The development of working life expectancy without musculoskeletal diseases against the backdrop of extended working lives
Abstract Musculoskeletal diseases (MSDs) are a major predictor of early retirement. Against the backdrop of the extension of working life, we investigated time trends and educational inequalities in years spent in the labour market free of MSD. Based on German statutory health insurance data (N = 3,...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2024-04-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-024-58650-2 |
| _version_ | 1797219905922138112 |
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| author | Juliane Tetzlaff Jelena Epping Jona Theodor Stahmeyer Falk Liebers Janice Hegewald Stefanie Sperlich Johannes Beller Fabian Tetzlaff |
| author_facet | Juliane Tetzlaff Jelena Epping Jona Theodor Stahmeyer Falk Liebers Janice Hegewald Stefanie Sperlich Johannes Beller Fabian Tetzlaff |
| author_sort | Juliane Tetzlaff |
| collection | DOAJ |
| description | Abstract Musculoskeletal diseases (MSDs) are a major predictor of early retirement. Against the backdrop of the extension of working life, we investigated time trends and educational inequalities in years spent in the labour market free of MSD. Based on German statutory health insurance data (N = 3,405,673), total life years free of MSD (Healthy Life Expectancy, HLE) and years spent in the labour force free of MSD (Healthy Working Life Expectancy, HWLE) were estimated for three periods (2006–2008, 2011–2013, 2016–2018) using multistate analyses. Educational inequalities (8 to 11 vs. 12 or more years of schooling) are reported for 2011–2013. HLE decreased slightly over time in all genders. HWLE in women increased, while it remained rather constant in men. Over time, the share of years in the labour force spent free of MSD declined continuously. People with lower education had lower HLE and HWLE than individuals with higher education. With respect to musculoskeletal diseases, the increase in disease-free working life years cannot keep pace with the extension of working life, resulting in an increasing proportion of years spent in impaired musculoskeletal health in the labour market. Effective prevention strategies are needed, focusing especially on individuals with lower educational attainment. |
| first_indexed | 2024-04-24T12:41:05Z |
| format | Article |
| id | doaj.art-ff39b117c6ed4573939587a2798d37d9 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-24T12:41:05Z |
| publishDate | 2024-04-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-ff39b117c6ed4573939587a2798d37d92024-04-07T11:14:38ZengNature PortfolioScientific Reports2045-23222024-04-011411910.1038/s41598-024-58650-2The development of working life expectancy without musculoskeletal diseases against the backdrop of extended working livesJuliane Tetzlaff0Jelena Epping1Jona Theodor Stahmeyer2Falk Liebers3Janice Hegewald4Stefanie Sperlich5Johannes Beller6Fabian Tetzlaff7Medical Sociology Unit, Hannover Medical SchoolMedical Sociology Unit, Hannover Medical SchoolAOK Niedersachsen- Statutory Health Insurance of Lower SaxonyFederal Institute for Occupational Safety and Health (BAuA)Federal Institute for Occupational Safety and Health (BAuA)Medical Sociology Unit, Hannover Medical SchoolMedical Sociology Unit, Hannover Medical SchoolDivision of Social Determinants of Health, Department of Epidemiology and Health Monitoring, Robert Koch-InstituteAbstract Musculoskeletal diseases (MSDs) are a major predictor of early retirement. Against the backdrop of the extension of working life, we investigated time trends and educational inequalities in years spent in the labour market free of MSD. Based on German statutory health insurance data (N = 3,405,673), total life years free of MSD (Healthy Life Expectancy, HLE) and years spent in the labour force free of MSD (Healthy Working Life Expectancy, HWLE) were estimated for three periods (2006–2008, 2011–2013, 2016–2018) using multistate analyses. Educational inequalities (8 to 11 vs. 12 or more years of schooling) are reported for 2011–2013. HLE decreased slightly over time in all genders. HWLE in women increased, while it remained rather constant in men. Over time, the share of years in the labour force spent free of MSD declined continuously. People with lower education had lower HLE and HWLE than individuals with higher education. With respect to musculoskeletal diseases, the increase in disease-free working life years cannot keep pace with the extension of working life, resulting in an increasing proportion of years spent in impaired musculoskeletal health in the labour market. Effective prevention strategies are needed, focusing especially on individuals with lower educational attainment.https://doi.org/10.1038/s41598-024-58650-2 |
| spellingShingle | Juliane Tetzlaff Jelena Epping Jona Theodor Stahmeyer Falk Liebers Janice Hegewald Stefanie Sperlich Johannes Beller Fabian Tetzlaff The development of working life expectancy without musculoskeletal diseases against the backdrop of extended working lives Scientific Reports |
| title | The development of working life expectancy without musculoskeletal diseases against the backdrop of extended working lives |
| title_full | The development of working life expectancy without musculoskeletal diseases against the backdrop of extended working lives |
| title_fullStr | The development of working life expectancy without musculoskeletal diseases against the backdrop of extended working lives |
| title_full_unstemmed | The development of working life expectancy without musculoskeletal diseases against the backdrop of extended working lives |
| title_short | The development of working life expectancy without musculoskeletal diseases against the backdrop of extended working lives |
| title_sort | development of working life expectancy without musculoskeletal diseases against the backdrop of extended working lives |
| url | https://doi.org/10.1038/s41598-024-58650-2 |
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