Older working adults in the HEAF study are more likely to report loneliness after two years of follow-up if they have negative perceptions of their work quality.
Older working adults in the HEAF study are more likely to report loneliness after two years of follow-up if they have negative perceptions of their work quality.
复制标题
HEAF研究中的老年工作成年人如果对自己的工作质量有负面看法，那么在两年后的随访中他们更有可能报告孤独感。
DOI：
10.1186/s12889-021-10610-5
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发表时间：
2021-03-23
影响因子：
4.5
通讯作者：
Walker-Bone K
中科院分区：
文献类型：
--
作者：
Bevilacqua G;D'Angelo S;Ntani G;Syddall HE;Harris EC;Linaker C;Stevens M;Cooper C;Walker-Bone K
孤独感是一个与死亡率和发病率相关的重要公共卫生问题。通常在老年人中进行研究，在50岁- 岁的成年人中工作的人对孤独的风险因素知之甚少。我们调查了(A)退出劳动力是否会增加孤独的几率；(B)不利的心理社会工作因素是否与在2 年的跟踪调查中孤独的几率增加有关；以及(C)与那些离开劳动力市场的人相比，仍在工作的人之间的关联是否更强。数据来自50岁后的健康和就业(HEAF)研究，这是一个大型人口队列，他们提供了关于基线工作和健康的问卷信息，并进行了两次年度跟踪。采用Logistic回归分析探讨心理社会危险因素与随访2的孤独感之间的关系，并对基线孤独感、性别、年龄、自测健康、独居和心理健康诊断进行调整。在最初的8134名参与者中，4521人在基线水平上工作，并为本分析提供了数据。其中，5 0 7人(11.2%)在2 年的随访中被定义为孤独。离开职场与孤独感没有显著关联(OR = 1.1，95%CI：0.7-1.7)。然而，消极的心理社会工作因素预测后续的孤独感。经相互调整后，缺乏工作选择(OR：1.5，95%CI：1.1-1.9)、经常因担心工作而睡不着觉(OR：1.4，95%CI：1.0-1.9)和感觉不能应付工作的体力需求(OR：1.3，95%CI：1.0-1.7)是独立的预测因素，与人口因素和健康调整的相关性很强。当我们将样本限制在那些继续工作直到随访结束的人时，关联性只有轻微的变化。中年职场人士的孤独感不是通过永久退出工作来预测的，而是通过个人对工作的看法来预测的。提供高质量的工作，与年长员工的能力相匹配，可以防止孤独。网上版载有补充材料，可在10.1186/s12889-021-10610-5查阅。
Loneliness is an important public health issue associated with mortality and morbidity. Often researched amongst older people, less is known about risk factors for loneliness among adults aged 50–64 years who are in work. We investigated (a) if exit from the workforce increases the odds of loneliness; (b) whether adverse psychosocial work factors are associated with increased odds of loneliness over 2 years of follow-up; and (c) whether the association is stronger among subjects still working compared with those who have exited the workforce. Data came from the Health and Employment After Fifty (HEAF) study, a large population cohort who provided questionnaire information about work and health at baseline and 2 annual follow-ups. Logistic regression was used to explore the association between psychosocial risk factors and loneliness at follow-up 2, with adjustment for loneliness at baseline, sex, age, self-rated health, living alone, and mental health diagnosis. Of the initial 8134 participants, 4521 were working at baseline and provided data for this analysis. Of those, 507 (11.2%) were defined as lonely at 2 years’ follow-up. Exiting the workforce was not significantly associated with loneliness (OR = 1.1, 95%CI: 0.7–1.7). However, negative psychosocial work factors predicted loneliness at follow-up. After mutual adjustment, lack of choice at work (OR: 1.5, 95%CI: 1.1–1.9), often lying awake worrying about work (OR: 1.4, 95%CI: 1.0–1.9) and perceived not coping with physical demands of the job (OR: 1.3, 95%CI: 1.0–1.7) were independent predictors, with associations robust to adjustment for demographic factors and health. Associations were only slightly altered when we restricted the sample to those who remained in work until the end of follow-up. Loneliness amongst middle-aged working adults is not predicted by permanent work exit but is predicted by individuals’ perceptions about their work. Provision of good-quality work, matched to the capacity of the older worker, could prevent loneliness. The online version contains supplementary material available at 10.1186/s12889-021-10610-5.
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影响因子：
6.3
作者：
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通讯作者：
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7.6
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