Departamento de Salud Pública, Escuela de Medicina, Pontificia Universidad Católica de Chile, Diagonal Paraguay, Santiago de Chile, Chile.
Center for Sustainable Urban Development (CEDEUS), Conicyt/Fondap/15110020, Los Navegantes, Providencia, Santiago de Chile, Chile.
Ann Work Expo Health. 2018 Apr 18;62(4):475-489. doi: 10.1093/annweh/wxy021.
In Chile, working after retirement age has grown substantially over the last years. This, in addition to the country's current discussion about extending retirement age, motivates the need of generating evidence on the occupational health and safety of the working old, with a special focus on women, who are critically disadvantaged in Chile's labour market. The objective of this paper is to describe and compare the ageing workforce of women and men in Chile in terms of labour market participation, employment and working conditions, work-life balance, and health. The social determinants of health and employment sustainability frameworks guide this study.
Cross-sectional data from three publicly available sources: the Chilean Labour Force Survey, NENE (2010); the first Chilean Employment and working conditions survey, ENETS (2009-2010) and the second National Health Survey, ENS (2009).
Participation rates and employment conditions (NENE and ENETS), working conditions, occupational health and work-life balance (ENETS) and chronic health conditions (ENS) were described by 5-year age groups separately for women and men. Descriptions cover all age groups in order to identify trends and patterns characteristic of older workers.
Rates of occupation decrease sharply after age 54 in women and 59 in men. Ageing women and men who continue to work are more likely to be in own-account (self-employed) work than younger workers; in the case of women, in households as domestic workers, and men, in agriculture. Social protection and workplace rights are markedly reduced in older workers. Part-time work increases from the age of 50 onwards, especially among women, but average working hours do not decrease under 30 h a week for either women or men. Interestingly, between ages 60 and 64, there is a peak increase of day and night shift-work among women, which co-occurs with a peak in domestic work, possibly corresponding to women working as caretakers of elderly people. Several workplace risks continue to be high into old age: intensive work and demanding physical work, especially in men, and the combination of paid and unpaid care work in women, which continues to be high up to the age of 70 years. The health of older workers is better than that of non-working people of the same age, a gap which is markedly larger for women than men and tends to increase among women as they age.
Results indicate that Chileans working into old age face precarious jobs with limited protection and several adverse working conditions. Noteworthy, women carry the double burden of paid and unpaid work into their late years. In addition, results suggest they are affected more profoundly by the healthy worker effect whereby the health condition determines the probability of finding and keeping a job-also known as a health selection mechanism-which increases as they age. These employment and working conditions indicate that working into old age is not yet sustainable in Chile and counts as evidence that needs to be taken into account in discussions about delaying the retirement age in the country, as well as incorporating support systems to alleviate the double work burden of ageing working women.
在智利,退休年龄后的工作机会近年来大幅增加。此外,由于该国目前正在讨论延长退休年龄,因此有必要针对老年工作者的职业健康和安全问题生成证据,特别关注在智利劳动力市场处于不利地位的女性。本文的目的是描述和比较智利女性和男性的老龄化劳动力在劳动力市场参与度、就业和工作条件、工作与生活平衡以及健康方面的情况。健康的社会决定因素和就业可持续性框架指导着这项研究。
来自三个公开来源的横断面数据:智利劳动力调查、NENE(2010 年);第一次智利就业和工作条件调查、ENETS(2009-2010 年)和第二次国家健康调查、ENS(2009 年)。
按 5 年年龄组分别为女性和男性描述参与率和就业条件(NENE 和 ENETS)、工作条件、职业健康和工作与生活平衡(ENETS)以及慢性健康状况(ENS)。描述涵盖了所有年龄组,以确定老年工人特有的趋势和模式。
女性在 54 岁后,男性在 59 岁后,职业率急剧下降。继续工作的老年女性和男性更有可能从事自营职业(个体经营),而不是年轻工人;在女性方面,是在家庭中从事家政工作,在男性方面,是在农业中。老年工人的社会保护和工作场所权利明显减少。兼职工作从 50 岁开始增加,尤其是女性,但女性每周工作时间不到 30 小时,男性也没有减少。有趣的是,在 60 至 64 岁之间,女性的日夜倒班工作出现高峰,同时家庭工作也出现高峰,可能与女性作为老年人护理人员的工作有关。一些工作场所风险在老年时仍然很高:密集型工作和要求苛刻的体力工作,尤其是男性,以及女性的有偿和无偿护理工作的结合,这一直持续到 70 岁。老年工人的健康状况优于同年龄的非工作者,女性的差距明显大于男性,而且随着年龄的增长,这种差距在女性中趋于扩大。
结果表明,智利的老年工作者面临不稳定的工作机会,保护有限,工作条件较差。值得注意的是,女性在晚年承担着有偿和无偿工作的双重负担。此外,结果表明,她们受到健康工人效应的影响更为严重,即健康状况决定了找到和保住工作的可能性——也称为健康选择机制——随着年龄的增长而增加。这些就业和工作条件表明,在智利,老年工作还没有可持续性,这是该国在讨论推迟退休年龄时需要考虑的证据,同时还需要建立支持系统来缓解老年工作女性的双重工作负担。