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Chronic Conditions Among Middle-Aged Canadians in the Workforce – the Rule not the Exception

Chronic Conditions Among Middle-Aged Canadians in the Workforce – the Rule not the Exception. Christina H. Chan 1 , Monique A.M. Gignac 2,3 , Elizabeth M. Badley 1,3. Canadian Public Health Association Conference 2014 May 28, 2014.

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Chronic Conditions Among Middle-Aged Canadians in the Workforce – the Rule not the Exception

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  1. Chronic Conditions Among Middle-Aged Canadians in the Workforce – the Rule not the Exception Christina H. Chan1, Monique A.M. Gignac2,3, Elizabeth M. Badley1,3 Canadian Public Health Association Conference 2014 May 28, 2014 Arthritis Community Research and Evaluation Unit, Toronto Western Research Institute, University Health Network Institute for Work and Health Dalla Lana School of Public Health

  2. Background • ↑ prevalence of chronic conditions with age • Onset often in middle-age years (45-55) – peak of working career for many • Previous research focus on negative impact: early retirement, decreased productivity, sick days

  3. Objective • Fewer studies focus on those who continue to work: • How many stay in labour force? • How prevalent are chronic conditions in the labour force? • Objective: To examine labour force participation among middle-aged Canadians with and without a variety of chronic health conditions using population-based data.

  4. Method: Data source • Secondary data analysis • Canadian Community Health Survey – Healthy Aging (2008-2009) • Nationally representative health survey • Age: 45+ • 30,865 individuals, 74.4% response rate • Questions on long-term health conditions, labour force participation (age 45-74)  derived variable: in labour force, not in labour force

  5. Method: Analysis • By 10-year age groups: 45-54, 55-64, 65-74 • Descriptive • Labour force participation (in labour force, not in labour force) • Prevalence of chronic conditions by labour force status • Multivariate log-Poisson regression • Outcome: In labour force • Independent: Chronic conditions (individual, #) • Controlled for sex, education level, marital status (and other chronic conditions)

  6. Results • Overall, 67.8% were in the labour force • 75.1% reported at least one chronic condition • More highly educated, married, and men more likely to be in labour force

  7. Results: by age groups

  8. Prevalence of chronic conditions and labour force participation At least one chronic condition Age 45-54 Age 55-64 Age 65-74 In LF, without condition In LF, with condition Not in LF, with condition Not in LF, without condition

  9. Prevalence of chronic conditions and labour force participation High blood pressure Back problems Arthritis Diabetes Thyroid condition Migraine Heart condition Osteoporosis Cataracts/glaucoma Mood disorder Asthma Anxiety disorder Age 45-54 Age 55-64 Age 65-74 In LF, without condition In LF, with condition Not in LF, with condition Not in LF, without condition

  10. Relative likelihood (prevalence ratio) of labour force participation High blood pressure Back problems Arthritis Diabetes Thyroid condition Migraine Heart condition Osteoporosis Cataracts/glaucoma Mood disorder Asthma Anxiety disorder Age 45-54 Age 55-64 Age 65-74 *Controlled for sex, education, marital status, other chronic conditions

  11. Results: Multimorbidity Age # condition 1 condition 45-54 2 conditions 3+ conditions 1 condition 2 conditions 55-64 3+ conditions 1 condition 2 conditions 65-74 3+ conditions

  12. Results: Multimorbidity Age # condition 1 condition 45-54 2 conditions 3+ conditions 1 condition 55-64 2 conditions 3+ conditions 1 condition 2 conditions 65-74 3+ conditions

  13. Limitations • Self-reported • Chronic conditions • Labour force • Misclassification of labour force status • Temporary absence and recent unemployment included as being in LF • No data on type of occupation • Important for some chronic conditions

  14. Summary 1. Age 45+: Majority in labour force report chronic diseases 2. Under age 65: Most with chronic diseases in labour force 3. Multimorbidityimportant predictor of labour force participation: individual conditions not highly associated

  15. Moving forward • Recognize high prevalence of chronic disease among middle-aged working Canadians • Improve accessibility of chronic disease management strategies to working population • Better research on effective workplace measures to maintain labour force participation, with emphasis on broadly applicable interventions rather than focus on disease-specific solutions • Address issue of multimorbidity

  16. Questions? Contact information: christina.chan@uhnresearch.ca

  17. Partly or not retired At this time, would you consider yourself to be completely retired, partly retired, or not retired? Last week, did you work at a job or a business? Yes In labourforce No Completely Retired Permanently unable to work Last week, did you have a job or business from which you were absent? Yes Not in labour force No Have you ever worked at a job or business? In the past 4 weeks did you do anything to find work? No Excluded Yes Yes No What is the main reason you are currently not working at a job or business? Did you work at a job or a business at any time in the past 12 months? Other No Yes Retired In labour force Not in labour force

  18. Characteristics of Study Population

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