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Workers Age 55 and over Working with Pain. A Descriptive Interpretive Study.

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Older workers with chronic musculoskeletal pain often continue working due to feeling useful, peer recognition, and perceived health benefits. Workplace flexibility is crucial for these individuals.

Keywords:
AgingChronic painMusculoskeletalStay-at-workWork disability

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Area of Science:

  • Occupational Health
  • Gerontology
  • Musculoskeletal Health

Background:

  • The aging workforce (55+) is growing in industrialized nations, coinciding with a youth labor shortage.
  • Chronic musculoskeletal pain affects at least 20% of older workers, yet most continue employment.
  • Understanding factors influencing work continuation for this demographic is critical.

Purpose of the Study:

  • To explore personal and work-related factors associated with older workers (55+) continuing employment despite experiencing persistent musculoskeletal pain.
  • To identify key drivers and barriers for sustained work in this demographic.

Main Methods:

  • An interpretive descriptive qualitative study utilizing semi-structured individual interviews.
  • Inclusion criteria: manual/mixed occupations, persistent musculoskeletal pain, and working ≥28 hours/week.
  • Thematic analysis guided by a conceptual model.

Main Results:

  • Fourteen participants (ages 55-70) from diverse employment settings were interviewed.
  • Key drivers for staying at work included perceived usefulness, peer recognition, and the belief that work benefits health.
  • Workplace flexibility, in various forms, was universally essential.
  • The 'cost of staying at work' varied significantly among individuals.

Conclusions:

  • Both individual and workplace factors significantly influence the decision of older workers with musculoskeletal pain to remain employed.
  • The newly identified concept of 'cost of staying at work' offers a promising framework for understanding this phenomenon.