The development of working life expectancy without musculoskeletal diseases against the backdrop of extended working lives.

Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101563288 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-2322 (Electronic) Linking ISSN: 20452322 NLM ISO Abbreviation: Sci Rep Subsets: MEDLINE

Original Publication: London : Nature Publishing Group, copyright 2011-

Life Expectancy* ; Musculoskeletal Diseases*/epidemiology; Humans ; Male ; Female ; Educational Status ; Employment ; Retirement

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.
(© 2024. The Author(s).)

SSM Popul Health. 2022 Aug 28;19:101215. (PMID: 36091300)
Lancet Public Health. 2020 Jul;5(7):e395-e403. (PMID: 32619541)
J Epidemiol Community Health. 2023 Jul;77(7):430-439. (PMID: 37193584)
Ann Transl Med. 2020 Mar;8(6):299. (PMID: 32355743)
J Epidemiol Community Health. 2020 Jun;74(7):592-597. (PMID: 32277000)
Gesundheitswesen. 2021 Nov;83(S 02):S77-S86. (PMID: 34695865)
Eur J Ageing. 2022 May 23;19(4):1263-1276. (PMID: 36506674)
Arthritis Rheumatol. 2021 Apr;73(4):702-714. (PMID: 33150702)
Scand J Work Environ Health. 2022 May 1;48(4):253-263. (PMID: 35260910)
Demography. 2023 Aug 1;60(4):1115-1137. (PMID: 37395719)
BMC Med Res Methodol. 2020 Sep 11;20(1):229. (PMID: 32917135)
BMJ Open. 2022 Jul 14;12(7):e061085. (PMID: 35835526)
Front Oncol. 2022 Apr 14;12:827028. (PMID: 35494022)
Int J Public Health. 2018 Jul;63(6):713-722. (PMID: 29846767)
Lancet Healthy Longev. 2021 Oct;2(10):e629-e638. (PMID: 36098019)
J Nutr Health Aging. 2007 Nov-Dec;11(6):508-14. (PMID: 17985068)
BMC Musculoskelet Disord. 2017 Jun 21;18(1):271. (PMID: 28633661)
Popul Health Metr. 2021 Dec 24;19(1):47. (PMID: 34952590)
Occup Environ Med. 2019 Jun;76(6):363-369. (PMID: 30928906)
Eur J Ageing. 2020 Dec 3;19(1):75-93. (PMID: 35241999)
Eur J Public Health. 2022 Oct 3;32(5):729-734. (PMID: 36069835)
J Aging Health. 2016 Oct;28(7):1194-213. (PMID: 27590798)
Scand J Work Environ Health. 2019 Jan 1;45(1):73-81. (PMID: 30176168)
Dtsch Arztebl Int. 2022 Nov 18;119(46):785-792. (PMID: 36350160)

not assigned AOK Niedersachsen (Statutory Local Health Insurance of Lower Saxony); TE 1395/1-1 Deutsche Forschungsgemeinschaft

Date Created: 20240404 Date Completed: 20240408 Latest Revision: 20240408

20240408

PMC10994922

10.1038/s41598-024-58650-2

38575680