Worker and workplace determinants of employment exit: a register study

Background Workers with chronic illness are in higher risk of unemployment. This article investigated the worker and workplace characteristics associated with labour market inclusion for workers with a diagnosed chronic illness.Methods Linked employer-employee register data covering all Norwegian em...

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Main Authors: Kamrul Islam, Håvard Thorsen Rydland, Egil Kjerstad
Format: Article
Language:English
Published: BMJ Publishing Group 2024-03-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/3/e080464.full
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author Kamrul Islam
Håvard Thorsen Rydland
Egil Kjerstad
author_facet Kamrul Islam
Håvard Thorsen Rydland
Egil Kjerstad
author_sort Kamrul Islam
collection DOAJ
description Background Workers with chronic illness are in higher risk of unemployment. This article investigated the worker and workplace characteristics associated with labour market inclusion for workers with a diagnosed chronic illness.Methods Linked employer-employee register data covering all Norwegian employers and employees each month from February 2015 to December 2019 were merged with patient data from specialist healthcare (136 196 observations (job spells); 70 923 individual workers). Survival analysis was used to estimate the risk of employment exit, with age, gender, chronic illness, full-time/part-time employment, skill level, marital status, children in household, branch, share of chronically ill workers, firm size and unemployment rate as covariates.Results 85% of the study population was employed in December 2019; 58% remain employed throughout the follow-up period. Mental illness, male gender, young age, part-time employment and lower skill levels were the worker-level predictors of labour market exit. Employments in secondary industries, in firms with high shares of chronically ill workers and, to some extent, in larger firms were the significant workplace-level determinants.Conclusion Only a minority of our sample of workers with chronic illness experienced labour market exclusion. Targeted measures should be considered towards workers with poor mental health and/or low formal skills. Chronically ill workers within public administration have the best labour market prospects, while workplaces within the education branch have an unfulfilled potential.
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spelling doaj.art-8d438785011047a1b99f1563bac172602024-03-12T06:10:09ZengBMJ Publishing GroupBMJ Open2044-60552024-03-0114310.1136/bmjopen-2023-080464Worker and workplace determinants of employment exit: a register studyKamrul Islam0Håvard Thorsen Rydland1Egil Kjerstad2Department of Economics, University of Bergen, Bergen, NorwayHealth and Social Sciences, NORCE Norwegian Research Centre, Bergen, NorwayHealth and Social Sciences, NORCE Norwegian Research Centre, Bergen, NorwayBackground Workers with chronic illness are in higher risk of unemployment. This article investigated the worker and workplace characteristics associated with labour market inclusion for workers with a diagnosed chronic illness.Methods Linked employer-employee register data covering all Norwegian employers and employees each month from February 2015 to December 2019 were merged with patient data from specialist healthcare (136 196 observations (job spells); 70 923 individual workers). Survival analysis was used to estimate the risk of employment exit, with age, gender, chronic illness, full-time/part-time employment, skill level, marital status, children in household, branch, share of chronically ill workers, firm size and unemployment rate as covariates.Results 85% of the study population was employed in December 2019; 58% remain employed throughout the follow-up period. Mental illness, male gender, young age, part-time employment and lower skill levels were the worker-level predictors of labour market exit. Employments in secondary industries, in firms with high shares of chronically ill workers and, to some extent, in larger firms were the significant workplace-level determinants.Conclusion Only a minority of our sample of workers with chronic illness experienced labour market exclusion. Targeted measures should be considered towards workers with poor mental health and/or low formal skills. Chronically ill workers within public administration have the best labour market prospects, while workplaces within the education branch have an unfulfilled potential.https://bmjopen.bmj.com/content/14/3/e080464.full
spellingShingle Kamrul Islam
Håvard Thorsen Rydland
Egil Kjerstad
Worker and workplace determinants of employment exit: a register study
BMJ Open
title Worker and workplace determinants of employment exit: a register study
title_full Worker and workplace determinants of employment exit: a register study
title_fullStr Worker and workplace determinants of employment exit: a register study
title_full_unstemmed Worker and workplace determinants of employment exit: a register study
title_short Worker and workplace determinants of employment exit: a register study
title_sort worker and workplace determinants of employment exit a register study
url https://bmjopen.bmj.com/content/14/3/e080464.full
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