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The Health of Older Workers – Implications for
                 Future Labour Participation


11th Global Conference of the International Federation of Aging
                   28 May to 1st June, 2012


                                             Dr Jennifer Buckley
                                                Dr Lisel O’Dwyer
                                         Professor Graeme Hugo


                                          University of Adelaide,
             Australian Population and Migration Research Centre
Overview

• Rationale for the study

• Project overview

• Methods

• Baby boomers’ labour participation in context

• Health and workforce attachment

• Workplace environments

• Implications for Policy and Research
Population Ageing in Australia
Projected Population Aged Under 15               Projected Population Aged 65 Years
     Years, Australia, 2002-2101                   and Over, Australia, 2002-2101




Source:   ABS, Catalogue No. 3222.0, 2003, p85
Rationale for the Study
• Fewer new entrants to labour market

• Increase and extend labour participation in older age groups

• Health – underpins labour market capacity

• Health research – disease/disability/burden on health system

• Work-related research – skills training and workplace
  management

• Need for more research on the health/work
Project Overview
• ‘Australia’s Baby Boomer Generation: Obesity and Work –
  Patterns, Causes and Implications’

• Key objective – explore interactions between health and work

• Aim – provide a health perspective for work-related policies
  on older workers

• Baby boomers
   – A distinct policy group
   – Amplify the effects of population ageing
   – Significant impact as they exit the workforce

• Today’s presentation – preliminary exploration of data
Methods

Labour Participation Data - Census data 1981 and 2006; ABS Labour Force
  Surveys

Health & Work Data - North West Adelaide Health Study (NWAHS)
  (n=4060)
Geographical Context
Data and Study Population
Labour Participation Data - Census data 1981 and 2006; ABS Labour Force Surveys

Health & Work Data - North West Adelaide Health Study (NWAHS) (n=4060)

Sample - Baby Boomers born 1946-1965 drawn from the NWAHS

NWAHS Data - Stage 1, 1999-2002; Stage 2, 2004-06; Stage 3, 2010
 Stage 2, 2004-06 (n=1195)
 Baby Boomer Work Project, 2011 (BBs n=874; Gen X n=768)

Analyses
• By all baby boomers
• By gender
• By older (1946-55) and younger (1956-65) baby boomers

Data
• Chronic conditions – clinic and self report
• Social data and self-rated health - Self reported
Trends in Participation of Older Workers
                              Age Groups: 55-59; 60-64; 65+
                    100
                     90
                     80
                     70
     Percentage %




                     60
                     50
                     40
                     30
                     20
                     10
                      0
                          May-70   Jun-99   Jan-06   Jul-10            May-70   Jun-99   Jan-06   Jul-10
                                            Males                                  Females
                                                       55-59   60-64    65+

Source: ABS Labour Force Surveys
Employment Status
                             45-54 Year Olds in 1981 and 2006
                    100
                     90
                     80
                     70
     Percentage %




                     60
                     50
                     40
                     30
                     20
                     10
                      0
                          Pre-war    Baby                Pre-war    Baby       Pre-war    Baby
                          Cohort    Boomers              Cohort    Boomers     Cohort    Boomers
                                    Persons                         Males          Females
                                              Employed       Unemployed/NILF

Source: ABS Census, 1981; 2006b
Employment Status
                               Baby Boomers 1946-1965
            Full time

            Part time

              Retired

               Casual

      Home Duties

   Unable to work

       Unemployed

       Volunteering

                           0              10   20        30        40   50   60
                                                    Percentage %

Source: NWAHS TFU Survey 2 (CATI), 2007
Factors Influencing Labour
        Participation in Older Workers

• Age discrimination

• Lack of access to re-training

• Personal commitments

• Financial security

• Desire for more leisure

• Low education levels
Education by Age Cohort and Gender in
                         Baby Boomers 1946-55 and 1956-65
                                      Left school at 15 years
                  25

                                                                20.2%
                  20
   Percentage %




                         13.7%
                  15


                  10                                                                 8.8 %

                                   5.4%
                  5


                  0
                        1946-55   1956-65                       1946-55             1956-65
                                  Males                                   Females
Source: NWAHS Stage 2, 2004-06
Employment Status
                     Females by Age Cohort and Education Level – NWAHS
                              Baby Boomers 1946-55 and 1956-65
                70

                60

                50
 Percentage %




                40

                30

                20

                10

                 0
                     1946-55   1956-65                       1946-55   1956-65             1946-55   1956-65
                               Secondary                          Certificate/Diploma           Tertiary
                                     Full-time         Part-time/casual      Home Duties


Note: Retired, unemployed and ‘other’ categories excluded.
Source: NWAHS Stage 2, 2004-06
Employment Status
                     Females by Education Level – Census
                      Baby Boomers - 1946-55 and 1956-65
               60


               50


               40
Percentage %




               30


               20


               10


                0
                    1946-55      1956-65            1946-55      1956-65             1946-55     1956-65

                                Secondary                  Certificate/Diploma             Tertiary

                              Full-time            Part-time/casual              Home Duties


 Source: ABS 2006 Census (Australia) (ABS 2006c)
Employment by Self-Rated Health
                            Baby Boomers 1946-1965

        Full-time: 56.3%              **

        Part-time: 16.6%

     Home Duties: 5.3%

             Casual: 7.3%

     Unemployed: 2.6%

            Retired: 7.5%                                                              *

  Unable to work: 4.1%                                                                 **


                             0%       10%   20%    30%     40%   50%     60%    70%        80%   90%   100%
                                    Good-Excellent SR Health     Poor-Fair SR Health

*p<.05; **p<.001
Source: NWAHS TFU Survey 2 (CATI), 2007
Labour Participation and Self-Rated Health by Age Cohort
                                Baby Boomers - 1946-55 and 1956-65

                    100
                     90
                     80
                     70
    Percen tage %




                     60
                     50                               **
                     40
                     30
                     20                                                                                                      **
                     10
                      0
                          In labour force      Not in labour                                In labour force           Not in labour
                                                   force                                                                  force
                                                   1946                                                        1956
                                            Good-Excellent SR Health             Fair-Poor SR Health

1In the labour force=f/time, p/time, casual, unemployed; 2 Not in the labour force=retired, home duties, unable to work
**p<.001
Source: NWAHS TFU Survey 2 (CATI), 2007
Percentage of Each Employment Category with
                                  Selected Chronic Conditions
                                     Baby Boomers 1946-64
                  45
                  40
                  35
                  30
   Percentage %




                  25
                  20
                  15
                  10
                   5
                   0
                       % of sample                Full-time   Casual      Un-         Retired   Unable to
                         with CC                                        employed                  work
                                     Arthritis   Depression   COPD     Diabetes    Cardio

Source: NWAHS Stage 2, 2004-06; NWAHS TFU Survey 2 (CATI), 2007
Odds Ratios for Reporting Not In the Labour Force
                          by Chronic Condition and Age Cohort
                           Baby Boomers - 1946-55 and 1956-65
                45
                40
                                     *
                35
                                    2.1
                30
 Percentage %




                25
                20
                                           *
                15                        2.4                                                     **
                                                 *                                                5.4 *
                10                              2.2 *                                                3.3
                5                                  2.6
                0
                       ILF                 NILF                                 ILF             NILF
                                          1946-55                                     1956-65
                                     Arthritis           Depress   Diabetes   COPD

*p<.05;
Source: NWAHS TFU Survey 2 (CATI), 2007
Odds Ratios for Reporting Not in the Labour
                          Force by Chronic Condition and Gender
                                  Baby Boomers 1946-1965
                    40

                    35
                                          **
                    30                    3.1                                                      *
                                                                                                  2.0
     Percentage %




                    25

                    20                           *
                                                2.8
                                                                                    14.4%
                    15
                                                       *                                                 **
                    10    8.8%                        3.7                                                4.4
                                                         *
                                                                                                               *
                    5                                   2.8                                                    2.7
                    0
                           ILF                  NILF                                 ILF                NILF
                                                Males                                       Females
                                          Arthritis           Depress   Diabetes   COPD
*p<.05; **p<.001
Source: NWAHS TFU Survey 2 (CATI), 2007
Variable Work Conditions &Self-Rated Health
                                      Baby Boomers 1946-1965

                       90
                       80
                                          **
                       70                 3.1                                                    *
                       60                                                                       2.0
        Percentage %




                       50                        *
                                                2.8
                       40
                                                   *                                                  *
                       30                                                                                 **
                                                  3.7                                                     4.4
                       20                                *                                                      *
                                                        2.8                                                     2.7
                       10
                       0
                               No Variability                 Partial Variability         High Variability
                                                Good-Excellent SRH        Poor-Fair SRH

*p<.05;
Source: NWAHS TFU Survey 2 (CATI), 2007
Self-Rated Health and Job Strain
                             Baby Boomers - 1946-1965
                   90

                   80

                   70

                   60
    Percentage %




                   50

                   40
                                                                                **
                   30

                   20

                   10

                    0
                        Low Strain      Active Job         Passive Job   High Strain
                                       Good-Ex SRH   Poor-Fair SRH

**p<.001
Source: NWAHS Work Data (CATI), 2011
Job Satisfaction and Self-Rated Health
                                 Baby Boomers 1946-1965
                     90
                                                                                             *
                     80

                     70

                     60
      Percentage %




                     50

                     40                       *
                     30

                     20

                     10

                      0
                          Dissatisfied/Very Dissatisfied           Not Sure           Satisfied/Very Satisfied
                                                     Good-Ex SRH      Poor-Fair SRH
*p<.05;
Source: NWAHS Work Data (CATI), 2011
Flexibility and Job Satisfaction
                               Baby Boomers - 1946-1965
                       100
                        90
                        80
                        70
        Percentage %




                        60
                        50
                        40
                        30
                        20
                        10                                                                        *

                         0
                             High Flexibility           Partial Flexibility          No flexibility
                                            Satisfied   Not sure      Dissatisfied

**p<.05
Source: NWAHS Work Data (CATI), 2011
Variability and Job Satisfaction
                           Baby Boomers - 1946-1965
                    90

                    80

                    70

                    60
     Percentage %




                    50

                    40

                    30

                    20
                                                                                                  ^
                    10

                     0
                         No Variability               Partial Variability          High Variability
                                          Satisfied   Not sure      Dissatisfied

^ p=<.1
Source: NWAHS Work Data (CATI), 2011
Satisfaction with Work-Life Balance
                                     by Self-Rated Health
                                  Baby Boomers - 1946-1965
                    100
                                                                                               **
                     90
                     80
                     70
     Percentage %




                     60
                                    **
                     50
                                                     **
                     40
                     30
                     20
                     10
                      0
                          Very Dissatisfied   Dissatisfied      Neutral         Satisfied   Very Satisfied
                                               Good-Excellent SRH    Poor-Fair SRH
*p<.001;
Source: NWAHS Work Data (CATI), 2011
Co-worker Support in the Workplace –
     ‘People I work with are helpful in getting the job done’
                   Baby Boomers 1946-1965
                    90
                                                                         **
                    80

                    70

                    60
     Percentage %




                    50

                    40

                    30

                    20

                    10

                    0
                          Disagree/Strongly Disagree                 Agree/Strongly Agree
                                           Good-Ex SRH   Poor-Fair SRH
*p<.001;
Source: NWAHS Work Data (CATI), 2011
Workplace Support for Healthy Behaviours
                                   by Self Rated Health
                                Baby Boomers - 1946-1965
                    90

                    80

                    70

                    60
     Percentage %




                    50

                    40

                    30

                    20

                    10

                     0
                              A lot                  Some             Not at all
                                       Good-Ex SRH    Poor-Fair SRH

Source: NWAHS Work Data (CATI), 2011
Future Research
• Interface between depression and employment
  status

• Workforce exit decisions of older workers with
  chronic conditions

• Workplace Interventions to facilitate better
  health
Implications for Policy
• Impact of poor health on workforce exits

  – 44% of older boomers with poor SRH NILF = 9.9% of
    this sub-cohort
  – 18.2% of younger boomers with poor/fair SRH NILF
    = 3.4% of this sub-cohort

• Primary and secondary prevention strategies

• Workplace policies and culture

• Labour market conditions
Contact Details and Acknowledgments

Acknowledgements
This project was funded by an Australian Council
Research Linkage Grant


Contact Details
Jennifer Buckley
Email: jennifer.buckley@adelaide.edu.au
• Australia’s GDP per capita in 2009 was around
  $924.84 billion

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1 buckley-the health of older workers 29-may12

  • 1. The Health of Older Workers – Implications for Future Labour Participation 11th Global Conference of the International Federation of Aging 28 May to 1st June, 2012 Dr Jennifer Buckley Dr Lisel O’Dwyer Professor Graeme Hugo University of Adelaide, Australian Population and Migration Research Centre
  • 2. Overview • Rationale for the study • Project overview • Methods • Baby boomers’ labour participation in context • Health and workforce attachment • Workplace environments • Implications for Policy and Research
  • 3. Population Ageing in Australia Projected Population Aged Under 15 Projected Population Aged 65 Years Years, Australia, 2002-2101 and Over, Australia, 2002-2101 Source: ABS, Catalogue No. 3222.0, 2003, p85
  • 4. Rationale for the Study • Fewer new entrants to labour market • Increase and extend labour participation in older age groups • Health – underpins labour market capacity • Health research – disease/disability/burden on health system • Work-related research – skills training and workplace management • Need for more research on the health/work
  • 5. Project Overview • ‘Australia’s Baby Boomer Generation: Obesity and Work – Patterns, Causes and Implications’ • Key objective – explore interactions between health and work • Aim – provide a health perspective for work-related policies on older workers • Baby boomers – A distinct policy group – Amplify the effects of population ageing – Significant impact as they exit the workforce • Today’s presentation – preliminary exploration of data
  • 6. Methods Labour Participation Data - Census data 1981 and 2006; ABS Labour Force Surveys Health & Work Data - North West Adelaide Health Study (NWAHS) (n=4060)
  • 8. Data and Study Population Labour Participation Data - Census data 1981 and 2006; ABS Labour Force Surveys Health & Work Data - North West Adelaide Health Study (NWAHS) (n=4060) Sample - Baby Boomers born 1946-1965 drawn from the NWAHS NWAHS Data - Stage 1, 1999-2002; Stage 2, 2004-06; Stage 3, 2010  Stage 2, 2004-06 (n=1195)  Baby Boomer Work Project, 2011 (BBs n=874; Gen X n=768) Analyses • By all baby boomers • By gender • By older (1946-55) and younger (1956-65) baby boomers Data • Chronic conditions – clinic and self report • Social data and self-rated health - Self reported
  • 9.
  • 10. Trends in Participation of Older Workers Age Groups: 55-59; 60-64; 65+ 100 90 80 70 Percentage % 60 50 40 30 20 10 0 May-70 Jun-99 Jan-06 Jul-10 May-70 Jun-99 Jan-06 Jul-10 Males Females 55-59 60-64 65+ Source: ABS Labour Force Surveys
  • 11. Employment Status 45-54 Year Olds in 1981 and 2006 100 90 80 70 Percentage % 60 50 40 30 20 10 0 Pre-war Baby Pre-war Baby Pre-war Baby Cohort Boomers Cohort Boomers Cohort Boomers Persons Males Females Employed Unemployed/NILF Source: ABS Census, 1981; 2006b
  • 12. Employment Status Baby Boomers 1946-1965 Full time Part time Retired Casual Home Duties Unable to work Unemployed Volunteering 0 10 20 30 40 50 60 Percentage % Source: NWAHS TFU Survey 2 (CATI), 2007
  • 13. Factors Influencing Labour Participation in Older Workers • Age discrimination • Lack of access to re-training • Personal commitments • Financial security • Desire for more leisure • Low education levels
  • 14. Education by Age Cohort and Gender in Baby Boomers 1946-55 and 1956-65 Left school at 15 years 25 20.2% 20 Percentage % 13.7% 15 10 8.8 % 5.4% 5 0 1946-55 1956-65 1946-55 1956-65 Males Females Source: NWAHS Stage 2, 2004-06
  • 15. Employment Status Females by Age Cohort and Education Level – NWAHS Baby Boomers 1946-55 and 1956-65 70 60 50 Percentage % 40 30 20 10 0 1946-55 1956-65 1946-55 1956-65 1946-55 1956-65 Secondary Certificate/Diploma Tertiary Full-time Part-time/casual Home Duties Note: Retired, unemployed and ‘other’ categories excluded. Source: NWAHS Stage 2, 2004-06
  • 16. Employment Status Females by Education Level – Census Baby Boomers - 1946-55 and 1956-65 60 50 40 Percentage % 30 20 10 0 1946-55 1956-65 1946-55 1956-65 1946-55 1956-65 Secondary Certificate/Diploma Tertiary Full-time Part-time/casual Home Duties Source: ABS 2006 Census (Australia) (ABS 2006c)
  • 17.
  • 18. Employment by Self-Rated Health Baby Boomers 1946-1965 Full-time: 56.3% ** Part-time: 16.6% Home Duties: 5.3% Casual: 7.3% Unemployed: 2.6% Retired: 7.5% * Unable to work: 4.1% ** 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Good-Excellent SR Health Poor-Fair SR Health *p<.05; **p<.001 Source: NWAHS TFU Survey 2 (CATI), 2007
  • 19. Labour Participation and Self-Rated Health by Age Cohort Baby Boomers - 1946-55 and 1956-65 100 90 80 70 Percen tage % 60 50 ** 40 30 20 ** 10 0 In labour force Not in labour In labour force Not in labour force force 1946 1956 Good-Excellent SR Health Fair-Poor SR Health 1In the labour force=f/time, p/time, casual, unemployed; 2 Not in the labour force=retired, home duties, unable to work **p<.001 Source: NWAHS TFU Survey 2 (CATI), 2007
  • 20. Percentage of Each Employment Category with Selected Chronic Conditions Baby Boomers 1946-64 45 40 35 30 Percentage % 25 20 15 10 5 0 % of sample Full-time Casual Un- Retired Unable to with CC employed work Arthritis Depression COPD Diabetes Cardio Source: NWAHS Stage 2, 2004-06; NWAHS TFU Survey 2 (CATI), 2007
  • 21. Odds Ratios for Reporting Not In the Labour Force by Chronic Condition and Age Cohort Baby Boomers - 1946-55 and 1956-65 45 40 * 35 2.1 30 Percentage % 25 20 * 15 2.4 ** * 5.4 * 10 2.2 * 3.3 5 2.6 0 ILF NILF ILF NILF 1946-55 1956-65 Arthritis Depress Diabetes COPD *p<.05; Source: NWAHS TFU Survey 2 (CATI), 2007
  • 22. Odds Ratios for Reporting Not in the Labour Force by Chronic Condition and Gender Baby Boomers 1946-1965 40 35 ** 30 3.1 * 2.0 Percentage % 25 20 * 2.8 14.4% 15 * ** 10 8.8% 3.7 4.4 * * 5 2.8 2.7 0 ILF NILF ILF NILF Males Females Arthritis Depress Diabetes COPD *p<.05; **p<.001 Source: NWAHS TFU Survey 2 (CATI), 2007
  • 23. Variable Work Conditions &Self-Rated Health Baby Boomers 1946-1965 90 80 ** 70 3.1 * 60 2.0 Percentage % 50 * 2.8 40 * * 30 ** 3.7 4.4 20 * * 2.8 2.7 10 0 No Variability Partial Variability High Variability Good-Excellent SRH Poor-Fair SRH *p<.05; Source: NWAHS TFU Survey 2 (CATI), 2007
  • 24.
  • 25. Self-Rated Health and Job Strain Baby Boomers - 1946-1965 90 80 70 60 Percentage % 50 40 ** 30 20 10 0 Low Strain Active Job Passive Job High Strain Good-Ex SRH Poor-Fair SRH **p<.001 Source: NWAHS Work Data (CATI), 2011
  • 26. Job Satisfaction and Self-Rated Health Baby Boomers 1946-1965 90 * 80 70 60 Percentage % 50 40 * 30 20 10 0 Dissatisfied/Very Dissatisfied Not Sure Satisfied/Very Satisfied Good-Ex SRH Poor-Fair SRH *p<.05; Source: NWAHS Work Data (CATI), 2011
  • 27. Flexibility and Job Satisfaction Baby Boomers - 1946-1965 100 90 80 70 Percentage % 60 50 40 30 20 10 * 0 High Flexibility Partial Flexibility No flexibility Satisfied Not sure Dissatisfied **p<.05 Source: NWAHS Work Data (CATI), 2011
  • 28. Variability and Job Satisfaction Baby Boomers - 1946-1965 90 80 70 60 Percentage % 50 40 30 20 ^ 10 0 No Variability Partial Variability High Variability Satisfied Not sure Dissatisfied ^ p=<.1 Source: NWAHS Work Data (CATI), 2011
  • 29.
  • 30. Satisfaction with Work-Life Balance by Self-Rated Health Baby Boomers - 1946-1965 100 ** 90 80 70 Percentage % 60 ** 50 ** 40 30 20 10 0 Very Dissatisfied Dissatisfied Neutral Satisfied Very Satisfied Good-Excellent SRH Poor-Fair SRH *p<.001; Source: NWAHS Work Data (CATI), 2011
  • 31.
  • 32. Co-worker Support in the Workplace – ‘People I work with are helpful in getting the job done’ Baby Boomers 1946-1965 90 ** 80 70 60 Percentage % 50 40 30 20 10 0 Disagree/Strongly Disagree Agree/Strongly Agree Good-Ex SRH Poor-Fair SRH *p<.001; Source: NWAHS Work Data (CATI), 2011
  • 33. Workplace Support for Healthy Behaviours by Self Rated Health Baby Boomers - 1946-1965 90 80 70 60 Percentage % 50 40 30 20 10 0 A lot Some Not at all Good-Ex SRH Poor-Fair SRH Source: NWAHS Work Data (CATI), 2011
  • 34. Future Research • Interface between depression and employment status • Workforce exit decisions of older workers with chronic conditions • Workplace Interventions to facilitate better health
  • 35. Implications for Policy • Impact of poor health on workforce exits – 44% of older boomers with poor SRH NILF = 9.9% of this sub-cohort – 18.2% of younger boomers with poor/fair SRH NILF = 3.4% of this sub-cohort • Primary and secondary prevention strategies • Workplace policies and culture • Labour market conditions
  • 36.
  • 37. Contact Details and Acknowledgments Acknowledgements This project was funded by an Australian Council Research Linkage Grant Contact Details Jennifer Buckley Email: jennifer.buckley@adelaide.edu.au
  • 38. • Australia’s GDP per capita in 2009 was around $924.84 billion