Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, Queensland, Australia.
Occup Med (Lond). 2018 Mar 27;68(2):135-142. doi: 10.1093/occmed/kqy011.
Among older workers, chronic disease is known to be a key reason for early retirement.
To determine whether chronic health conditions act as a barrier to young Australians (aged 15-29) participating in the labour force.
Multiple logistic regression analysis to assess the adjusted odds ratio of people with different chronic health conditions being out of the labour force compared to those with no chronic conditions. Negative binomial regression models to predict the number of years people with different chronic health conditions would remain out of the labour force for.
Of the 550000 people aged 15-29 who were not in the labour force, 20% cited ill-health as the reason, reducing Australia's gross domestic product by around $3.7 billion per annum. When adjusted for age and education attainment, males with mental and behavioural disorders had 5.95 times the odds (95% confidence interval [CI] 3.90-9.08) of being out of the labour force, and females with development/intellectual disorders had 2.90 times the odds (95% CI 1.47-2.51), compared to those with no chronic health conditions. Males and females with development/intellectual disorders who were out of the labour force were estimated to spend an additional 2.7 and 3.5 years out of the labour force over the next 5 years.
Prevention of chronic health conditions may help more younger Australians participate in the labour force, reducing the known long-term health and social problems associated with labour force absence.
在老年劳动者中，慢性疾病是导致提前退休的一个主要原因。
确定慢性健康状况是否会成为年轻澳大利亚人（15-29 岁）参与劳动力的障碍。
采用多因素逻辑回归分析来评估患有不同慢性健康状况的人与无慢性健康状况的人相比，失业的调整后优势比。采用负二项回归模型预测患有不同慢性健康状况的人将失业的年数。
在 55 万未参与劳动力的 15-29 岁人群中，20%的人将健康状况不佳作为失业的原因，使澳大利亚每年国内生产总值减少约 37 亿美元。在调整年龄和教育程度后，患有精神和行为障碍的男性失业的几率是没有慢性健康状况的男性的 5.95 倍（95%置信区间[CI]3.90-9.08），而患有发育/智力障碍的女性的几率是没有慢性健康状况的女性的 2.90 倍（95%CI 1.47-2.51）。预计在未来 5 年内，失业的患有发育/智力障碍的男性和女性将分别额外失业 2.7 年和 3.5 年。
预防慢性健康状况可能有助于更多的年轻澳大利亚人参与劳动力，减少与劳动力缺失相关的已知长期健康和社会问题。
