LAUSR

As discussions about extending working lives are ongoing, more knowledge is warranted on how psychosocial working conditions are associated with labour market status in older age. Among employees aged 55-64 years, explore associations between job demands/control with their labour market status 11 years later, using a job exposure matrix (JEM). A population-based prospective cohort study using nationwide register data. All 616,818 individuals in Sweden who in 2001 were in paid work and aged 55-64, were categorized using JEM into 9 groups, based on tertiles. They were followed up in 2012 regarding their labour market status (main income from: paid work, old-age pension, marginalised (no income/social assistance), sickness absence >183 net days, emigrated, dead) using multinomial logistic regression for odds ratios (OR) and 95% confidence intervals (CI), controlling for labour market status and sociodemographics in 2001. Analyses were stratified by sex. The majority (women: 84.9%, men: 80.3%) had main income from old-age pension at the 11-year follow-up; 4.7% from paid work (women: 3.9%, men: 5.6%). Those initially in jobs with high demands were less likely to be marginalised at follow-up (OR women high demands/medium control 0.51, CI 0.38-0.68, high demands/high control 0.68, CI 0.50-0.92; OR men high demands/medium control 0.55, CI 0.31-0.96, high demands/high control 0.47, CI 0.30-0.73). Those in occupations with low demands were less likely to be in paid work (OR women low demands/low control 0.56, CI 0.51-0.62, low demands/medium control 0.63, CI 0.58-0.69; OR men low demands/low control 0.56, CI 0.51-0.63, low demands/medium control 0.63, CI 0.58-0.69). High job demands with high job control among people aged 55-64 in 2001 were associated with higher rate and OR of having main income from paid work in 2012, and high job demands regardless of level of job control were associated with less marginalisation. Levels of job demands when aged 55-64 were associated with labour market status 11 years later for women and men, while levels of job control were less so. High job demands were associated with a higher likelihood of being in paid work and lower likelihood of being marginalised at the end of follow-up.