EUGLOREH project
THE STATUS OF HEALTH IN THE EUROPEAN UNION:
TOWARDS A HEALTHIER EUROPE

FULL REPORT

PART I - THE CONTEXT FOR HEALTH

2.   THE CHANGING CONTEXT FOR HEALTH IN THE EUROPEAN UNION

2.5. Unemployment rates and workforce ageing

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2.5. Unemployment rates and workforce ageing

 

 

The nature of work is changing rapidly. Today’s world of work is unrecognisable from the workplace of only a few years ago. Employers and employees have embraced revolutionary communication advances, the introduction of flexible working arrangements, greater diversity in the workplace and significant restructuring of working arrangements through outsourcing and off-shoring. General trends include changing work patterns (new technology, increase of the service sector) as well as changes in employment patterns (downsizing, outsourcing, flexibility and mobility). In response to globalisation and economic pressures, companies have looked for greater flexibility to respond rapidly to peak production demands and seasonal variations whilst controlling labour costs. Their approach has included introducing new working practices such as ‘just-in-timeproduction and casual labour such as temporary work and fixed-term contracts. 2 For many people, change provides welcome opportunities for more rewarding and satisfying work and a better life. For others it is worrisome, closing off rather than opening up chances for improved living and working conditions (ILO, 2006).

 

All these issues can have implications for workplace health and safety. They can affect the type and nature of risks present in the workplace and they influence how risks need to be managed. For example, in many work areas, job demands have increased, including an intensification of work and requirements on workers to be more flexible and rapidly learn to carry out new tasks. These conditions can contribute to health problems, although traditional risks also remain on the agenda. Changes in management structures and responsibilities will affect the management of workplace health and safety. The use of subcontractors, for example, also complicates the process, especially where several different organisations are working on one site (European Agency for Safety and Health at Work, 2002).

Detecting a pattern of change in working conditions is difficult as the main feature revealed by labour market researchers is an increasing diversity. The situation is even more complex for workers from the new member states (i.e. Eastern European countries). In many of these countries the traditional occupational health and safety hazards still constitute the main challenge. But, simultaneously, new ways of working are bringing their own problems for employees. One of the most pressing problems is that most relationships are informal and insecure, hampering the transition to more complex and productive systems for organising productive work.

 

Growth of the service sector. A growing proportion of workers are employed in the service sector. In contrast to industrial employment, services went up as a share of global employment from 66 per cent in 1995 to 71 per cent in 2005 in developed countries. Services include wholesale and retail trade; hotels and restaurants; transport; storage and communications; finance; property and business activities including research and development; public administration; education; health and social work; community and personal services and domestic service. Many of these jobs involve contact with members of the publicclients, customers, patients and so forth — which can lead to risks of stress and violence at work. The necessity to carry out additional administrative tasks has increased in professions such as health-care work and teaching and there has been an increase in delivering health and social services care in the community, thus more personnel working away from a fixed workplace.

 

Integration and globalisation. The progressive reduction of barriers that first took place between local and national, then regional and now intercontinental markets is a dominant topic in recent economic history. Liberalisation of trade controls on manufacturers, an easing of restrictions on foreign direct investment and other capital movements, as well as sharply reduced costs of transportation and telecommunications, have fostered the emergence of a global market economy. More businesses face fiercer competition in their domestic and export markets. As a result of these changes, intensified global competition for products and services feeds through into pressures to adapt workplaces and match the efficiency and quality of market leaders – or close down.

 

Changing management structures. According to the Agency Changing World of Work Report, several significant new developments in work organisation have emerged, for example: teamwork; decentralisation of supportive tasks such as quality and maintenance; job enlargement, job rotation, including interdepartmental job rotation; knowledge management; tele-working; virtual networks and new working time patterns. Some of these changes have been introduced from a management efficiency perspective; others with the aim of improving work organisation and quality of working life for the employees. The study, entitledHigh performance work place practices and job satisfaction”, reveals that high performance work practices do indeed have a positive effect on work satisfaction (EUROFOUND, 2005). Key factors for workerswell-being are autonomy in the workplace, participation in decision-making and increased communication with colleagues. However, the research concludes that teamwork, job rotation and supporting human resource practices have only a limited impact.

 

Unemployment rates. During the period 2006-2007 6.5 million new jobs have been created. In the EU27, unemployment rate declined in the last years down to 7%, the lowest level ever achieved since the 80s. Figure 2.3 shows the significant differences existing among unemployment rates of different Member States and that unemployment rates are for people aged less than 25 much higher than for those 25 or more years old. Unemployment rates will likely increase due to the current economic situation. Recent estimates by EUROSTAT3 indicate that the employment rate in the third quarter of 2008, compared with the previous quarter, is stable in the EU27, and slightly declining in the Euro area.

 

Figure 2.3a. Unemployment rates in the age groups 15-24 years and 25 years and over in the EUGLOREH Countries. A) 15 – 24 years

 

Figure 2.3b. Unemployment rates in the age groups 15-24 years and 25 years and over in the EUGLOREH Countries. B) 25 years and over

 

Changes in the workforce. The European workforce has changed in composition and will continue to change over the next decades. Three major trends can be seen (OSHA. 2002).

 

The first trend is the ageing of the workforce. In all European countries, the average age of the workforce is rising and the percentage of workers over 50 will continue to grow. By 2006 it had reached the stage where employees in their fifties outnumbered those in their thirties. A forecast compiled by Eurostat shows that the number of older workers (aged 55 to 65) will increase by almost 9% from 2005 to 2010, but the number of young adults (25-39) will decrease by 4% in the same period. This trend will continue from 2010 to 2030 (older workers + 15.5%, young adults -10%).

 

A possible trend that may in part counterbalance this structural contraction is a greater involvement of 55- to 64-year-old people in the labour market, especially of women and the very young, provided more part-time jobs are offered. The trend in the participation rate of the “young elderly” in the labour force started declining from the 1970s onwards, mainly as a result of an increasing number of retirees in the farming sector on the one hand, and more flexible work retirement schemes on the other. This decline was particularly sustained for the male section of the population, while trends for women of the same age brackets varied widely across developed countries. Many countries took steps to increase retirement age, but nonetheless the age when the labour force actually leaves their jobs comes short of that provided for by the law.

 

In 2004, the European Commission, DG Employment and Social Affairs, released the Communication on “Unequal Welfare States, Distributive Consequences of Population Ageing in Six European Countries”. As retired people generally have lower incomes than employed workers, ageing will lead to a slight rise in income inequality in Europe in the next 20 years. Larger numbers of people with lower incomes will in turn lead to higher poverty rates. The 15th edition of the European Commission’s Employment in Europe report, published in early October 2003, presented a panorama of recent developments in European labour markets. The report integrates accession countries into the analysis. The report highlights the EU’s commitment to increase the number of older people in work to 50% (the Stockholm target) and to raise the age at which people retire by 5 years (the Barcelona target). Statistics in 2001 show that the average retirement age is 59.9 years and in 2002 only 30% of older people were in work in the accession countries compared to 40% in the EU. Although recent progress has been made in some Member States towards meeting these targets, the report highlights the importance of work-health issues for older workers. In low-skilled jobs greater attention is needed for health and safety issues because of muscular-skeletal disorders. Higher skilled workers face the challenges of stress and the associated health impact.

 

Active inclusion measures, pension and labour market reforms have improved incentives to work but still more people need to work. Furthermore, they should stay economically active longer. Together with efforts to improve productivity, this will contribute to a sounder base for social protection systems and adequacy and sustainability of pensions. In view of people’s improved health status and life expectancy, reforms and modernisation of pension systems can promote active ageing by raising employability, reducing early retirement schemes, increasing flexibility in retirement and strengthening incentives to work longer, provided that labour markets are opened up to older workers.

 

A second trend is the increasing percentage of women in the workforce. However, it is uncertain to what extent jobs have been changed on the basis of this aspect. Traditional differences remain in the type of jobs carried out by men and women, the type of employment contracts and in career development opportunities. Many women work in the caring services where there are high risks of stress, violence and psychosocial risk factors. More women than men work in jobs where the demands are high but there is little individual control over the work.

 

A third trend is immigration of new groups into European Member States.

Migrant workers include two major categories: the highly skilled, much sought-after employee who can usually obtain the necessary papers to live and work in the host country and the unskilled, who are often equally in demand but for low-status/low-paid jobs that few nationals want to do. The unskilled often have difficulty in obtaining visas and work permits and are concentrated in unskilled jobs characterised by poor working conditions. An additional problem in these jobs is that written health and safety notices are important but ineffective if they are not in a language workers can read or if literacy levels are weak. Recent studies show that the position that recent migrant workers occupy within the labour market puts their health and safety at increased risk, in comparison with other workers in similar positions.

According to estimates, the number of Europeans of working age (between 15 and 64) will shrink by 20 million by the year 2030, even taking into account 1.8 million immigrating into the EU every year.

 

According to recent European Commission’s figures, there are three million unfilled jobs in Europe. Growing labour needs are mainly in highly qualified labour as well as in low and medium skills in specific sectors, namely in healthcare, agriculture, construction and tourism.

 

Growing needs in domestic and care services are as follows:

 

         The 80+ age group – an important consumer of care servicesrepresents the fastest growing age group. It doubled in size in the period 1970-2000 and will double again before 2030;

 

         The feminisation of the labour force and changes in the family structure and lifestyle have significantly increased the demand for domestic services.

 

The impact of migration on overall growth very much varies by country, but generally in many countries its contribution has increased over time. However, it is unrealistic to believe that migration can offset the enormous inertia of ageing. After all, migrants are also ageing. Nevertheless, migration can smooth the ageing pattern providing extra time for the policies to adapt.

 

The situation in Europe in terms of migration is far from satisfactory. In relation to skill level, Europe attracts less high skilled immigrants and more low skilled immigrants compared to the USA, Australia and Canada, while vacancies in highly skilled jobs are increasing. In relation to labour market participation, participation/ employment rates of immigrants and their descendents remain low in many Member States. Illegal migration contributing to irregular work remains high. Almost in all Member States the integration of immigrants represents an important issue. Immigrants are among the most vulnerable groups. The fight against discrimination represents an important dimension of this issue.

 

New forms of work. Modern organisations are often more decentralised and may uselean production methods’. The result of these changes has been a reduction in directly employed staff. Many companies now only carry out core functions in-house, while auxiliary functions have been outsourced. This results in chains of suppliers and subcontractors. The way organisations operate and work together with others has become more complicated and less stable. There is now more instability in work contracts and job descriptions. Companies make greater use of short-term contracts, temporary employees, freelancers or self-employed people. Increasingly, employees are flexibly deployed over multiple tasks. Some contractual relationships have become more informal. More use is made of part-time workers, with women making up the majority. New technology may also influence the way people are employed, for example by creating more possibilities for people to work self-employed from home (European Agency for Safety and Health at Work, 2006).

Both case studies and quantitative data show that employees with a temporary or fixed-term contract have less job security, less control over their working time, fewer career prospects, reduced access to training and perform less skilled tasks. These issues can result in work-related stress. Studies have showed that an increase in work-related stress also increases cardiovascular mortality (Finnish Heart Association, 2005). These issues have a gender dimension, since women are relatively over-represented in non-permanent and part-time jobs (Rantanen, 1998).

 

The introduction of new technologies can be a stressful experience at an individual level for some workers. The pressure of information-intensive work and the learning process may be particularly stressful for some older workers. Nevertheless, ‘information overloads’ and psychological stress are not restricted to older employees or those with low training levels; ICT experts have also shown an elevated risk of psychological exhaustion (Rantanen, 1998). The use of and exposure to new technological products, little known for their biological effects, such as nano particles, may result in new risks to workershealth.

 

New qualifications. The current process of economic and technological transformation requires a constant renewal of skills by workers, employers and managers and favours those countries more capable of meeting this demand. In other words, current growth is skill-biased in developed countries. Perceived lack of control over work is a well-documented factor that contributes to work-related stress, which also increases cardiovascular mortality. In industrialised countries, high-skilled occupations, including professional, technical, and administration categories, recorded the highest growth of all occupations in the 1980s and 1990s. Given the skill-biased nature of the current economic and technological transformation, worker training (formal education, vocational training and training in firm-specific activities) assumes an increasingly crucial role to assist individuals in developing skills to find and retain formal employment.

 

Small and medium-sized enterprises (SMEs). The percentage of small and medium-sized enterprises has increased. European figures from Eurostat show that work-health problems are far higher in small businesses. SMEs may lack resources and know-how to manage workplace health. In SMEs, particularly in micro-enterprises, there can also be a lack of a formal management structure that will also affect the health and safety management process. As the number of SMEs grows, this places additional demands on labour inspectorates, in order to reach and support a larger number of workplaces and those that generally have fewer resources and knowledge to deal with workplace safety issues.

 

Increasing work pace and workload. In the EU, work-related stress is now believed to affect one-third of the workforce (Ivanov, 2005). People living under long-term stress are known to be more vulnerable to a wide range of conditions, including CD, probably through a weakened immune system. Work intensity is increasing in all countries in Europe with more weekend work, irregular and less predictable working hours and the increasing use of both very limited hours (involuntary part-time work) and excessively long hours (involuntary overtime). Greater work intensity and time unpredictability do not seem to have been matched by an increase in employeesautonomy over their work. These “newrisk factors are associated with psychological load. Non-standard working times increase the risk of cardiovascular diseases.

 

Pension provision. Whereas pension reforms are well under way, they need to be monitored regularly with regard to their impact on future adequacy and financial, economic and social sustainability. Awareness of the risks associated to different pension schemes should be raised, thereby promoting informed choices. Work on the methodology for comparative analysis and the exchange of good practice should provide insight into the long term impact of pension reform on individuals, particularly for those with atypical career patterns.

Privately funded pension schemes are of growing importance. This generally means a shift in the sharing of risks between beneficiaries, governments, sponsoring undertakings and pension funds, which needs to be well evaluated and accompanied by appropriate regulations. The full impact on the adequacy of future pensions is not easy to assess and depends on the size of contributions diverted to funded schemes and on their actual coverage. While fuller and more productive employment is more likely to offer access to private pensions, specific policy measures seem necessary to increase coverage currently at 50-60% on average to ensure that the whole working population will accumulate sufficient private pension right – an objective set by many Member States. Future pension benefits will also depend on real returns on accumulated capital as well as actual costs and fees – which can affect lower pensions to a greater extent. In those Member States introducing greater reliance on private pension provisions the mechanisms for transition are still in evolution. The age at which people join funded schemes, the retirement age and the rules governing the accumulation and payment of benefits, such as indexation rules and the treatment of non contributory periods, can have a strong impact on future pension incomes. But funded schemes also need to adapt to the increase in life expectancy. With increased reliance on funded pensions, the government’s role needs to be clearly defined. This involves the definition of pay-out conditions, appropriate supervision, public information and financial literacy (Joint Report on Social Protection and Social Inclusion, 2008).

 

Consequences of on-going changes in the future. The world of work has radically altered in organisation and composition and will continue to change over the next decades. European Member States will need to deal with these changes which can have a positive or negative impact on workplace health and safety. It is clear that public health and workplace health interventions among workers will be a major future challenge for maintaining a healthy workforce.