Association between voluntary/involuntary job loss and the development of stroke or cardiovascular disease: a prospective study of middle-aged to older workers in a rapidly developing Asian country.
Association between voluntary/involuntary job loss and the development of stroke or cardiovascular disease: a prospective study of middle-aged to older workers in a rapidly developing Asian country.
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DOI：
10.1371/journal.pone.0113495
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Kim HR
中科院分区：
文献类型：
--
作者：
Kang MY;Kim HR
这项研究的目的是调查韩国中老年人失业与中风或心血管疾病发生之间的关系。我们还研究了性别和失业的性质如何改变这种关系。本研究使用了韩国老龄化纵向研究 (KLoSA) 的第一波至第四波数据集的样本，这些数据收集于 2006 年、2008 年、2010 年和 2012 年。该研究总共收集了 10,254 名基线年龄≥45 岁的受试者的数据。应用排除标准后，最终分析样本量为 4,000 人。获得了有关就业状况、中风或心血管疾病的发展以及协变量（年龄、收入水平和行为因素）的信息。 Cox比例风险模型用于评估自愿/非自愿失业与中风或心血管疾病发展之间的关联。我们根据疾病、性别和失业的性质分别进行了这些分析。非自愿失业显着增加男性中风或心血管疾病的风险（调整后风险比[HR] = 3.560，95%置信区间[CI] = 2.055–6.168）。自愿退休还增加了男性患心血管疾病或中风的风险（调整后的 HR = 2.879，95% CI = 1.533–5.409）。失业与中风的关系比与心血管疾病的关系更密切（中风，调整后的 HR = 6.208，95% CI = 2.417–15.943；心血管疾病，调整后的 HR = 2.768，95% CI = 1.402–5.465）。我们的研究结果表明，自愿退休和非自愿失业都会增加中老年人（尤其是男性）中风或心血管疾病的风险。
The aim of this research was to investigate the association between job loss and the development of stroke or cardiovascular disease among middle-aged to older individuals in Korea. We also examined how this relationship was modified by gender and the nature of the job loss. This study used samples from the first- to fourth-wave datasets from the Korean Longitudinal Study of Aging (KLoSA), which were collected in 2006, 2008, 2010, and 2012. The study collected data from a total of 10,254 subjects aged ≥45 years at baseline. After applying exclusion criteria, the final sample size for analysis consisted of 4,000 individuals. Information about employment status, development of stroke or cardiovascular disease, and covariates (age, income level, and behavioral factors) was obtained. Cox proportional hazards models were used to evaluate the association between voluntary/involuntary job loss and the development of stroke or cardiovascular disease. We performed these analyses separately according to disease, gender, and the nature of the job loss. Involuntary job loss significantly increased the risk of stroke or cardiovascular disease among males (adjusted hazard ratio [HR] = 3.560, 95% confidence interval [CI] = 2.055–6.168). Voluntary retirement also increased the risk of cardiovascular disease or stroke among males (adjusted HR = 2.879, 95% CI = 1.533–5.409). Job loss was more closely associated with stroke than with cardiovascular disease (stroke, adjusted HR = 6.208, 95% CI = 2.417–15.943; cardiovascular disease, adjusted HR = 2.768, 95% CI = 1.402–5.465). Our findings suggest that both voluntary retirement and involuntary job loss increase the risk for stroke or cardiovascular disease in middle-aged to older individuals, especially males.
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DOI：
10.1093/geronb/55.3.s131
发表时间：
2000-05-01
影响因子：
6.2
作者：
Gallo, WT;Bradley, EH;Kasl, SV
通讯作者：
Kasl, SV
影响因子：
5.4
作者：
ENSMINGER, ME;CELENTANO, DD
通讯作者：
CELENTANO, DD
影响因子：
12.7
作者：
Artazcoz, L;Benach, J;Cortès, I
通讯作者：
Cortès, I
影响因子：
3.5
作者：
Browning, Martin;Heinesen, Eskil
通讯作者：
Heinesen, Eskil
影响因子：
2.6
作者：
Ekerdt, DJ;Kosloski, K;DeViney, S
通讯作者：
DeViney, S