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Chronic diseases and multimorbidity among unemployed and employed persons in the Netherlands: a register-based cross-sectional study
OBJECTIVES: The first objective of this study was to describe the age-specific prevalence of chronic diseases and multimorbidity among unemployed and employed persons. The second objective was to examine associations of employment status and sociodemographic characteristics with chronic diseases and...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7333868/ https://www.ncbi.nlm.nih.gov/pubmed/32616488 http://dx.doi.org/10.1136/bmjopen-2019-035037 |
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author | Yildiz, Berivan Schuring, Merel Knoef, Marike G Burdorf, Alex |
author_facet | Yildiz, Berivan Schuring, Merel Knoef, Marike G Burdorf, Alex |
author_sort | Yildiz, Berivan |
collection | PubMed |
description | OBJECTIVES: The first objective of this study was to describe the age-specific prevalence of chronic diseases and multimorbidity among unemployed and employed persons. The second objective was to examine associations of employment status and sociodemographic characteristics with chronic diseases and multimorbidity. DESIGN: Data linkage of cross-sectional nationwide registries on employment status, medication use and sociodemographic characteristics in 2016 was applied. SETTING: Register-based data covering residents in the Netherlands. PARTICIPANTS: 5 074 227 persons aged 18–65 years were selected with information on employment status, medication use and sociodemographic characteristics. OUTCOME MEASURES: Multiple logistic regression analysis and descriptive statistics were performed to examine associations of employment and sociodemographic characteristics with the prevalence of chronic diseases and multimorbidity. The age-specific prevalence of six common chronic diseases was described, and Venn diagrams were applied for multimorbidity among unemployed and employed persons. RESULTS: Unemployed persons had a higher prevalence of psychological disorders (18.3% vs 5.4%), cardiovascular diseases (20.1% vs 8.9%), inflammatory diseases (24.5% vs 15.8%) and respiratory diseases (11.7% vs 6.5%) than employed persons. Unemployed persons were more likely to have one (OR 1.30 (1.29–1.31)), two (OR 1.74 (1.73–1.76)) and at least three chronic diseases (OR 2.59 (2.56–2.61)) than employed persons. Among unemployed persons, psychological disorders and inflammatory conditions increased with age but declined from middle age onwards, whereas a slight increase was observed among employed persons. Older persons, women, lower educated persons and migrants were more likely to have chronic diseases. CONCLUSION: Large differences exist in the prevalence of chronic diseases and multimorbidity among unemployed and employed persons. The age-specific prevalence follows a different pattern among employed and unemployed persons, with a relatively high prevalence of psychological disorders and inflammatory conditions among middle-aged unemployed persons. Policy measures should focus more on promoting employment among unemployed persons with chronic diseases. |
format | Online Article Text |
id | pubmed-7333868 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-73338682020-07-07 Chronic diseases and multimorbidity among unemployed and employed persons in the Netherlands: a register-based cross-sectional study Yildiz, Berivan Schuring, Merel Knoef, Marike G Burdorf, Alex BMJ Open Public Health OBJECTIVES: The first objective of this study was to describe the age-specific prevalence of chronic diseases and multimorbidity among unemployed and employed persons. The second objective was to examine associations of employment status and sociodemographic characteristics with chronic diseases and multimorbidity. DESIGN: Data linkage of cross-sectional nationwide registries on employment status, medication use and sociodemographic characteristics in 2016 was applied. SETTING: Register-based data covering residents in the Netherlands. PARTICIPANTS: 5 074 227 persons aged 18–65 years were selected with information on employment status, medication use and sociodemographic characteristics. OUTCOME MEASURES: Multiple logistic regression analysis and descriptive statistics were performed to examine associations of employment and sociodemographic characteristics with the prevalence of chronic diseases and multimorbidity. The age-specific prevalence of six common chronic diseases was described, and Venn diagrams were applied for multimorbidity among unemployed and employed persons. RESULTS: Unemployed persons had a higher prevalence of psychological disorders (18.3% vs 5.4%), cardiovascular diseases (20.1% vs 8.9%), inflammatory diseases (24.5% vs 15.8%) and respiratory diseases (11.7% vs 6.5%) than employed persons. Unemployed persons were more likely to have one (OR 1.30 (1.29–1.31)), two (OR 1.74 (1.73–1.76)) and at least three chronic diseases (OR 2.59 (2.56–2.61)) than employed persons. Among unemployed persons, psychological disorders and inflammatory conditions increased with age but declined from middle age onwards, whereas a slight increase was observed among employed persons. Older persons, women, lower educated persons and migrants were more likely to have chronic diseases. CONCLUSION: Large differences exist in the prevalence of chronic diseases and multimorbidity among unemployed and employed persons. The age-specific prevalence follows a different pattern among employed and unemployed persons, with a relatively high prevalence of psychological disorders and inflammatory conditions among middle-aged unemployed persons. Policy measures should focus more on promoting employment among unemployed persons with chronic diseases. BMJ Publishing Group 2020-07-02 /pmc/articles/PMC7333868/ /pubmed/32616488 http://dx.doi.org/10.1136/bmjopen-2019-035037 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/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 Yildiz, Berivan Schuring, Merel Knoef, Marike G Burdorf, Alex Chronic diseases and multimorbidity among unemployed and employed persons in the Netherlands: a register-based cross-sectional study |
title | Chronic diseases and multimorbidity among unemployed and employed persons in the Netherlands: a register-based cross-sectional study |
title_full | Chronic diseases and multimorbidity among unemployed and employed persons in the Netherlands: a register-based cross-sectional study |
title_fullStr | Chronic diseases and multimorbidity among unemployed and employed persons in the Netherlands: a register-based cross-sectional study |
title_full_unstemmed | Chronic diseases and multimorbidity among unemployed and employed persons in the Netherlands: a register-based cross-sectional study |
title_short | Chronic diseases and multimorbidity among unemployed and employed persons in the Netherlands: a register-based cross-sectional study |
title_sort | chronic diseases and multimorbidity among unemployed and employed persons in the netherlands: a register-based cross-sectional study |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7333868/ https://www.ncbi.nlm.nih.gov/pubmed/32616488 http://dx.doi.org/10.1136/bmjopen-2019-035037 |
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