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The Influence of Perceived Health on Labour Participation Among Long Term Unemployed

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Journal of Occupational Rehabilitation Aims and scope Submit manuscript

Abstract

Backgrounds Few studies have addressed the specific contribution of health in relation to socio-demographic and motivational aspects to re-entering paid employment. The purpose of this study among beneficiaries of unemployment benefits is to evaluate the detrimental effects of poor health and a lack of motivation on the likelihood of getting a job and to develop a decision support model that predicts remaining unemployment after 12 months. Methods A longitudinal cohort study was conducted among people on unemployment benefit (UB) or social insurance benefit (SIB). The time-window of the study was 18 months. Written questionnaires were filled out 3 months post-benefit assessment, 6, 12 and 18 months. Multivariate logistic regression analysis was used to identify the barriers of re-entering paid employment. Subsequently, a predictive model was constructed to estimate the probability for every combination of determinants for a person to remain unemployed in the next 12 months. Results Older age (≥55 years), a poor perceived health, and a lack of willingness to accept a job were the most prominent predictive factors for remaining unemployed after 12 months in both UB and SIB groups. Lower education in the UB group and being married or living together and poor self-reliance in the SIB group were additional risk factors for long-term unemployment. Conclusion Vocational rehabilitation of people on long-term social benefit should address perceived health, socio-demographic, and motivational aspects as key factors that determine prolonged unemployment. A predictive flow chart can be used to detect most vulnerable persons at risk for remaining long-term unemployment.

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Acknowledgments

We would like to thank the Inspection of Work & Income (IWI) of the ministry of Social Affairs and Employment (minSZW) for releasing their extensive dataset in order to be able to conduct present study.

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Health Economics, Institute of Health Policy & Management, Erasmus University Rotterdam, PO Box 1738, 3000 DR, Rotterdam, The Netherlands

    Freek Lötters

  2. Department of Public Health, Erasmus MC, PO Box 2040, 3000 CA, Rotterdam, The Netherlands

    Bouwine Carlier, Merel Schuring & Alex Burdorf

  3. Inspection of Work and Income, Ministry of Social Affairs and Employment, PO Box 11563, 2502 AN, The Hague, The Netherlands

    Bernhard Bakker & Natacha Borgers

Authors
  1. Freek Lötters
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  2. Bouwine Carlier
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  3. Bernhard Bakker
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  4. Natacha Borgers
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  5. Merel Schuring
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  6. Alex Burdorf
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Correspondence to Freek Lötters.

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Lötters, F., Carlier, B., Bakker, B. et al. The Influence of Perceived Health on Labour Participation Among Long Term Unemployed. J Occup Rehabil 23, 300–308 (2013). https://doi.org/10.1007/s10926-012-9398-5

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  • DOI: https://doi.org/10.1007/s10926-012-9398-5

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