Multimorbidity and the Transition Out of Full-Time Paid Employment: A Longitudinal Analysis of the Health and Retirement Study.
| Autor: | Zon, Sander K R van, Reijneveld, Sijmen A, Galaurchi, Anne, Leon, Carlos F Mendes de, Almansa, Josué, Bültmann, Ute |
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| Předmět: |
EMPLOYMENT of older people
CHRONIC diseases COMPARATIVE studies CONFIDENCE intervals DEATH DISMISSAL of employees EMPLOYMENT HEALTH status indicators PART-time employment PEOPLE with disabilities REGRESSION analysis RETIREMENT SURVIVAL UNEMPLOYMENT COMORBIDITY SOCIOECONOMIC factors PATIENT-centered care LONGITUDINAL ligaments DESCRIPTIVE statistics |
| Zdroj: | Journals of Gerontology Series B: Psychological Sciences & Social Sciences; Mar2020, Vol. 75 Issue 3, p705-715, 11p |
| Abstrakt: | Objectives This study aims to examine whether older workers aged 50–64 years with multimorbidity are at increased risk to transition from full-time paid employment to part-time employment, partial retirement, unemployment, disability, economic inactivity, full retirement or die than workers without a chronic health condition and workers with one chronic health condition, and whether socioeconomic position (SEP) modifies these transitions. Method Using data from the Health and Retirement Study (1992–2014; n = 10,719), sub-distribution hazard ratios with 95% confidence intervals were calculated with a time-varying Fine and Gray competing-risks survival regression model to examine exit from full-time paid employment. We investigated the modifying effect of SEP by examining its interaction with multimorbidity. Results Workers with multimorbidity had a higher risk of transitioning to partial retirement (1.45; 1.22, 1.72), disability (1.84; 1.21, 2.78) and full retirement (1.63; 1.47, 1.81), and they had a higher mortality risk (2.58; 1.71, 3.88) than workers without chronic disorders. Compared to workers with one chronic health condition, workers with multimorbidity had an increased risk for partial (1.19; 1.02, 1.40) and full retirement (1.29; 1.17, 1.42), and mortality (1.49; 1.09, 2.04). Only SEP measured as educational level modified the relationship between multimorbidity and mortality. Discussion Workers with multimorbidity seem more prone to leave full-time paid employment than workers without or with one a chronic health condition. Personalized work accommodations may be necessary to help workers with multimorbidity prolong their working life. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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