{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:39:13Z","timestamp":1777937953155,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T00:00:00Z","timestamp":1765929600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T00:00:00Z","timestamp":1765929600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100006636","name":"Forskningsr\u00e5det om H\u00e4lsa, Arbetsliv och V\u00e4lf\u00e4rd","doi-asserted-by":"publisher","award":["2019-01284"],"award-info":[{"award-number":["2019-01284"]}],"id":[{"id":"10.13039\/501100006636","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004359","name":"vetenskapsr\u00e5det","doi-asserted-by":"publisher","award":["2017-00624, 2021-00154"],"award-info":[{"award-number":["2017-00624, 2021-00154"]}],"id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004359","name":"vetenskapsr\u00e5det","doi-asserted-by":"publisher","award":["2017-00641"],"award-info":[{"award-number":["2017-00641"]}],"id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Swedish Council for the Planning and Coordination of Research"},{"DOI":"10.13039\/100000002","name":"national institutes of health","doi-asserted-by":"publisher","award":["AG 08724"],"award-info":[{"award-number":["AG 08724"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National institutes of health","doi-asserted-by":"publisher","award":["DK 066134, CA 085739"],"award-info":[{"award-number":["DK 066134, CA 085739"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>There is limited research on how family-related events are associated with sustainable working life, which is defined as the absence of long-term periods of unemployment, sickness absence, or disability pension. We aimed to investigate whether family-related events, such as living with children, marriage, or divorce, are associated with sustainable working life. We also examined whether these associations could be explained by health behaviours including physical activity, smoking, and alcohol consumption, as well as by genetic factors and early life environment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Registry data and surveys on family-related events, sustainable working life, and health behaviours of 49,611 Swedish twins in 1993\u20132016 were used. Cox proportional hazards regressions were applied to estimate the associations between family-related events and sustainable working life, while conditional Cox models for twin pairs accounted for confounding genetic factors and early life environment. Further, the analyses were stratified by health behaviours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The results showed that a change from being single living without children to being married and living with children was associated with a sustainable working life. Moreover, individuals who experienced divorce and single individuals who changed their status of living with children were less likely to experience a sustainable working life. Genetic factors and early life environment played a role in some associations. Those with healthy behaviours were more likely to have sustainable working lives despite changes in family life, compared with those with unhealthy behaviours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Family formation (i.e. change from being single to getting married and having children) is associated with sustainable working life, whereas divorce seems to decrease the possibility of sustainable working life. Health behaviours, as well as genetic factors and early life environment, also need to be considered with changes in family life to support sustainable working life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14034948251398693","type":"journal-article","created":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T11:53:05Z","timestamp":1765972385000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The role of health behaviours, genetic factors, and early life environment in the associations between family-related events and sustainable working life"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4036-3300","authenticated-orcid":false,"given":"Mo","family":"Wang","sequence":"first","affiliation":[{"name":"Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pia","family":"Svedberg","sequence":"additional","affiliation":[{"name":"Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1759-3079","authenticated-orcid":false,"given":"Karri","family":"Silventoinen","sequence":"additional","affiliation":[{"name":"Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden"},{"name":"Population Research Unit, Faculty of Social Sciences, University of Helsinki, Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petri","family":"B\u00f6ckerman","sequence":"additional","affiliation":[{"name":"School of Business and Economics, University of Jyv\u00e4skyl\u00e4, Jyv\u00e4skyl\u00e4, Finland"},{"name":"Labour Institute for Economic Research LABORE, Helsinki, Finland"},{"name":"IZA Institute of Labor Economics, Bonn, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jurgita","family":"Narusyte","sequence":"additional","affiliation":[{"name":"Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annina","family":"Ropponen","sequence":"additional","affiliation":[{"name":"Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden"},{"name":"Finnish Institute of Occupational Health, Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,12,17]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13524-011-0032-5"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/00324720701524466"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckm128"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/1403494807088459"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol28050330"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.5271\/sjweh.2909"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0025004"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000002869"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10198-018-1002-2"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2016.6103"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2007.01803.x"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2021.106717"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwf151"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1017\/thg.2012.47"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1017\/thg.2013.36"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0023143"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.1635"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1375\/twin.13.4.312"},{"key":"e_1_3_3_20_2","first-page":"1","article-title":"Changes in family situation and concurrent changes in working life: a 15-year longitudinal analysis","volume":"12","author":"Wang M","year":"2024","unstructured":"Wang M, Svedberg P, Narusyte J, et al. 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