Work, age, health and employment a conceptual framework

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1 Work, age, health and employment a conceptual framework Hans Martin Hasselhorn Federal Institute for Occupational Safety and Health, BAuA, Berlin Division Work and Health hasselhorn.hans 1

2 Work force and needs of work force in Germany million people available to the labour market in Germany work force numbers needed age groups source: Fuchs & Zika 2010 und Fuchs

3 Börsch Supan, 2005 The health of the older working population will be relevant for the future economic and social development of the ageing society... 3

4 overview 1. The health status of the older work force in Germany 2. What keeps older people working? a conceptual framework 3. Conclusions 4

5 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Agricultural Professions Agrarberufe Ingenieure Engineers Managers Professionen Professionals Techniker Technicians Qualif. Qualified kaufm./verwaltungsberufe administrative Prof. Semiprofessionen Professionals Einf. Basic kaufm./verwaltungsberufe administrative Professions Qualifizierte Qualified Services Dienste Qualifizierte Qualified manual manuelle Professions Berufe Einfache Low skilled Dienste Services Einfache Low skilled manuelle manual Berufe Workers Insgesamt ALL Work force in Germany: proportion of men with poor health 1834 years 3544 years 4554 years 5564 years source: Burr, Kersten, Kroll & Hasselhorn

6 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Agricultural Professions Agrarberufe Ingenieure Engineers Managers Professionen Professionals Techniker Technicians Qualif. Qualified kaufm./verwaltungsberufe administrative Prof. Semiprofessionen Professionals Einf. Basic kaufm./verwaltungsberufe administrative Professions Qualifizierte Qualified Services Dienste Qualifizierte Qualified manual manuelle Professions Berufe Einfache Low skilled Dienste Services Einfache Low skilled manuelle manual Berufe Workers Insgesamt ALL Work force in Germany: proportion of women with poor health 1834 years 3544 years 4554 years 5564 years source: Burr, Kersten, Kroll & Hasselhorn

7 1. The health of the older work force work / health social status life style 7

8 1. The health of the older work force Summary: There are professions who keep surprisingly healthy until higher working age. There are professions with a clearly increased risk for poor health in higher working age. The health differences between professions increase with increasing age group (Cross validations with different epidemiological approaches confirm the findings) Conclusions: There is no such THE older worker Working with poor health is reality for individuals and organisations Multiple factors contribute to good/poor health in professions source: Hasselhorn & Rauch

9 2. What keeps older people working? The lida conceptual framework on work, age and employment retirement work health? early at pension entitlement age social status life style later sources: Hasselhorn & Peter 2013, Ebener & Hasselhorn submitted 9

10 self rated health in the German population aged don t want 2. not allowed to health good/ very good poor 1. can 2. want 3. have to working (9 Mio) not working (5.9 Mio) 6.3 Mio 2.7 Mio 3.0 Mio 2.9 Mio source: GEDA09, RKI 2010, weighted data, own calc. 10

11 2. What keeps older people working? The lida conceptual framework on work, age and employment motivation retire ment work health? early at pension entitlement age social status life style work ability qualification abilities work later sources: Hasselhorn & Peter 2013, Ebener & Hasselhorn submitted 11

12 2. What keeps older people working? The lida conceptual framework on work, age and employment Summary: Retirement is complex, is a process, is individual AND has a strong structural component. Health is NOT automatically determining employment participation The question is rather, whether older people CAN work (Work Ability, Qualification) WANT to work (Motivation to work) are ALLOWED TO WORK (Labour market) Ebener & Hasselhorn submitted 12

13 3. Conclusions: Ageing workforce Is it possible without better working conditions? Measures where, what and when? 1. For some groups: YES, no additional measures needed For others: NO, measures needed 2. Interventions: What is the aim? To keep the workers healthy? To keep the workers productive? To prevent early exit? To make workers work longer? motivation workplace adaptation healthy workplaces qualification 13

14 references quoted BörschSupan A. Labor market effects of population aging. Presentation held at IZA Workshop The Older Worker in the Labor Market: Work Time and Work Incentives, May 16 17, 2005, Lisbon, Portugal [Revised draft: 02. May 2005] Burr H, Kersten N, Kroll L, Hasselhorn HM (2013) Selbstberichteter allgemeiner Gesundheitszustand nach Beruf und Alter in der Erwerbsbevölkerung. Bundesgesundheitsblatt, Gesundheitsforschung und Gesundheitsschutz 2013;56: Fuchs J (2013) Demografische Entwicklung und Veränderung des Arbeitsmarktes. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2013;56: Fuchs J, Zika G (2010) Arbeitsmarktbilanz bis 2025 Demografie gibt die Richtung vor. IAB Kurzbericht 12/2010 Hasselhorn HM, Peter R, Rauch A et al. (2014) Cohort profile: The lida Cohort Study a German Cohort Study on Work, Age, Health and Work Participation. International Journal of Epidemiology, 2014, 1 14 Hasselhorn HM, Rauch A (2013) Perspektiven von Arbeit, Alter, Gesundheit und Erwerbsteilhabe in Deutschland. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2013;56: Hasselhorn HM, Peter R (2013) Die Rolle der Arbeit bei der Sicherung der Erwerbsteilhabe der älteren Bevölkerung. Sichere Arbeit 2013;4:

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