TY  - JOUR
N1  - Copyright © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
UR  - http://doi.org/10.1136/jech-2017-210328
ID  - discovery10051778
JF  - Journal of Epidemiology and Community Health
SP  - 951
N2  - BACKGROUND: Modifications in working conditions can accommodate changing needs of chronically ill persons. The self-employed may have more possibilities than employees to modify their working conditions. We investigate how working conditions change following diagnosis of chronic disease for employed and self-employed older persons. METHODS: We used waves 2-7 from the English Longitudinal Study of Ageing (ELSA). We included 1389 participants aged 50-60 years who reported no chronic disease at baseline. Using fixed-effects linear regression analysis, we investigated how autonomy, physical and psychosocial job demands and working hours changed following diagnosis of chronic disease. RESULTS: For employees, on diagnosis of chronic disease autonomy marginally decreased (-0.10, 95%?CI -0.20 to 0.00) and physical job demands significantly increased (0.13, 95%?CI 0.01 to 0.25), whereas for the self-employed autonomy did not significantly change and physical job demands decreased on diagnosis of chronic disease (-0.36, 95%?CI -0.64 to -0.07), compared with prediagnosis levels. Psychosocial job demands did not change on diagnosis of chronic disease for employees or the self-employed. Working hours did not change for employees, but dropped for self-employed (although non-significantly) by about 2.8?hours on diagnosis of chronic disease (-2.78, 95%?CI -6.03 to 0.48). CONCLUSION: Improvements in working conditions after diagnosis of chronic disease were restricted to the self-employed. This could suggest that workplace adjustments are necessary after diagnosis of chronic disease, but that the self-employed are more likely to realise these. Policy seeking to extend working life should consider work(place) adjustments for chronically ill workers as a means to prevent early exit from work.
SN  - 1470-2738
AV  - public
TI  - Changes in autonomy, job demands and working hours after diagnosis of chronic disease: a comparison of employed and self-employed older persons using the English Longitudinal Study of Ageing (ELSA).
Y1  - 2018/10//
VL  - 72
EP  - 957
KW  - chronic disease
KW  -  gerontology
KW  -  longitudinal studies
KW  -  workplace
A1  - Fleischmann, M
A1  - Carr, E
A1  - Xue, B
A1  - Zaninotto, P
A1  - Stansfeld, SA
A1  - Stafford, M
A1  - Head, J
IS  - 10
ER  -