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The influence of adult ill health on occupational class mobility and mobility out of and into employment in The Netherlands

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  • van de Mheen, H.
  • Stronks, K.
  • Schrijvers, C. T. M.
  • Mackenbach, J. P.

Abstract

In the debate about the explanation of socio-economic health inequalities one of the important issues is the relative importance of health selection. The aim of this study was to investigate to what extent occupational class mobility and mobility out of and into employment are health-related, and in addition, to estimate the contribution of health-related social mobility to socio-economic health differences in the working population. Data were taken from the Longitudinal Study on Socio-Economic Health Differences in the Netherlands, which started in 1991; follow-up data were collected in 1995. The analysis is based on 2533 persons aged 15-59 at baseline. The influence of health problems in 1991 (perceived general health, health complaints and chronic conditions) on changes in occupational class between 1991 and 1995 was negligible. Neither upward nor downward mobility was affected by health problems. However, health problems in 1991 were significantly associated with a higher risk of mobility out of employment and a lower risk of mobility into employment in 1995. For example, for mobility out of employment among persons that reported at least one chronic condition in 1991, the odds ratio was 1.46. Health-related mobility out of employment substantially influences the estimate of socio-economic health inequalities in the working population (measured by current occupation). For manual workers, as compared to non-manual workers, the odds ratio for a less-than-good perceived general health was underestimated by 34% in 1995. Selective mobility into employment overestimates socio-economic inequalities in health in the working population by 9%. Respondents that moved into and out of employment were healthier than those that remained economically inactive, but their health was worse than of those that remained employed (both manual and non-manual). Implications for health policy are that the prospects for people with health problems to stay in paid employment should be improved.

Suggested Citation

  • van de Mheen, H. & Stronks, K. & Schrijvers, C. T. M. & Mackenbach, J. P., 1999. "The influence of adult ill health on occupational class mobility and mobility out of and into employment in The Netherlands," Social Science & Medicine, Elsevier, vol. 49(4), pages 509-518, August.
    • Handle: RePEc:eee:socmed:v:49:y:1999:i:4:p:509-518
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    Cited by:

    1. Thomas Barnay & François Legendre, 2012. "Simultaneous causality between health status and employment status within the population aged 30-59 in France," Working Papers halshs-00856217, HAL.
    2. Oliver Fritz & Peter Mayerhofer & Reinhard Haller & Gerhard Streicher & Florian Bachner & Herwig Ostermann, 2013. "Die regionalwirtschaftlichen Effekte der österreichischen Krankenanstalten," WIFO Studies, WIFO, number 46672, February.
    3. Zsuzsa Kapitany, 2009. "Non-employment, Ill-being and Subjective Well-being," CERS-IE WORKING PAPERS 0922, Institute of Economics, Centre for Economic and Regional Studies.
    4. Tøge, Anne Grete & Blekesaune, Morten, 2015. "Unemployment transitions and self-rated health in Europe: A longitudinal analysis of EU-SILC from 2008 to 2011," Social Science & Medicine, Elsevier, vol. 143(C), pages 171-178.
    5. Myung Ki & Yvonne Kelly & Amanda Sacker & James Nazroo, 2013. "Poor health, employment transitions and gender: evidence from the British Household Panel Survey," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(4), pages 537-546, August.
    6. Erdogan-Ciftci, Esen & van Doorslaer, Eddy & Bago d'Uva, Teresa & van Lenthe, Frank, 2010. "Do self-perceived health changes predict longevity?," Social Science & Medicine, Elsevier, vol. 71(11), pages 1981-1988, December.
    7. Matthijs Kalmijn, 2005. "The Effects of Divorce on Men’s Employment and Social Security Histories," European Journal of Population, Springer;European Association for Population Studies, vol. 21(4), pages 347-366, December.
    8. Mel Bartley & Ian Plewis, 2007. "Increasing social mobility: an effective policy to reduce health inequalities," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 170(2), pages 469-481, March.
    9. Heinesen, Eskil & Imai, Susumu & Maruyama, Shiko, 2018. "Employment, job skills and occupational mobility of cancer survivors," Journal of Health Economics, Elsevier, vol. 58(C), pages 151-175.
    10. Tiikkaja, Sanna & Hemström, Örjan & Vågerö, Denny, 2009. "Intergenerational class mobility and cardiovascular mortality among Swedish women: A population-based register study," Social Science & Medicine, Elsevier, vol. 68(4), pages 733-739, February.
    11. Halleröd, Björn & Gustafsson, Jan-Eric, 2011. "A longitudinal analysis of the relationship between changes in socio-economic status and changes in health," Social Science & Medicine, Elsevier, vol. 72(1), pages 116-123, January.
    12. Guimarães, Joanna M.N. & Clarke, Philippa & Tate, Denise & Coeli, Claudia Medina & Griep, Rosane Harter & Fonseca, Maria de Jesus Mendes da & Santos, Itamar S. & Melo, Enirtes Caetano Prates & Chor, D, 2016. "Social mobility and subclinical atherosclerosis in a middle-income country: Association of intra- and inter-generational social mobility with carotid intima-media thickness in the Brazilian Longitudin," Social Science & Medicine, Elsevier, vol. 169(C), pages 9-17.
    13. Schiele, Valentin & Schmitz, Hendrik, 2016. "Quantile treatment effects of job loss on health," Journal of Health Economics, Elsevier, vol. 49(C), pages 59-69.
    14. Kim, Il-Ho & Muntaner, Carles & Khang, Young-Ho & Paek, Domyung & Cho, Sung-Il, 2006. "The relationship between nonstandard working and mental health in a representative sample of the South Korean population," Social Science & Medicine, Elsevier, vol. 63(3), pages 566-574, August.
    15. Anita Tisch, 2015. "Health, work ability and work motivation: determinants of labour market exit among German employees born in 1959 and 1965 [Gesundheit, Arbeitsfähigkeit und Arbeitsmotivation: Beweggründe für den Er," Journal for Labour Market Research, Springer;Institute for Employment Research/ Institut für Arbeitsmarkt- und Berufsforschung (IAB), vol. 48(3), pages 233-245, October.

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