美国 65 岁及以上劳动者跌倒、跌倒受伤与劳动力市场结果之间的关联。

The Associations Between Falls, Fall Injuries, and Labor Market Outcomes Among U.S. Workers 65 Years and Older.

机构信息

Denver Public Health, Denver Health and Hospital Authority, Denver, Colorado (Dr Scott); Department of Psychology, Colorado State University, Fort Collins, Colorado (Drs Fisher, Stallones); Department of Biostatistics and Informatics, Colorado School of Public Health, Aurora, Colorado (Dr Barón); Institute for Work & Health, Toronto, Ontario, Canada (Dr Tompa); Department of Epidemiology, Colorado School of Public Health, Aurora, Colorado (Drs Scott, Stallones, DiGuiseppi).

出版信息

J Occup Environ Med. 2018 Oct;60(10):943-953. doi: 10.1097/JOM.0000000000001379.

DOI:10.1097/JOM.0000000000001379

PMID:29905647

Abstract

OBJECTIVE

The aim of this study was to examine whether falls are associated with the subsequent ability to work among workers aged 65 years and older.

METHODS

This longitudinal cohort study followed older workers enrolled in the Health and Retirement Study. Outcomes included time to health-related work limitation and to labor force exit.

RESULTS

After adjustment, multiple falls with or without a medically treated injury were associated with time to limitation [hazard ratio (HR) = 1.77, 95% confidence interval (95% CI): 1.30 to 2.40; HR = 1.48, 95% CI: 1.26 to 1.73, respectively]. Adjustment mitigated a crude relationship between falls and time to exit. Significant interactions suggest that the relationship between falls and labor force exit depends on age, race, and job demands.

CONCLUSION

Falls, both noninjurious and injurious, are associated with subsequent health-related work limitation among workers aged 65 years and older. Fall prevention activities would benefit workers who want or need to keep working past age 65.

摘要

目的

本研究旨在探讨 65 岁及以上工人跌倒是否与其后续工作能力下降相关。

方法

本纵向队列研究随访了参加健康与退休研究的老年工人。结局包括与健康相关的工作受限时间和劳动力退出时间。

结果

调整后，多次跌倒（无论有无经医疗处理的损伤）与工作受限时间相关[风险比（HR）=1.77，95%置信区间（95%CI）：1.30 至 2.40；HR=1.48，95%CI：1.26 至 1.73]。调整减轻了跌倒与退出时间之间的粗略关系。显著的交互作用表明，跌倒与劳动力退出之间的关系取决于年龄、种族和工作要求。