic regression analysis was used to determine associations between work-related factors and voice complaints. Results We found a high occurrence of chronic voice complaints, a low recovery of 22%, and an annual incidence of 44%. A self-reported high noise level at the workplace was associated with the incidence of voice complaints (odds ratio = 2.45). Self-reported poor acoustics in the classroom was associated with chronic voice complaints (odds ratio = 1.76). Conclusions This unique longitudinal study among school workers presented some indications that self-reported high noise levels may contribute to the incidence of voice complaints, whereas self-reported poor acoustic conditions may be an important associated factor of chronic voice complaints.


2021 ◽  
Vol 9 ◽  
Author(s):  
Jia Song ◽  
Fang Liu ◽  
Xiaowei Li ◽  
Zhan Qu ◽  
Rongqiang Zhang ◽  
...  

Background: Employees who are physically present but work insufficiently because of illness are deemed as having presenteeism. In the health care setting, the issue has taken on greater importance because of the impairment of the physical and mental health of nurses and the nursing safety of the patients. According to the Job Demand-Resource Model, burnout may link emotional labor with presenteeism. Thus, this study analyzed the role of burnout as a mediating factor between the three types of emotional labor strategies and presenteeism among nurses in tertiary-level hospitals.Methods: A cross-sectional study of 1,038 nurses from six Chinese hospitals was conducted. The questionnaires, including the 14-item emotional labor strategies scale, 22-item Maslach Burnout Inventory scale, 6-item Stanford Presenteeism Scale, and items about demographic characteristics and work-related factors, were used to collect data. A multivariable linear regression was used to predict work-related factors and investigate the correlation of emotional labor, burnout, and presenteeism. The structural equation model was implemented to test the mediating effects of job burnout.Results: The results of the study showed that the average presenteeism score of the participants was 14.18 (4.33), which is higher than in Spanish, Portuguese, and Brazilian nurses. Presenteeism was explained by 22.8% of the variance in the final model in multivariable linear regression (P < 0.01). Presenteeism was found to be positively correlated with surface acting, emotionally expressed demands, deep acting, emotional exhaustion, depersonalization, and low personal accomplishment (P < 0.01). Notably, presenteeism was negatively correlated with deep acting (P < 0.01). In addition, burnout partially mediated the correlation between emotionally expressed demands, deep acting, and presenteeism with a mediatory effect of 24 and 63.31% of the total effect. Burnout completely mediated the association between surface acting and presenteeism, a mediating effect of 86.44% of the total effect.Conclusions: The results of this study suggested that different emotional labor strategies affect presenteeism, either directly or indirectly. Nursing managers should intervene to reduce presenteeism by improving the ability of the nurses to manage emotions, thereby alleviating burnout.


2007 ◽  
Vol 35 (1) ◽  
pp. 23-30 ◽  
Author(s):  
Karina Friis ◽  
Ola Ekholm ◽  
Yrsa A. Hundrup ◽  
Erik B. Obel ◽  
Morten Grønbæk

Aims: The aim of the study was to analyze the relationship between health, lifestyle, work-related and sociodemographic factors, and older nurses' exit from the labor market to Post-Employment Wage (PEW). PEW is an early retirement scheme to make it possible for workers to retire at the age of 60. Methods: The study was based on 5,538 nurses in the age of 51—59 who in 1993 completed a questionnaire on health, lifestyle, working environment, and sociodemographic factors. The survey information was combined with longitudinal data from the Danish Integrated Database for Labor Market Research compiled by Statistics Denmark. The follow-up period was from 1993 to 2002. Results: Nurses who had poor self-rated health were more likely to join PEW compared with nurses who considered their health as good (HR 1.28, 95% CI 1.16— 1.41). Low job influence, high workload, and physical job demands only marginally increased the probability of retiring. Nurses who have relatively low gross incomes had an increased probability of entering PEW compared with nurses with relatively high gross incomes (HR 1.60, CI 1.43—1.79). Having a spouse increased the probability of joining PEW, especially having a spouse who had retired or was unemployed. Conclusions: The retirement age among nurses is influenced by a number of sociodemographic, work-related, and health-related factors. Poor health, low income, living outside the Copenhagen area, being married, having a spouse who is outside the labor force, and working in the daytime are all predictors of early retirement among nurses. Poor working environment only marginally increased the probability of retiring early.


2006 ◽  
Vol 12 (Supplement) ◽  
pp. S23
Author(s):  
Cesar Cefferino ◽  
H Madariaga ◽  
R Palomino ◽  
M Pacheco ◽  
O Vega ◽  
...  

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