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Health & Ageing at Work (HAWK): A Study of Menopause in Switzerland

Background and rationale

Demographic ageing has led to a rapid rise in the proportion of middle-aged workers in the Swiss labour market. This trend is fuelled by the increasing employment rate of women aged 45+ and by later retirement ages for men and women alike. The target of extending working life (EWL) has been on the Swiss and international policy agenda for several decades. Beyond ensuring the viability of pension systems, these policies aim to mitigate labour shortages. However, research suggests that EWL objectives do not translate easily into occupational-level measures that are conducive to a healthy experience of ageing at work, particularly for women. Within this context, menopause as a symbolic marker of women’s ageing has recently appeared on the international research agenda. 

Objectives and specific aims

Demographic ageing means that more women than ever before will be in employment throughout their entire menopausal cycle, yet this ‘taboo topic’ remains under-researched, particularly in the Swiss context. Menopause is potentially related to women’s health and well-being, and to their employment patterns, career opportunities and exposure to discrimination in the final stages of their working lives. By exploring different interrelated aspects of gendered ageing at work through the lens of menopause as a socially and institutionally embedded experience, the HAWK project will contribute to a comprehensive understanding of the impact of ageing on women’s experiences at work and will reveal their diverse coping strategies. 

Methods

To contribute to a better understanding of women’s experiences of ageing at work, we will carry out mixed-methods organisational case studies in several hospitals and public health research institutions in Switzerland.  Inspired by life-course methods, the research protocol includes: (1)ethnographic observations and interviews with out-patients attending dedicated ‘menopause clinics’ in two teaching hospitals; (2) an on-line survey of approx. 1800 women aged 45+ working in in a wide range of occupations in four health-related institutions, located in three Swiss cantons; (3) 100 biographical (+ life-grid) interviews with women aged 45+ working in the same healthcare institutions; (4) 20 expert interviews with HR, line managers, and staff representatives in these institutions. 

Expected results

Building on knowledge accumulated in other national contexts, the study will make a significant contribution to the understanding of women’s experience of ageing at work in Switzerland. It will identify the organisational arrangements that are most conducive to addressing part of the gender equality challenges of EWL policies. Results from the project will also help HR and occupational health services to elaborate and implement measures to support working women through the menopause transition.

Important link

Project page on the SNSF website

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