| アブストラクト | BACKGROUND: Governments need people to work to older ages, but the prevalence of chronic disease and comorbidity increases with age and impacts work ability. AIMS: To investigate the effects of objective health diagnoses on exit from paid work amongst older workers. METHODS: Health and Employment After Fifty (HEAF) is a population cohort of adults aged 50-64 years recruited from English GP practices which contribute to the Clinical Practice Research Datalink (CPRD). Participants have completed questionnaires about health and work at baseline and annually for 2 years: their responses were linked with their objective health diagnoses from the CPRD and data analysed using Cox regression. RESULTS: Of 4888 HEAF participants ever in paid work, 580 (25%) men and 642 (25%) women exited employment, 277 of them mainly or partly for a health reason (health-related job loss (HRJL)). Amongst HEAF participants who remained in work (n = 3666) or who exited work but not for health reasons (n = 945), there was a similar prevalence of background health conditions. In men and women, HRJL was associated with inflammatory arthritis, sleep disorders, common mental health conditions and musculoskeletal pain. There were however gender differences: widespread pain and lower limb osteoarthritis were associated with HRJL in women but hypertension and cardiovascular disease in men. CONCLUSIONS: Improved diagnosis and management of common conditions might be expected to increase working lives. Workplace well-being interventions targeting obesity and increasing mobility might contribute to extended working lives. Employers of predominantly female, as compared with male workforces may need different strategies to retain older workers. |
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| ジャーナル名 | Occupational medicine (Oxford, England) |
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| Pubmed追加日 | 2022/7/30 |
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| 投稿者 | Walker-Bone, K; D'Angelo, S; Linaker, C H; Stevens, M J; Ntani, G; Cooper, C; Syddall, H E |
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| 組織名 | MRC Versus Arthritis Centre for Musculoskeletal Health and Work, University of;Southampton SO16 6YD, Southampton, UK.;MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton SO16;6YD, UK.;Monash Centre for Occupational and Environmental Health, Monash University,;Melbourne, Australia.;Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences,;Botnar Research Centre, University of Oxford, Oxford OX3 7LD, UK.;National Institute for Health Research Biomedical Research Centre, University of;Southampton and University Hospital Southampton NHS Foundation Trust, Southampton;SO16 6YD, UK. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/35904117/ |
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