The contribution of health to educational inequalities in exit from paid employment in five European regions
The contribution of health to educational inequalities in exit from paid employment in five European regions
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DOI：
10.5271/sjweh.3796
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发表时间：
2019-01-01
影响因子：
6.3
通讯作者：
Burdorf, Alex
中科院分区：
文献类型：
--
作者：
Schuring, Merel;Schram, Jolinda L. D.;Burdorf, Alex
目的-本研究的主要目的是调查教育不平等的健康相关的退出有偿就业，通过不同的途径在五个欧洲地区。第二个目标是估计的比例不同的路线出有偿就业，可以归因于整个教育群体在五个欧洲regions.Methods从2005年至2014年的纵向数据从四年轮换小组的欧盟统计收入和生活条件（EU-SILC），包括来自25个国家的337 444人和1 056 779次观察。考克斯比例风险模型与竞争事件删失被用来检查健康问题和退出有偿就业之间的关联。人口归因分数进行计算，以量化的健康问题对劳动力exit.Results的影响，在所有欧洲地区，教育程度较低的工人有较高的风险离开带薪就业，由于残疾福利[相对不平等（RI）3.3-6.2]和失业（RI 1.9-4.5）比那些受过高等教育。在五个欧洲区域，教育程度较低的人因健康状况不佳而退出有酬就业的比例从0.06-0.21不等，教育程度较高的工人从0.03-0.09不等。劳动力市场上的弱势地位，教育程度较低的人主要是由于一个较高的患病率差health.Conclusion在所有欧洲地区，教育不平等存在于健康相关的排斥有偿就业。需要采取政策措施，减少因健康状况不佳而退出有偿就业的教育不平等现象。
Objectives The primary aim of this study was to investigate educational inequalities in health-related exit from paid employment through different pathways in five European regions. A secondary objective was to estimate the proportion of different routes out of paid employment that can be attributed to poor health across educational groups in five European regions.Methods Longitudinal data from 2005 up to 2014 were obtained from the four-year rotating panel of the European Union Statistics on Income and Living Conditions (EU-SILC), including 337 444 persons with 1 056 779 observations from 25 countries. Cox proportional hazards models with censoring for competing events were used to examine associations between health problems and exit from paid employment. The population attributable fraction was calculated to quantify the impact of health problems on labor force exit.Results In all European regions, lower-educated workers had higher risks of leaving paid employment due to disability benefits [relative inequality (RI) 3.3-6.2] and unemployment (RI 1.9-4.5) than those with higher education. The fraction of exit from paid employment that could be attributed to poor health varied between the five European regions among lower-educated persons from 0.06-0.21 and among higher-educated workers from 0.03-0.09. The disadvantaged position of lower-educated persons on the labor market was primarily due to a higher prevalence of poor health.Conclusion In all European regions, educational inequalities exist in health-related exclusion from paid employment. Policy measures are needed to reduce educational inequalities in exit from paid employment due to poor health.