{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T21:08:34Z","timestamp":1788815314752,"version":"build-2803163510"},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:00:00Z","timestamp":1776297600000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Swedish Research Council for Health"},{"name":"Working Life and Welfare","award":["2018-00547"],"award-info":[{"award-number":["2018-00547"]}]},{"DOI":"10.13039\/501100004359","name":"Swedish Research Council","doi-asserted-by":"publisher","award":["2021-00154"],"award-info":[{"award-number":["2021-00154"]}],"id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A health-promoting, supportive, and inclusive labor market is essential to sustainable working life. However, knowledge is warranted on working life patterns from midlife on. We aimed to map 20-year histories of labor market and healthcare use among women and men aged 66. A 20-year retrospective cohort study of 52\u2009920 women and 51\u2009823 men aged 66 in 2019 who lived in Sweden 2000\u201319, using microdata on type of economic activity, income, secondary healthcare use, and prescribed medications, linked from nationwide registers. Sequence and cluster analysis were performed on yearly dominant labor market states, separately for women and men. Women spent more time in \u201clow-income\u201d and \u201csickness absence\/disability pension (SA\/DP)\u201d and less time in \u201chigh-income\u201d states than men. Time spent in \u201cunemployed,\u201d \u201cno\/minimal income,\u201d \u201csocial assistance\u201d and \u201cretired\u201d states were similar in both sexes. Probabilities of transitioning from \u201cSA\/DP,\u201d \u201csocial assistance,\u201d and \u201cretired\u201d to other states were low (&amp;lt;.09). The largest sequence cluster in men (68%) was mostly characterized by sequences with \u201chigh-income\u201d and in women by \u201clow-\u201d and \u201chigh-\u201d income states (74%). Other clusters were represented by \u201cunemployed\u201d (14% of women, 17% of men), \u201cno\/minimal income\u201d (10%, 11%), and \u201cSA\/DP\u201d (3%, 3%) states. Most women and men were active in the labor market when aged 46\u201366, nevertheless, around 30% followed less active paths, dominated by long-term SA\/DP, social assistance, or unemployment. Transitions from these states were unlikely. The most pronounced sex-difference in working life was time spent in \u201clow\u201d- and \u201chigh-income\u201d states.<\/jats:p>","DOI":"10.1093\/eurpub\/ckag062","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T11:39:12Z","timestamp":1774957152000},"source":"Crossref","is-referenced-by-count":0,"title":["20-Year labor market histories of 66-year-old women and men: a nationwide retrospective cohort study from Sweden"],"prefix":"10.1093","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3335-7850","authenticated-orcid":false,"given":"Katalin","family":"G\u00e9mes","sequence":"first","affiliation":[{"name":"Department of Clinical Neuroscience, Karolinska Institutet , Stockholm,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleksiina","family":"Martikainen","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Karolinska Institutet , Stockholm,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9595-6627","authenticated-orcid":false,"given":"Kristin","family":"Farrants","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Karolinska Institutet , Stockholm,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristina","family":"Alexanderson","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Karolinska Institutet , Stockholm,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakob","family":"Bergstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Karolinska Institutet , Stockholm,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5227-0721","authenticated-orcid":false,"given":"Ellenor","family":"Mittendorfer-Rutz","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Karolinska Institutet , Stockholm,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8361-3301","authenticated-orcid":false,"given":"Marianna","family":"Virtanen","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Karolinska Institutet , Stockholm,","place":["Sweden"]},{"name":"School of Educational Sciences and Psychology, University of Eastern Finland , Joensuu,","place":["Finland"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,4,16]]},"reference":[{"key":"2026090716330034200_ckag062-B1","doi-asserted-by":"crossref","first-page":"1312","DOI":"10.1016\/S0140-6736(12)62087-X","article-title":"Aging in the European Union","volume":"381","author":"Rechel","year":"2013","journal-title":"Lancet"},{"key":"2026090716330034200_ckag062-B2","author":"Jari","year":"2022"},{"key":"2026090716330034200_ckag062-B3","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/s40985-017-0053-8","article-title":"Barriers and facilitators to extended working lives in Europe: a gender focus","volume":"38","author":"Edge","year":"2017","journal-title":"Public Health Rev"},{"key":"2026090716330034200_ckag062-B4","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1093\/occmed\/kqy062","article-title":"Explaining the gender gap in sickness 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Soc Sci Humanities Open"},{"key":"2026090716330034200_ckag062-B37","doi-asserted-by":"crossref","first-page":"e1\u201314","DOI":"10.1093\/geront\/gnw194","article-title":"Ageism and the older worker: a scoping review","volume":"58","author":"Harris","year":"2018","journal-title":"Gerontologist"},{"key":"2026090716330034200_ckag062-B38","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1093\/eurpub\/ckac096","article-title":"Clustering of disability pension and socioeconomic disadvantage in Sweden: a geospatial analysis","volume":"32","author":"Virtanen","year":"2022","journal-title":"Eur J Public Health"}],"container-title":["European Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/eurpub\/article-pdf\/36\/3\/ckag062\/68088630\/ckag062.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/eurpub\/article-pdf\/36\/3\/ckag062\/68088630\/ckag062.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T20:33:14Z","timestamp":1788813194000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/eurpub\/article\/doi\/10.1093\/eurpub\/ckag062\/8654642"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,11]]},"references-count":38,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,4,11]]}},"URL":"https:\/\/doi.org\/10.1093\/eurpub\/ckag062","relation":{},"ISSN":["1101-1262","1464-360X"],"issn-type":[{"value":"1101-1262","type":"print"},{"value":"1464-360X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6]]},"published":{"date-parts":[[2026,4,11]]},"article-number":"ckag062"}}