The frequency of job participation and well-being of older people in Japan: Results from JAGES study

The frequency of job participation and well-being of older people in Japan: Results from JAGES study
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DOI:
10.1016/j.archger.2022.104720
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发表时间:
2022-05-22
影响因子:
4
通讯作者:
Fujiwara, Takeo
Fujiwara, Takeo
中科院分区:
医学2区
文献类型:
--
作者:
Nakajima, Hiroshi;Morita, Ayako;Fujiwara, Takeo

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我们调查了日本老年人的工作参与频率和幸福感之间的关联,使用前瞻性全国性调查的数据,日本老年学评估研究(JAGES)。工作的频率分为“不工作”,“有时或更少”(= 4次/周),我们进行了二元和连续的结果分析,使用逻辑或泊松回归和线性回归。在调整协变量后,我们发现,“经常或更多”和“有时或更少”工作的参与者不太可能表现出主观健康状况不佳(经常或多次=比值比(OR):0.55,95%置信区间(CI):0.48 - 0.62;有时或较少= OR:0.57,95% CI:0.49至0.67)和抑郁症(经常或更多= OR:0.62,95% CI:0.53至0.73;有时或更少= OR:0.58,95% CI:0.47至0.71),更可能快乐(经常或多次=患病率(PR):1.05,95% CI:1.03 - 1.07;有时或较少= PR:1.03,95% CI:1.00 - 1.05)。有序离散结果的线性回归分析显示了类似的趋势,并进一步表明,更多的工作带来更多的好处。“经常或更多”工作的参与者不太可能主观健康状况不佳,并且比“有时或更少”工作的人更快乐(线性系数分别为-0.04和0.15)。需要进一步研究,以调查频繁的工作参与与老年人的健康和福祉之间的关联的可能解释。
We investigated the association between the frequency of job participation and well-being among older people in Japan, using data from a prospective nation-wide survey, the Japan Gerontological Evaluation Study (JAGES). The frequency of work was classified into "not working," "sometimes or less" (= 4 times/week), and we conducted binary and continuous outcome analyses using logistic or Poisson regression and linear regression. After adjusting for covariates, we have found that participants who worked "often or more" and "sometimes or less" were less likely to display poor subjective health (often or more = odds ratio (OR): 0.55, 95% confidence interval (CI): 0.48 to 0.62; sometimes or less = OR: 0.57, 95% CI: 0.49 to 0.67) and depression (often or more = OR: 0.62, 95% CI: 0.53 to 0.73; sometimes or less = OR: 0.58, 95% CI: 0.47 to 0.71), and more likely to be happy (often or more = prevalence ratio (PR): 1.05, 95% CI: 1.03 to 1.07; sometimes or less = PR: 1.03, 95% CI: 1.00 to 1.05). Linear regression analysis of ordinal discrete outcomes showed similar trends, and furthermore suggested that more work conferred more benefits. The participants who worked "often or more" were less likely to have poor subjective health and were happier than those who worked "sometimes or less" (linear coefficients of -0.04 and 0.15 respectively). Further research is required to investigate possible explanations for the association between frequent job participation and health and well-being at older ages.