Home-care workers: work conditions and occupational exclusion: a comparison between carers on early-retirement and regular pensions.

The aim of the study was to identify conditions associated with occupational exclusion from home-caring. In a group of 346 home-care workers who responded to a questionnaire, there were 18 newly-retired carers on early-retirement/disability pensions, and 28 carers who had just taken regular retirement. A discriminant analysis was conducted to identify work conditions that differentiated the two groups. The results show that a combination of variables--functional impairment (pain when doing physical work), psychosomatic complaints, and nature of relationship with/attitude to clients--significantly differentiated the two groups. When the discriminant coefficients were applied to other groups--older full-time and part-time employees (n = 224), carers who had undergone job transfers, and carers on long-term sick leave--the order of groups by discriminant-point score was largely as expected. The results are discussed in relation to dilemmas, psychological demands and organizational circumstances prevailing in home-care work.