Crimmins Eileen M, Hayward Mark D
Andrus Gerontology Center, University of Southern California, Los Angeles, USA.
Soz Praventivmed. 2004;49(2):122-31. doi: 10.1007/s00038-004-3105-z.
This paper investigates the association between job characteristics and work disability among men and women in older working ages in the United States. We examine whether the association persists when controlling for major chronic disease experience. We also address whether job characteristics are ultimately associated with the receipt of disability benefits.
Data are from the Health and Retirement Survey and are nationally representative of noninstitutionalized persons 51-61 in 1992. Disability onset is estimated using a hazard modeling approach for those working at wave 1 (N = 5,999). A logistic regression analysis of disability benefits is based on a risk set of 525 persons who become work-disabled before the second interview.
Women's disability onset and health problems appear less related to job characteristics than men's. For men, work disability is associated with stressful jobs, lack of job control, and environmentally hazardous conditions but is not associated with physical demands. Participation in disability benefit programs among those with work disability is unrelated to most job characteristics or health conditions.
Understanding of the differing process to work disability for men and women and the relationship between work and health by gender is important for current policy development.
本文研究美国老年在职男女的工作特征与工作残疾之间的关联。我们检验在控制主要慢性病经历时这种关联是否依然存在。我们还探讨工作特征是否最终与残疾福利的领取相关。
数据来自健康与退休调查,对1992年51 - 61岁的非机构化人员具有全国代表性。对于第一轮调查时在职的人员(N = 5999),使用风险模型方法估计残疾发病情况。基于在第二次访谈前成为工作残疾的525人的风险集,对残疾福利进行逻辑回归分析。
女性的残疾发病和健康问题与工作特征的关联似乎比男性小。对男性而言,工作残疾与压力大的工作、缺乏工作控制权以及环境危险状况相关,但与体力要求无关。工作残疾者参与残疾福利项目与大多数工作特征或健康状况无关。
了解男女工作残疾的不同过程以及工作与健康的性别关系对当前政策制定很重要。