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儿童期逆境和社会经济劣势经历与成年后期劳动力参与和退出的纵向关联。

Longitudinal associations of experiences of adversity and socioeconomic disadvantage during childhood with labour force participation and exit in later adulthood.

机构信息

Centre for Psychiatry, Wolfson Institute of Preventive Medicine, Queen Mary University of London, UK.

Centre for Psychiatry, Wolfson Institute of Preventive Medicine, Queen Mary University of London, UK.

出版信息

Soc Sci Med. 2017 Jun;183:80-87. doi: 10.1016/j.socscimed.2017.04.023. Epub 2017 Apr 14.

DOI:10.1016/j.socscimed.2017.04.023
PMID:28475902
Abstract

The Extending Working Lives (EWL) agenda seeks to sustain employment up to and beyond traditional retirement ages. This study examined the potential role of childhood factors in shaping labour force participation and exit among older adults, with a view to informing proactive interventions early in the life-course to enhance individuals' future capacity for extending their working lives. Childhood adversity and socioeconomic disadvantage have previously been linked to ill-health across the life-span and sickness benefit in early adulthood. This study builds upon previous research by examining associations between childhood adversity and self-reported labour force participation among older adults (aged 55). Data was from the National Child Development Study - a prospective cohort of all English, Scottish, & Welsh births in one week in 1958. There was evidence for associations between childhood adversity and increased risk of permanent sickness at 55 years - which were largely sustained after adjustment for educational disengagement and adulthood factors (mental/physical health, qualifications, socioeconomic disadvantage). Specifically, children who were abused or neglected were more likely to be permanently sick at 55 years. In addition, among males, those in care, those experiencing illness in the home, and those experiencing two or more childhood adversities were more likely to be permanently sick at 55 years. Childhood factors were also associated with part-time employment and retirement at 55 years. Severe childhood adversities may represent important distal predictors of labour force exit at 55 years, particularly via permanent sickness. Notably, some adversities show associations among males only, which may inform interventions designed to extend working lives.

摘要

延长工作寿命(EWL)议程旨在维持就业,直至传统退休年龄以后。本研究探讨了童年因素在塑造老年人劳动力参与和退出方面的潜在作用,以期为在人生早期采取积极主动的干预措施提供信息,增强个人延长工作寿命的未来能力。童年逆境和社会经济劣势先前与整个生命周期的健康状况不佳和成年早期的疾病津贴有关。本研究通过检查童年逆境与老年人(55 岁及以上)自我报告的劳动力参与之间的关联,在前人研究的基础上进一步进行。数据来自全国儿童发展研究-一项针对 1958 年一周内所有英国、苏格兰和威尔士出生的前瞻性队列研究。有证据表明,童年逆境与 55 岁时永久性疾病的风险增加之间存在关联,这些关联在调整教育脱节和成年因素(心理/身体健康、资格、社会经济劣势)后仍然存在。具体而言,遭受虐待或忽视的儿童在 55 岁时更有可能永久性患病。此外,在男性中,那些在护理中的人、那些在家中患病的人以及那些经历两种或多种童年逆境的人在 55 岁时更有可能永久性患病。童年因素也与 55 岁时的兼职就业和退休有关。严重的童年逆境可能是 55 岁劳动力退出的重要远程预测因素,特别是通过永久性疾病。值得注意的是,一些逆境仅与男性有关,这可能为旨在延长工作寿命的干预措施提供信息。

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