Retirement age and disability status as pathways to later-life cognitive impairment: Evidence from the Norwegian HUNT Study linked with Norwegian population registers.
Retirement age and disability status as pathways to later-life cognitive impairment: Evidence from the Norwegian HUNT Study linked with Norwegian population registers.
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退休年龄和残疾状况是导致晚年认知障碍的途径：挪威 HUNT 研究与挪威人口登记相关的证据。
DOI：
10.1002/gps.5967
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发表时间：
2023
影响因子：
4
通讯作者：
Stern,Yaak
中科院分区：
文献类型：
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作者：
Zotcheva,Ekaterina;Strand,BjørnHeine;Bowen,CatherineE;Bratsberg,Bernt;Jugessur,Astanand;Engdahl,BoLars;Selbaek,Geir;Kohler,Hans-Peter;Harris,JenniferR;Weiss,Jordan;Grøtting,MajaWeemes;Tom,SarahE;Krokstad,Steinar;Stern,Yaak
研究表明，退休年龄与晚年认知有关，但退休途径之间没有充分区分。我们研究了通过残疾途径退休的人的退休年龄与晚年痴呆和轻度认知障碍（MCI）的关系。（在获得养老金资格之前获得残疾养恤金）和通过标准途径退休的人。MethodsThe study samples comprised 7210 participants from the Norwegian Trøndelag Health Study（HUNT 4 70+，2017-2019）在1967-2019年工作至少一年，工作到55岁以上，并在HUNT 4之前退休。当参与者年龄在69-85岁时，在HUNT 4 70+中对痴呆和MCI进行临床评估。参与者退休年龄和途径的历史数据来自人口登记册。我们使用多项式回归来评估痴呆/MCI风险的妇女和男子退休通过残疾途径，或早期（<67岁），按时（年龄67，老年养老金资格）或晚（年龄68+）通过标准pathway.ResultsIn我们的研究样本，9.5%有痴呆症，35.3%有MCI，28.1%通过残疾途径退休。与按时标准退休组相比，残疾退休组患痴呆症的风险升高（相对风险比[RRR]：女性1.64，95%CI 1.14-2.37，男性1.70，95%CI 1.17-2.48）。MCI风险较低的男性谁退休晚与时间（RRR，0.76，95%CI 0.61-0.95）。ConclusionDisability退休人员应更密切地监测，并应考虑预防政策，以尽量减少痴呆症的风险观察这组退休人员。
BackgroundResearch shows that retirement age is associated with later‐life cognition but has not sufficiently distinguished between retirement pathways. We examined how retirement age was associated with later‐life dementia and mild cognitive impairment (MCI) for people who retired via the disability pathway (received a disability pension prior to old‐age pension eligibility) and those who retired via the standard pathway.MethodsThe study sample comprised 7210 participants from the Norwegian Trøndelag Health Study (HUNT4 70+, 2017–2019) who had worked for at least one year in 1967–2019, worked until age 55+, and retired before HUNT4. Dementia and MCI were clinically assessed in HUNT4 70+ when participants were aged 69–85 years. Historical data on participants' retirement age and pathway were retrieved from population registers. We used multinomial regression to assess the dementia/MCI risk for women and men retiring via the disability pathway, or early (<67 years), on‐time (age 67, old‐age pension eligibility) or late (age 68+) via the standard pathway.ResultsIn our study sample, 9.5% had dementia, 35.3% had MCI, and 28.1% retired via the disability pathway. The disability retirement group had an elevated risk of dementia compared to the on‐time standard retirement group (relative risk ratio [RRR]: 1.64, 95% CI 1.14–2.37 for women, 1.70, 95% CI 1.17–2.48 for men). MCI risk was lower among men who retired late versus on‐time (RRR, 0.76, 95% CI 0.61–0.95).ConclusionDisability retirees should be monitored more closely, and preventive policies should be considered to minimize the dementia risk observed among this group of retirees.