Common health predictors of early retirement: findings from the English Longitudinal Study of Ageing
Common health predictors of early retirement: findings from the English Longitudinal Study of Ageing
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DOI：
10.1093/ageing/afq153
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发表时间：
2011-01-01
期刊：
影响因子：
6.7
通讯作者：
Melzer, David
中科院分区：
文献类型：
--
作者：
Rice, Neil E.;Lang, Iain A.;Melzer, David
背景：面对人口老龄化带来的成本，许多国家的政府致力于延长老年人的就业时间。摘要健康措施预测提前退休，但更具体的症状和条件需要确定，以指导努力延迟retires.Objective：以确定共同的症状和条件，预测提前退出工作，在人口水平。设计：队列研究的社区居住受访者的英语纵向研究老龄化。设置和参与者：共有1，693名基线年龄在50岁及以上的工人，他们在4年的随访中比同期的退休年龄（女性60岁，男性65岁）年轻。年龄增长、女性性别、伴侣退休、更多的养老金财富、高酒精消费以及健康状况良好或较差都与离职有关。考虑到这些因素，报告的行走四分之一英里困难预测早期退出工作（比值比（OR）= 2.23; 95%置信区间（CI）1.42-3.52），特别是当症状包括下肢疼痛和/或呼吸急促时。症状性抑郁（用流行病学研究中心抑郁量表测量）也预测早期退出工作（OR = 1.52，CI 1.07，2.18）。约50.8%的提前退休人员报告一个或多个这些特定的健康症状（抑郁症，全身疼痛，活动受限和腿部疼痛时，步行）。结论：老年工人谁报告抑郁症状或身体活动能力受损，特别是下肢疼痛和呼吸急促，是在早期过渡出工作的风险增加。针对这些条件的保健干预措施可能使老年工人能够留在劳动力队伍中。
Background: facing the costs of population ageing, many governments aim to keep older people in employment for longer. Summary health measures predict early retirement, but more specific symptoms and conditions need to be identified to guide efforts to delay retirement.Objective: to identify common symptoms and conditions that predict early work exit, at the population level.Design: cohort study of community dwelling respondents to the English Longitudinal Study of Ageing.Setting and participants: a total of 1,693 workers aged 50 and over at baseline who were younger than the contemporaneous retirement age (60 for women, 65 for men) at 4-year follow-up.Results: a total of 308 (18.2%) individuals moved out of employment during the follow-up period. Advancing age, female gender, partner retirement, greater pension wealth, high alcohol consumption and fair or poor self-rated health were all associated with work exit. Accounting for these factors, reported difficulty walking a quarter mile was predictive of early work exit (odds ratio (OR) = 2.23; 95% confidence interval (CI) 1.42-3.52), especially where symptoms included lower limb pain and/or shortness of breath. Symptomatic depression (measured by Centre for Epidemiological Studies Depression scale) was also predictive of early work exit (OR = 1.52, CI 1.07, 2.18). About 50.8% of early retirees reported one or more of these specific health symptoms (depression, general pain, mobility limitations and leg pain when walking).Conclusion: older workers who report depressive symptoms or impaired physical mobility, especially with lower limb pain and shortness of breath, are at increased risk of early transition out of work. Health interventions targeting these conditions may enable older workers to remain in the labour force.