HEALTH AND HEALTH-CARE UTILIZATION AMONG EARLY RETIREMENT PENSIONERS WITH MUSCULOSKELETAL DISORDERS
HEALTH AND HEALTH-CARE UTILIZATION AMONG EARLY RETIREMENT PENSIONERS WITH MUSCULOSKELETAL DISORDERS
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DOI：
10.3109/02813439508996763
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发表时间：
1995-09-01
影响因子：
2.1
通讯作者：
LEDEN, I
中科院分区：
文献类型：
--
作者：
EDEN, L;EJLERTSSON, G;LEDEN, I
目的-评估因肌肉骨骼系统疾病而领取养老金的提前退休人员的主观健康状况。设计-通过邮寄问卷的方式对自我报告的健康状况和医疗保健利用情况进行调查。设置-提前退休人员(病例)和随机抽样(对照)瑞典克里斯蒂安斯塔德市个人(对照)。研究对象-病例：所有年龄在25-59岁的个人在1986-1990年间因肌肉骨骼系统疾病而领取全职提前退休养老金(n=450)。有效率为83.6%。对照--年龄和性别匹配的样本(n=450)。应答率为82.7%。主要结果衡量指标--自我报告的健康状况和医疗保健利用率。结果--提前退休导致25-54岁的男性、所有年龄段和女性的自我报告的健康状况恶化。55岁的女性退休人员-表示，退休后健康状况有所改善。早期退休的女性移民对自己的健康状况不像瑞典人那么满意。提前退休的人报告说，他们的医疗保健利用率高于对照组，但退休后有所下降。药物消耗量高。结论--提前退休对老年妇女的有益影响是明显的。男性和中青年女性可能需要支持才能适应退休生活。应特别关注女性移民退休人员。
Objective - To estimate subjective health status among early retired individuals pensioned due to disorders of the musculoskeletal system.Design - A survey of self-reported health status and health care utilization by means of a mailed questionnaire.Setting - Early retirees (cases) and a random sample (controls) of individuals from the municipality of Kristianstad, Sweden.Subjects - Cases: all individuals aged 25 - 59 years granted a full-time early retirement pension during the period 1986 - 1990 due to disorders of the musculoskeletal system (n=450). The response rate was 83.6%.Controls - An age- and sex-matched sample (n=450). The response rate was 82.7%.Main outcome measures - Self-reported health status and health care utilization.Results - Early retirement entailed a deterioration in self-reported health status among men, all ages, and women aged 25-54 years. Female retirees aged 55-64 reported an improvement in health status since retirement. Early retired female immigrants were less satisfied with their health status than the Swedish ones. Early retirees reported higher health care utilization than controls, but with a reduction since retirement. Drug consumption was high.Conclusion - The beneficial effects of early retirement were evident among old women. Men and young and middle-aged women may need support to adjust to life as a retiree. Special attention should be given to the female immigrant retiree.