Which Occupation Is Highly Associated with Cognitive Impairment? A Gender-Specific Longitudinal Study of Paid and Unpaid Occupations in South Korea
| Autor: | Roeul Kim, Woojin Chung |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
Aging medicine.medical_specialty Longitudinal study longitudinal Health Toxicology and Mutagenesis Population retired lcsh:Medicine Logistic regression Article 03 medical and health sciences Sex Factors 0302 clinical medicine Republic of Korea Covariate middle-age population medicine occupation gender Humans Cognitive Dysfunction unpaid work Longitudinal Studies 030212 general & internal medicine Occupations education Association (psychology) cognitive impairment education.field_of_study Korea Public health lcsh:R Public Health Environmental and Occupational Health Odds ratio Middle Aged homemaker Unpaid work Female Psychology 030217 neurology & neurosurgery Demography |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 17, Iss 7749, p 7749 (2020) International Journal of Environmental Research and Public Health Volume 17 Issue 21 |
| ISSN: | 1661-7827 1660-4601 |
| Popis: | Background: To examine the associations between paid and unpaid occupations and the risk of cognitive impairment with respect to gender in a middle-aged population using the dataset of a nationally representative longitudinal survey. Methods: Overall, 24,925 observations of 5865 participants aged 45&ndash 64 years were sampled from the seven waves of the Korean Longitudinal Study of Ageing (2006&ndash 2018). A dichotomous outcome variable was derived based on the Korean version of the Mini-Mental State Examination scores, and occupations were grouped into 12 categories, including three unpaid ones. Sociodemographics, lifestyle, and medical conditions were included as covariates in the mixed logistic regression models. Adjusted odds ratios and predicted probabilities of cognitive impairment were estimated. Results: In the longitudinal models with all-studied covariates, the risk of cognitive impairment was similar between genders but differed across occupation categories for each gender. Moreover, the association between occupation and cognitive impairment varied between genders. Regarding the predicted probability, in men, the retired category exhibited the highest risk of cognitive impairment. However, in women, the highest risk was related to the homemakers category, with the risk being more than five times higher than those in the professionals and related workers category. Conclusions: Public health policies to reduce the risk of cognitive impairment in the middle-aged population need to be designed and implemented with respect to both gender and occupation. |
| Databáze: | OpenAIRE |
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