Cardiovascular disease, diabetes and early exit from paid employment in Europe; the impact of work-related factors
Cardiovascular disease, diabetes and early exit from paid employment in Europe; the impact of work-related factors
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DOI：
10.1016/j.ijcard.2016.04.090
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发表时间：
2016-07-15
影响因子：
3.5
通讯作者：
Robroek, S. J. W.
中科院分区：
文献类型：
--
作者：
Kouwenhoven-Pasmooij, T. A.;Burdorf, A.;Robroek, S. J. W.
背景/目标：该研究的目的是检查（i）心血管疾病（CVD）或糖尿病与通过残疾福利、失业、提前退休或其他退出途径退出有偿工作之间的关联； (ii) 工作相关因素对 CVD 或糖尿病患者退出有偿就业的影响。 方法：欧洲健康与退休纵向调查 (SHARE) 的受访者年龄 > 50 岁，基线时有过有偿工作，并且 2 或 6 年后已知就业状况 (n = 5182)。基线访谈提供了有关诊断出的心血管疾病和糖尿病以及身体和心理社会工作相关因素的信息。在后续访谈中收集了有关工作状况的信息。采用多项回归分析来调查 CVD、糖尿病和退出有偿就业之间的关联以及工作相关因素的影响。 结果：患有 CVD 或糖尿病的工人获得残疾福利（OR 2.50，95% CI 1.69-3.70）和提前退休（OR 1.34，95% CI 1.05-1.74）的概率显着增加，但失业概率相当（OR 1.10，95% CI 1.69-3.74）。 95% CI 0.71-1.71）。关于残疾福利，中风患者的概率最高（OR 3.48，95% CI 1.31-9.23）。认为高工作要求、低回报或工作控制力低，进一步增加了 CVD 或糖尿病患者提前退出的可能性。结论：我们的研究表明，CVD 和糖尿病在劳动力过早流失中发挥着重要作用，并且表明优化与心理社会工作相关的因素可能对 CVD 或糖尿病患者有益。 (C) 2016 Elsevier Ireland Ltd. 保留所有权利。
Background/objectives: The aims of the study were to examine (i) the association between cardiovascular disease (CVD) or diabetes and exit from paid employment via disability benefits, unemployment, early retirement or other exit routes; and (ii) the impact of work-related factors on exit from paid employment among individuals with CVD or diabetes.Methods: Respondents of the longitudinal Survey of Health and Retirement in Europe (SHARE) were included if they were aged >50 years, had paid employment at baseline, and a known employment status after 2 or 6 years (n = 5182). A baseline-interview provided information on the presence of diagnosed CVD and diabetes, and physical and psychosocial work-related factors. During follow-up interviews information on work status was collected. Multinomial regression analyses were used to investigate the association between CVD, diabetes and exit from paid employment, and the impact of work-related factors.Results: Workers with CVD or diabetes had significantly increased probabilities of disability benefits (OR 2.50, 95% CI 1.69-3.70) and early retirement (OR 1.34, 95% CI 1.05-1.74), but a comparable probability of unemployment (OR 1.10, 95% CI 0.71-1.71). Regarding disability benefits, individuals who had a stroke had the highest probability (OR 3.48, 95% CI 1.31-9.23). Perceived high job demands with low rewards or with low control at work further increased the probability of early exit among individuals with CVD or diabetes.Conclusions: Our study shows a prominent role of CVD and diabetes in premature losses to the workforce, and it shows that optimizing psychosocial work-related factors could be beneficial in people with CVD or diabetes. (C) 2016 Elsevier Ireland Ltd. All rights reserved.