History of working conditions and the risk of old-age dependency: a nationwide Swedish register-based study.
| Autor: | Nilsen C; Stress Research Institute, Stockholm University, Sweden.; Aging Research Center, Karolinska Institutet/Stockholm University, Sweden.; Institute of Gerontology, School of Health and Welfare, Jönköping University, Sweden., Agerholm J; Aging Research Center, Karolinska Institutet/Stockholm University, Sweden.; Department of Global Public Health, Division of Social Medicine, Karolinska Institutet, Sweden., Kelfve S; Aging Research Center, Karolinska Institutet/Stockholm University, Sweden.; Department of Culture and Society, Division Ageing and Social Change & Division of Social Work, Linköping University, Sweden., Wastesson JW; Aging Research Center, Karolinska Institutet/Stockholm University, Sweden.; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Sweden., Kåreholt I; Aging Research Center, Karolinska Institutet/Stockholm University, Sweden.; Institute of Gerontology, School of Health and Welfare, Jönköping University, Sweden., Nabe-Nielsen K; The National Research Center for the Working Environment, Denmark.; Department of Public Health, Section of Social Medicine, University of Copenhagen, Denmark., Meinow B; Aging Research Center, Karolinska Institutet/Stockholm University, Sweden.; Stockholm Gerontology Research Center, Sweden. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Scandinavian journal of public health [Scand J Public Health] 2024 Aug; Vol. 52 (6), pp. 726-732. Date of Electronic Publication: 2023 Aug 03. |
| DOI: | 10.1177/14034948231188999 |
| Abstrakt: | Aims: There is substantial evidence that previous working conditions influence post-retirement health, yet little is known about previous working conditions' association with old-age dependency. We examined job strain, hazardous and physical demands across working life, in relation to the risk of entering old-age dependency of care. Methods: Individually linked nationwide Swedish registers were used to identify people aged 70+ who were not receiving long-term care (residential care or homecare) at baseline (January 2014). Register information on job titles between the years 1970 and 2010 was linked with a job exposure matrix of working conditions. Random effects growth curve models were used to calculate intra-individual trajectories of working conditions. Cox regression models with age as the timescale (adjusted for living situation, educational attainment, country of birth, and sex) were conducted to estimate hazard ratios for entering old-age dependency during the 24 months of follow-up ( n = 931,819). Results: Having initial adverse working conditions followed by an accumulation throughout working life encompassed the highest risk of entering old-age dependency across the categories (job strain: HR 1.23, 95% CI 1.19-1.27; physical demands: HR 1.36, 95% CI 1.31-1.40, and hazardous work: HR 1.35, 95% CI 1.30-1.40). Initially high physical demands or hazardous work followed by a stable trajectory, or initially low-level physical demand or hazardous work followed by an accumulation throughout working life also encompassed a higher risk of dependency. Conclusions: A history of adverse working conditions increased the risk of old-age dependency. Reducing the accumulation of adverse working conditions across the working life may contribute to postponing old-age dependency. Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
| Externí odkaz: |
|