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Age, health and other factors associated with return to work for those engaging with a welfare-to-work initiative: a cohort study of administrative data from the UK’s Work Programme

OBJECTIVES: To investigate the role of individual factors (including age, health and personal circumstances) and external factors associated with clients having a job start while engaging with the Work Programme and variations by benefit type. SETTING: The UK Government’s main return to work initiat...

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Autores principales: Brown, Judith, Katikireddi, Srinivasa Vittal, Leyland, Alastair H, McQuaid, Ronald W, Frank, John, Macdonald, Ewan B
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6224745/
https://www.ncbi.nlm.nih.gov/pubmed/30368452
http://dx.doi.org/10.1136/bmjopen-2018-024938
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author Brown, Judith
Katikireddi, Srinivasa Vittal
Leyland, Alastair H
McQuaid, Ronald W
Frank, John
Macdonald, Ewan B
author_facet Brown, Judith
Katikireddi, Srinivasa Vittal
Leyland, Alastair H
McQuaid, Ronald W
Frank, John
Macdonald, Ewan B
author_sort Brown, Judith
collection PubMed
description OBJECTIVES: To investigate the role of individual factors (including age, health and personal circumstances) and external factors associated with clients having a job start while engaging with the Work Programme and variations by benefit type. SETTING: The UK Government’s main return to work initiative (The Work Programme) in Scotland. DESIGN: Piecewise Poisson regression to calculate incident rate ratios using administrative data from 2013 to 2016 to identify factors associated with job start. PARTICIPANTS: 4322 Employment and Support Allowance (ESA) clients not in work due to poor health and 8996 Jobseeker’s Allowance (JSA) clients, aged 18–64 years, referred to the Work Programme between April 2013 and July 2014. MAIN OUTCOME MEASURES: Starting a job and the time to first job start after entering the Work Programme. RESULTS: JSA clients (62%) were more likely to return to work (RTW) than ESA clients (20%). There is a strong negative relationship between age and the predicted probability of having a job start during the 2-year engagement with the programme for both JSA and ESA clients. JSA clients were most likely to RTW in the first 3 months, while for ESA clients the predicted probability of having a first job start was fairly constant over the 2 years. Health, including the number of health conditions, length of unemployment, client perception of job start and other individual factors were associated with job starts for both groups. CONCLUSIONS: Age plays an important role in influencing RTW; however, important potentially modifiable factors include the length of unemployment, the management of multimorbidity and the individual’s perception of the likelihood of job start. Future welfare-to-work programmes may be improved by providing age-specific interventions which focus on health and biopsychosocial factors to enable more people to realise the potential health benefits of RTW.
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spelling pubmed-62247452018-11-23 Age, health and other factors associated with return to work for those engaging with a welfare-to-work initiative: a cohort study of administrative data from the UK’s Work Programme Brown, Judith Katikireddi, Srinivasa Vittal Leyland, Alastair H McQuaid, Ronald W Frank, John Macdonald, Ewan B BMJ Open Public Health OBJECTIVES: To investigate the role of individual factors (including age, health and personal circumstances) and external factors associated with clients having a job start while engaging with the Work Programme and variations by benefit type. SETTING: The UK Government’s main return to work initiative (The Work Programme) in Scotland. DESIGN: Piecewise Poisson regression to calculate incident rate ratios using administrative data from 2013 to 2016 to identify factors associated with job start. PARTICIPANTS: 4322 Employment and Support Allowance (ESA) clients not in work due to poor health and 8996 Jobseeker’s Allowance (JSA) clients, aged 18–64 years, referred to the Work Programme between April 2013 and July 2014. MAIN OUTCOME MEASURES: Starting a job and the time to first job start after entering the Work Programme. RESULTS: JSA clients (62%) were more likely to return to work (RTW) than ESA clients (20%). There is a strong negative relationship between age and the predicted probability of having a job start during the 2-year engagement with the programme for both JSA and ESA clients. JSA clients were most likely to RTW in the first 3 months, while for ESA clients the predicted probability of having a first job start was fairly constant over the 2 years. Health, including the number of health conditions, length of unemployment, client perception of job start and other individual factors were associated with job starts for both groups. CONCLUSIONS: Age plays an important role in influencing RTW; however, important potentially modifiable factors include the length of unemployment, the management of multimorbidity and the individual’s perception of the likelihood of job start. Future welfare-to-work programmes may be improved by providing age-specific interventions which focus on health and biopsychosocial factors to enable more people to realise the potential health benefits of RTW. BMJ Publishing Group 2018-10-27 /pmc/articles/PMC6224745/ /pubmed/30368452 http://dx.doi.org/10.1136/bmjopen-2018-024938 Text en © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Public Health
Brown, Judith
Katikireddi, Srinivasa Vittal
Leyland, Alastair H
McQuaid, Ronald W
Frank, John
Macdonald, Ewan B
Age, health and other factors associated with return to work for those engaging with a welfare-to-work initiative: a cohort study of administrative data from the UK’s Work Programme
title Age, health and other factors associated with return to work for those engaging with a welfare-to-work initiative: a cohort study of administrative data from the UK’s Work Programme
title_full Age, health and other factors associated with return to work for those engaging with a welfare-to-work initiative: a cohort study of administrative data from the UK’s Work Programme
title_fullStr Age, health and other factors associated with return to work for those engaging with a welfare-to-work initiative: a cohort study of administrative data from the UK’s Work Programme
title_full_unstemmed Age, health and other factors associated with return to work for those engaging with a welfare-to-work initiative: a cohort study of administrative data from the UK’s Work Programme
title_short Age, health and other factors associated with return to work for those engaging with a welfare-to-work initiative: a cohort study of administrative data from the UK’s Work Programme
title_sort age, health and other factors associated with return to work for those engaging with a welfare-to-work initiative: a cohort study of administrative data from the uk’s work programme
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6224745/
https://www.ncbi.nlm.nih.gov/pubmed/30368452
http://dx.doi.org/10.1136/bmjopen-2018-024938
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