The relationship between physical and psychosocial workplace exposures and life expectancy free of musculoskeletal and cardiovascular disease in working life – an analysis based on German health insurance data
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| Titel: | The relationship between physical and psychosocial workplace exposures and life expectancy free of musculoskeletal and cardiovascular disease in working life – an analysis based on German health insurance data |
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| Autoren: | Mond, Lieselotte, Hegewald, Janice, Liebers, Falk, Epping, Jelena, Beller, Johannes, Sperlich, Stefanie, Stahmeyer, Jona Theodor, Tetzlaff, Juliane |
| Quelle: | BMC Public Health BMC Public Health, Vol 24, Iss 1, Pp 1-10 (2024) |
| Verlagsinformationen: | Springer Science and Business Media LLC, 2024. |
| Publikationsjahr: | 2024 |
| Schlagwörter: | Male, Adult, Adolescent, Young Adult, 03 medical and health sciences, Life Expectancy, 0302 clinical medicine, Germany, Occupational Exposure, Humans, Physical workplace exposures, Musculoskeletal Diseases, Workplace, Aged, Insurance, Health, Musculoskeletal diseases, Research, Disease-free life expectancy, Middle Aged, 3. Good health, Cardiovascular diseases, Claims Data, Cardiovascular Diseases, 8. Economic growth, Job exposure matrix, Female, Aged [MeSH], Workplace/statistics, Musculoskeletal Diseases/psychology [MeSH], Germany/epidemiology [MeSH], Male [MeSH], Cardiovascular Diseases/mortality [MeSH], Insurance, Health/statistics, Adolescent [MeSH], Female [MeSH], Adult [MeSH], Humans [MeSH], Cardiovascular Diseases/epidemiology [MeSH], Occupational Exposure/statistics, Middle Aged [MeSH], Life Expectancy [MeSH], Young Adult [MeSH], Workplace/psychology [MeSH], Occupational Exposure/adverse effects [MeSH], Musculoskeletal Diseases/epidemiology [MeSH], Psychosocial Workplace exposures, Public aspects of medicine, RA1-1270 |
| Beschreibung: | Background Against the backdrop of the debate on extending working life, it is important to identify vulnerable occupational groups by analysing inequalities in healthy life years. The aim of the study is to analyse partial life expectancy (age 30–65) [1] free of musculoskeletal diseases (MSD) and [2] free of cardiovascular diseases (CVD) in occupational groups with different levels of physical and psychosocial exposures. Methods The study is based on German health insurance claims data from 2015 to 2018. The study population comprises all employed insured persons aged 18 to 65 years (N = 1,528,523). Occupational exposures were assessed using a Job Exposure Matrix. Life years free of MSD / CVD and life years with MSD /CVD during working age were estimated using multistate life tables. Results We found inequalities in MSD-free and CVD-free life years, with less disease-free years among men and women having jobs with high levels of physical and psychosocial exposures. Men with low physical exposures had 2.4 more MSD-free and 0.7 more CVD-free years than men with high physical exposures. Women with low psychosocial exposures had 1.7 MSD-free and 1.0 CVD-free years more than women with high psychosocial exposures. Conclusions Employees in occupations with high physical and psychosocial demands constitute vulnerable groups for reduced life expectancy free of MSD and CVD. Given the inequalities and high numbers of disease-affected life years during working age, the prevention potential of occupational health care and workplace health promotion should be used more extensively. |
| Publikationsart: | Article Other literature type |
| Sprache: | English |
| ISSN: | 1471-2458 |
| DOI: | 10.1186/s12889-024-19721-1 |
| Zugangs-URL: | https://pubmed.ncbi.nlm.nih.gov/39138451 https://doaj.org/article/b53fce7e2fe14e8eb221a81ae0119064 https://repository.publisso.de/resource/frl:6503044 |
| Rights: | CC BY URL: http://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (http://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (http://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
| Dokumentencode: | edsair.doi.dedup.....4ec35cc30b5e59f7cdbfddcc0b784524 |
| Datenbank: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | Background Against the backdrop of the debate on extending working life, it is important to identify vulnerable occupational groups by analysing inequalities in healthy life years. The aim of the study is to analyse partial life expectancy (age 30–65) [1] free of musculoskeletal diseases (MSD) and [2] free of cardiovascular diseases (CVD) in occupational groups with different levels of physical and psychosocial exposures. Methods The study is based on German health insurance claims data from 2015 to 2018. The study population comprises all employed insured persons aged 18 to 65 years (N = 1,528,523). Occupational exposures were assessed using a Job Exposure Matrix. Life years free of MSD / CVD and life years with MSD /CVD during working age were estimated using multistate life tables. Results We found inequalities in MSD-free and CVD-free life years, with less disease-free years among men and women having jobs with high levels of physical and psychosocial exposures. Men with low physical exposures had 2.4 more MSD-free and 0.7 more CVD-free years than men with high physical exposures. Women with low psychosocial exposures had 1.7 MSD-free and 1.0 CVD-free years more than women with high psychosocial exposures. Conclusions Employees in occupations with high physical and psychosocial demands constitute vulnerable groups for reduced life expectancy free of MSD and CVD. Given the inequalities and high numbers of disease-affected life years during working age, the prevention potential of occupational health care and workplace health promotion should be used more extensively. |
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| ISSN: | 14712458 |
| DOI: | 10.1186/s12889-024-19721-1 |