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有和没有慢性疾病的老年工人提前自愿退休的决定因素:一项丹麦前瞻性研究。

Determinants of voluntary early retirement for older workers with and without chronic diseases: A Danish prospective study.

机构信息

Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, VU University Amsterdam, Amsterdam, The Netherlands.

The Danish National Research Centre for the Working Environment, Denmark.

出版信息

Scand J Public Health. 2020 Mar;48(2):190-199. doi: 10.1177/1403494819852787. Epub 2019 Jul 18.

Abstract

This study explored differences in determinants (i.e. health-related, work-related and social factors) of voluntary early retirement between older workers with and without chronic diseases in Denmark. Workers aged 56-64 years who were members of a voluntary early retirement scheme were selected from the Danish National Working Environment Survey (2008-2009) and were followed in a public register for four years. Cox regression analyses were performed separately for older workers with and without chronic disease to identify the associations between determinants and voluntary early retirement. To explore the differences between groups, an interaction term between the determinant and having a chronic disease was included in the analyses for the total population. Among 1861 eligible older workers, determinants associated with a higher risk of voluntary early retirement included poorer self-rated health, more depressive symptoms, a higher physical workload, lower job satisfaction and lower influence at work. For older workers with a chronic disease (=1185), the presence of work-family conflict was also associated with a higher risk of voluntary early retirement, whereas for those with no chronic disease (=676), a poorer relationship with colleagues was an additional determinant. Higher emotional demands, a higher work pace and higher quantitative demands were not significantly associated with voluntary early retirement for either group. None of the interaction terms was found to be statistically significant (>0.05).

摘要

本研究探讨了丹麦患有和不患有慢性疾病的老年工人提前自愿退休的决定因素(即与健康相关、与工作相关和社会因素)的差异。从丹麦国家工作环境调查(2008-2009 年)中选择了年龄在 56-64 岁之间、参加自愿提前退休计划的工人,并在公共登记处对其进行了四年的随访。对患有和不患有慢性疾病的老年工人分别进行了 Cox 回归分析,以确定决定因素与提前自愿退休之间的关联。为了探讨组间差异,在对总人群的分析中纳入了决定因素与患有慢性疾病之间的交互项。在 1861 名符合条件的老年工人中,与提前自愿退休风险较高相关的决定因素包括自我评估健康状况较差、抑郁症状更多、体力工作负荷更高、工作满意度较低和工作影响力较低。对于患有慢性疾病的老年工人(=1185),工作与家庭冲突的存在也与提前自愿退休的风险较高相关,而对于没有慢性疾病的老年工人(=676),与同事的关系较差是另一个决定因素。对于两组工人来说,较高的情绪需求、较快的工作节奏和较高的定量需求与提前自愿退休均无显著关联(>0.05)。没有发现交互项具有统计学意义(>0.05)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2852/7042495/4dd382fe846d/10.1177_1403494819852787-fig1.jpg

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