Predictors of working beyond retirement in older workers with and without a chronic disease - results from data linkage of Dutch questionnaire and registry data

Predictors of working beyond retirement in older workers with and without a chronic disease - results from data linkage of Dutch questionnaire and registry data
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DOI:
10.1186/s12889-018-5151-0
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发表时间:
2018-02-17
期刊:
影响因子:
4.5
通讯作者:
Boot, Cecile R. L.
Boot, Cecile R. L.
中科院分区:
医学2区
文献类型:
--
作者:
de Wind, Astrid;Scharn, Micky;Boot, Cecile R. L.

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背景:越来越多的退休人员在退休后继续工作,尽管他们有资格退休。由于慢性病的患病率随着年龄的增长而增加,退休后继续工作可能会沿着慢性病。退休后的工作对于有慢性病和没有慢性病的退休人员来说可能是不同的。我们的目的是调查是否人口,社会经济和工作特点,健康和社会因素预测工作超过退休后,在工人和没有慢性diseases.Methods:员工年龄在56-64岁,从研究中选择的过渡就业,能力和动机(N = 1125)。关于人口和工作特征、健康、社会因素以及退休后工作的问卷调查数据与荷兰统计局关于社会经济特征的登记数据相关联。单独的预测模型,建立了退休人员与慢性疾病,无慢性疾病的多变量logistic回归analysis.Results:工人更有可能工作超过退休后的慢性疾病的工人(27%比23%)。在患有慢性病的退休人员中,工作和健康因素预测退休后的工作,而在没有慢性病的退休人员中,工作,健康和社会因素预测退休后的工作。在患有慢性病的工人的最终模型中,医疗保健工作,更好的身体健康,更高的身高,更低的身体负荷和没有永久合同对退休后的工作有积极的预测作用。在没有慢性疾病的工人的最终模型中,感觉充满活力和每周> = 2天的高强度体力活动对退休后的工作有积极的预测作用;而体力劳动,更好的恢复以及在法定退休年龄之前不支持工作的伴侣对退休后的工作有消极的预测作用。结论:工作和健康因素独立预测退休后的工作,有慢性病和无慢性病的工人,而社会因素只有在没有慢性病的工人。人口统计学和社会经济学特征并没有独立地对任何群体退休后工作的预测做出贡献。由于预测退休后的工作是更困难的工人与慢性病,未来的研究是需要在这一组。
Background: An increasing number of retirees continue to work beyond retirement despite being eligible to retire. As the prevalence of chronic disease increases with age, working beyond retirement may go along with having a chronic disease. Working beyond retirement may be different for retirees with and without chronic disease. We aim to investigate whether demographic, socioeconomic and work characteristics, health and social factors predict working beyond retirement, in workers with and without a chronic disease.Methods: Employees aged 56-64 years were selected from the Study on Transitions in Employment, Ability and Motivation (N = 1125). Questionnaire data on demographic and work characteristics, health, social factors, and working beyond retirement were linked to registry data from Statistics Netherlands on socioeconomic characteristics. Separate prediction models were built for retirees with and without chronic disease using multivariate logistic regression analyses.Results: Workers without chronic disease were more likely to work beyond retirement compared to workers with chronic disease (27% vs 23%). In retirees with chronic disease, work and health factors predicted working beyond retirement, while in retirees without a chronic disease, work, health and social factors predicted working beyond retirement. In the final model for workers with chronic disease, healthcare work, better physical health, higher body height, lower physical load and no permanent contract were positively predictive of working beyond retirement. In the final model for workers without chronic disease, feeling full of life and being intensively physically active for > = 2 days per week were positively predictive of working beyond retirement; while manual labor, better recovery, and a partner who did not support working until the statutory retirement age, were negatively predictive of working beyond retirement.Conclusions: Work and health factors independently predicted working beyond retirement in workers with and without chronic disease, whereas social factors only did so among workers without chronic disease. Demographic and socioeconomic characteristics did not independently contribute to prediction of working beyond retirement in any group. As prediction of working beyond retirement was more difficult among workers with a chronic disease, future research is needed in this group.