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探索工作寿命的延伸:职业锁定和老年工作者工作功能下降的预测因素。

Exploring extensions to working life: job lock and predictors of decreasing work function in older workers.

机构信息

Arthritis Research UK Primary Care Centre, Keele University, Keele, Staffordshire, UK.

出版信息

Disabil Rehabil. 2011;33(19-20):1719-27. doi: 10.3109/09638288.2010.544835. Epub 2010 Dec 24.

Abstract

PURPOSE

Job lock, one form of restricted job mobility that often prevents older workers from retiring, is linked to existing health and work place problems. This study explored (i) the rate of change in work limitation for job locked and non-job locked older workers and (ii) the factors associated with these changes over a 12-month period following a work injury.

METHODS

Prospective observational cohort study of adults aged  ≥55 years. Data were collected using self-completed questionnaires. Individual growth modelling was used to examine the pre- and post- injury influences on work limitation.

RESULTS

Work limitation was greater in the job locked older workers pre-injury. Both job-locked and non-job locked respondents had initial post-injury decreases in work limitations, suggesting a positive impact of temporary post-injury accommodations. However, both groups had increases in work limitations over time, but the increases were greater in the non-job locked group. In those with job lock, return to work problems were associated with increases in work limitations; in those without job lock, greater increases were associated only with low education.

CONCLUSIONS

These results suggest that job accommodations may be important in moderating increasing work limitation in job-locked older workers. Results support prior findings that job-locked older workers have unique characteristics, perhaps requiring more tailored interventions to maintain them in the workforce.

摘要

目的

工作锁定是一种限制老年工人退休的职业流动性,它与现有的健康和工作场所问题有关。本研究探讨了(i)在工作受伤后 12 个月内,受工作锁定和不受工作锁定的老年工人的工作限制变化率;(ii)与这些变化相关的因素。

方法

对年龄≥55 岁的成年人进行前瞻性观察队列研究。使用自我完成的问卷收集数据。个体增长模型用于检查受伤前和受伤后对工作限制的影响。

结果

受伤前,受工作锁定的老年工人的工作限制更大。受工作锁定和不受工作锁定的受访者在受伤后最初都减少了工作限制,这表明临时受伤后适应措施有积极影响。然而,两组的工作限制随着时间的推移都有所增加,但不受工作锁定的组增加得更多。在受工作锁定的人群中,重返工作岗位的问题与工作限制的增加有关;在不受工作锁定的人群中,只有教育程度较低的人工作限制增加得更多。

结论

这些结果表明,工作适应可能对缓解受工作锁定的老年工人不断增加的工作限制很重要。结果支持先前的研究结果,即受工作锁定的老年工人具有独特的特征,可能需要更有针对性的干预措施来维持他们的就业。

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