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Background: In the last decade, interest in working life expectancy (WLE) and socioeconomic differences in WLE has grown considerably. However, a comprehensive overview of the socioeconomic differences in WLE is lacking. The aim of this review is to systematically map the research literature to improve the insight on differences in WLE and healthy WLE (HWLE) by education, occupational class and income while using different ways of measuring and estimating WLE and to define future research needs.
Methods: A systematic search was carried out in Web of Science, PubMed and EMBASE and complemented by relevant publications derived through screening of reference lists of the identified publications and expert knowledge. Reports on differences in WLE or HWLE by education, occupational class or income, published until November 2022, were included. Information on socioeconomic differences in WLE and HWLE was synthesized in absolute and relative terms.
Results: A total of 26 reports from 21 studies on educational and occupational class differences in WLE or HWLE were included. No reports on income differences were found. On average, WLE in persons with low education is 30% (men) and 27% (women) shorter than in those with high education. The corresponding numbers for occupational class difference were 21% (men) and 27% (women). Low-educated persons were expected to lose more working years due to unemployment and disability retirement than high-educated persons.
Conclusions: The identified socioeconomic inequalities are highly relevant for policy makers and pose serious challenges for equitable pension policies. Many policy interventions aimed at increasing the length of working life follow a one-size-fits-all approach which does not take these inequalities into account. More research is needed on socioeconomic differences in HWLE and potential influences of income on working life duration.
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http://dx.doi.org/10.1186/s12889-024-18229-y | DOI Listing |
Int J Colorectal Dis
August 2025
Faculty of Medicine, Galala University, Suez, Egypt.
Purpose: Lynch syndrome patients are at a high risk for developing colorectal cancer; thus, optimal surveillance strategies are required. Although colonoscopic imaging methods differ in diagnostic performance, direct comparisons in this population are not very common. We aimed to evaluate and compare the detection capabilities of white-light endoscopy (WLE), chromoendoscopy, virtual chromoendoscopy (NBI: narrow band imaging, LCI: linked color imaging, I-SCAN), and AI-assisted colonoscopy in detecting neoplastic and non-neoplastic lesions in individuals diagnosed with Lynch syndrome.
View Article and Find Full Text PDFOccup Environ Med
August 2025
Department of Occupational and Environmental Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea (the Republic of)
Objectives: Understanding healthy working life expectancy (HWLE) is critical in ageing societies to promote both extended workforce participation and well-being. This study quantifies WLE and HWLE among middle-aged and older adults in Korea, stratified by gender and education.
Methods: We used data from the Korean Longitudinal Study of Aging (waves 1-9, 2006-2022) to estimate WLE and HWLE at age 50 using a discrete-time 5-state Markov model.
Scand J Work Environ Health
September 2025
National Institute of Occupational Health, Department of Occupational Medicine and Epidemiology, PB 5330 Majorstuen, 0304 Oslo, Norway.
Objective: Risk of exit from work is both occupation- and country-specific. This study investigated occupational differences in working life expectancy (WLE) and reasons for working years lost (WYL) among employed workers in three Nordic countries.
Methods: We utilized registry-based cohorts of the employed population in Denmark (N=2 383 657), Finland (N=1 266 705) and Norway (N=1 761 166) to estimate WLE for ages 30-65 using the Sullivan method with 2015 data.
Melanoma Res
October 2025
Department of Clinical Medicine, Aarhus University.
Surgical stress is gaining increasing focus in surgical oncology due to its impact on complications, prognosis, and survival. The neutrophil-to-lymphocyte ratio (NLR) is a recognized biomarker reflecting inflammation and immune response, key aspects of surgical stress. Sentinel lymph node biopsy (SLNB) and wide local excision (WLE) are considered minimally invasive procedures used in the management of melanoma.
View Article and Find Full Text PDFEur J Surg Oncol
September 2025
Department of Skin Oncology/Dermatology, Saitama Medical University International Medical Center, Saitama, Japan. Electronic address:
Introduction: Multiple randomized trials comparing wide local excision (WLE) with different peripheral margins have established recommended peripheral margins according to Breslow thickness (BT) in the National Comprehensive Cancer Network (NCCN) Guidelines. However, these clinical trials included only a small number of patients with acral melanoma (AM). Therefore, we aimed to compare the prognosis of different WLE peripheral margin cohorts with invasive sole AM.
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