Do lifestyle factors and general health predict dropout among recently qualified eldercare workers? A two-year follow-up study

Abstract

Background: The eldercare sector in Denmark as in many industrialised countries is characterised by difficulties in retaining labour. Research suggests a possible imbalance between lifestyle and health among eldercare trainees and the demanding work encountered as eldercare employees. The aim of the present study was to determine the predictive effect of lifestyle and self-rated health on dropout from the Danish eldercare sector two years after qualification. Methods: We included 4,526 female eldercare trainees in the analyses of lifestyle parameters and 5,023 in the analyses of self-rated health. The participants in this prospective study were recruited from 27 of the 28 Danish colleges for eldercare. We linked survey data with national register data to obtain information about labour market attachment two years after qualification. Results: The results of the present study showed that the poorer self-rated health, the higher the risk for dropout from the labour market (p < 0.0001). However, the results were less consistent regarding the predictive effect of a detrimental lifestyle. We found that overweight/ obesity (p = 0.0021 and p = 0.0012) as well as smoking (p = 0.0017) decreased the risk of dropout from eldercare into education. We found no support for increased likelihood of dropout among physically inactive. Conclusions: The results of the present study show that a poorer self-rated health is a predictor for dropout, not only from the eldercare two years after qualification, but from the labour market as a whole. However, the results were less consistent regarding the predictive effect of a detrimental lifestyle on dropout.

Keywords

Detrimental lifestyle care dropout eldercare general health health lifestyle obesity overweight physical inactivity self-rated health smoking turnover

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References

Tufte P. , Borg V. Fastholdelse af medarbejdere i ældreplejen. Sammenhæng mellem arbejdsmiljøfaktorer, individuelle faktorer og forventning om at forblive på den nuværende arbejdsplads (Retention of elder-care employees. Association between working environmental factors and intentions to stay at work). SOSU-report 13. Copenhagen: National Research Centre for the Working Environment; 2007.

Faber A. , Nabe-Nielsen K. , Giver H. , Jensen JN , Flyvholm M-A. , Strøyer J. , et al. SOSU’er årgang 2004 - det første år. Arbejdsmarkedstilknytning, arbejdsmiljø, ressourcer og helbred (The Danish Health Care Worker Cohort - Class of 2004 - The first year of employment. Attachment to labour market, working environment, resources and health). SOSU-report 5. Copenhagen : National Research Centre for the Working Environment ; 2007 . pp.1-83.

Giver H. , Faber A. , Hannerz H. , Strøyer J. Psychological well-being as a predictor of dropout among recently qualified Danish eldercare workers. Scand J Public Health 2009;38(3):239-45.

Ebbehøj N. , Helmig K. , Schibye B. , Mortensen OS Forebyggelse af ryglidelser hos unge i Frederiksborg Amt (Prevention of back diseases in Frederiksborg County). Copenhagen: Arbejds- og miljømedicinsk Klinik Bispebejrg Hospital, Forebyggelsesafdelingen Frederiksborg Amt, Arbejdsmiljøinstituttet, Arbejdsmedicinsk Klinik Hillerød Sygehus, 2001. pp.1-23.

Albertsen K. , Lund T. , Christensen KB , Kristensen TS , Villadsen E. Predictors of disability pension over a 10-year period for men and women. Scand J Public Health 2007;35(1):78-85.

Harreby M. , Hesselsoe G. , Kjer J. , Neergaard K. Low back pain and physical exercise in leisure time in 38-year-old men and women: a 25-year prospective cohort study of 640 school children. Eur Spine J 1997;6(3):181-6.

Lund T. , Labriola M. , Feveile H. , Christensen KB The fraction of disability pensions attributable to smoking and obesity. Results from a 15-year follow-up study. J Public Health 2010;18(3):251-4.

Borg V. , Faber A. , Fallentin N. Sygefravær blandt plejemedarbejdere i ældreplejen (Sickness absence among healthcare workers in the elder care sector). SOSU-report number 12 . Copenhagen: Det National Forskningscenter for Arbejdsmiljø; 2007.

Borg V. , Clausen T. , Frandsen CL , Winsløw JH Psykisk arbejdsmiljø i ældreplejen (Psychosocial working environment in the Danish elder-care). FOR-SOSU report no. 4. Copenhagen: National Research Centre for the Working Environment. Arbejde i ældreplejen, 2005. pp.1-103.

10.

Faber A. , Hansen ÅM , Høgh A. , Kines P. , Schibye B. Socialog sundhedshjælpere og -assistenter. Arbejdsmiljøforhold blandt social- og sundhedspersonale på ældreområdet. Et litteraturstudie. (Working environment among healthcare workers in the elder-care sector). AMI report no. 59/ FOR-SOSU report no. 2. Copenhagen : Det Nationale Forskningscenter for Arbejdsmiljø ; 2004.

11.

Ware J. , Kosinski M. , Bjorner JB , Turner-Bowker D. , Andek B. , Maruish M. User’s Manual for the SF-36v2TM Health Survey, 2nd edn. Lincoln, RI: QualityMetric Incorporated; 2008.

12.

Bjorner JB , Thunedborg K. , Kristensen TS , Modvig J. , Bech P. The Danish SF-36 Health Survey: translation and preliminary validity studies. J Clin Epidemiol 1998;51(11):991-9.

13.

World Health Organization. Global database on body mass index [Internet]. Available from: http://apps.who.int/bmi/index.jsp?introPage=intro_3.html (accessed 7 December 2009).

14.

The National Board of Health , Denmark [Internet]. Available from: http://www.sst.dk/ (accessed 2 December 2010).

15.

Saltin B. , Grimby G. Physiological analysis af middle-aged and old former athletes. Circulation 1968;38:1104-15.

16.

Ekholm O. , Kjøller M. , Davidsen M. , Hesse U. , Eriksen L. , Christensen AI , et al. Sundhed og sygelighed i Danmark 2005 & udviklingen siden 1987 (SUSY 2005) (Health and ill-health in Denmark 2005). Copenhagen: Statens Institut for Folkesundhed; 2007.

17.

Friis K. , Ekholm O. , Hundrup YA , Obel EB , Gronbaek M. Influence of health, lifestyle, working conditions, and socio-demography on early retirement among nurses: the Danish Nurse Cohort Study. Scand J Public Health 2007;35(1):23-30.

18.

Josephson M. , Lindberg P. , Voss M. , Alfredsson L. , Vingard E. The same factors influence job turnover and long spells of sick leave-a 3-year follow-up of Swedish nurses. Eur J Public Health 2008 ;18(4):380-5.

19.

Krause NM , Jay GM.

What do global self-rated health items measure?

Med Care 1994;32(9):930-42.

20.

Shooshtari S. , Menec V. , Tate R.

Comparing predictors of positive and negative self-rated health between younger (25-54) and older (55+)

Canadian adults. Res Aging 2007;29(6):512-54.

21.

Simon JG , De Boer JB , Joung IM , Bosma H. , Mackenbach JP How is your health in general? A qualitative study on self-assessed health . Eur J Public Health 2005;15(2):200-8.

22.

Singh-Manoux A. , Martikainen P. , Ferrie J. , Zins M. , Marmot M. , Goldberg M. What does self rated health measure? Results from the British Whitehall II and French Gazel cohort studies. J Epidemiol Community Health 2006;60(4):364-72.

23.

Kristjansson AL , Sigfusdottir ID , Allegrante JP , Helgason AR Social correlates of cigarette smoking among Icelandic adolescents: a population-based cross-sectional study. BMC Public Health 2008;8:86.

24.

Borg V. , Kristensen TS Social class and self-rated health: can the gradient be explained by differences in life style or work environment? Soc Sci Med 2000;51(7):1019-30.

25.

Koivusilta L. , Rimpela A. , Vikat A. Health behaviours and health in adolescence as predictors of educational level in adulthood: a follow-up study from Finland . Soc Sci Med 2003;57(4):577-93.

26.

Albertsen K. , Borg V. , Oldenburg B. A systematic review of the impact of work environment on smoking cessation, relapse and amount smoked. Prev Med 2006;43(4):291-305.

27.

Hannerz H. , Albertsen K. , Nielsen ML , Tuchsen F. , Burr H. Occupational factors and 5-year weight change among men in a Danish national cohort. Health Psychol 2004;23(3):283-8.

28.

Grammenos S. Illness, disability and social inclusion. Luxembourg: Office for Official Publications of European Communities, European Foundation for the Improvement of Living and Working Conditions, 2003. pp.1-168.

29.

Karsh B. , Booske BC , Sainfort F. Job and organizational determinants of nursing home employee commitment, job satisfaction and intent to turnover. Ergonomics 2005;48(10):1260-81.