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日常生活活动受限及其他与健康相关因素与提前退休的关系。

The Relationship of Limitations in Daily Living Activities and Other Health-Related Factors with Early Retirement.

作者信息

Koçak Cemal, Burdorf Alex

机构信息

Department of Public Health, Faculty of Medicine, Ankara University, Balkiraz District, Medical Faculty Street No: 1/4, 06620, Mamak, Ankara, Turkey.

Department of Public Health, Erasmus Medical Center, University Medical Center, Office Na2412, Dr. Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands.

出版信息

J Prev (2022). 2024 Dec 18. doi: 10.1007/s10935-024-00818-7.

Abstract

The deterioration in health and functionality in older ages, in addition to biological changes, is affected by physical changes. Therefore, early retirement may become an inevitable choice. This study aimed to evaluate the relationship between limitations in daily living activities, mobility, and other health factors with early retirement in workers aged 50-67 in the 4th wave of the SHARE study in Europe. In this prospective cohort study, the working status was examined in 4 waves. The frequency of early retirement was 16.1%; it was higher in male and low-educated people. Those with poor self-perceived health and those with more chronic diseases retired earlier. The frequency of early retirement was 16.0% for those who had no difficulty in basic daily living activities, 22.4% for those who had difficulties (p 0.019), and those who had limitations retired earlier (RR 1.50). Early retirement was higher in those with two or more chronic diseases compared to those without (RR 1.26) and was higher in those who consumed alcohol 5 days a week than those who didn't (RR 1.34). A 1-unit increase in BMI increased the risk by 1.02 times. It has been clearly revealed how important basic activities are for early retirement. This new finding is a gain for the literature and will provide new insights intervention studies. Those who had difficulty in instrumental activities and mobility retired early more often, but this wasn't statistically significant. Our findings will contribute to increasing workplace protective approaches, and maintaining a healthy working force for years.

摘要

除了生物变化外,老年人健康和功能的衰退还受到身体变化的影响。因此,提前退休可能成为必然选择。本研究旨在评估欧洲SHARE研究第四波中50 - 67岁工人的日常生活活动受限、行动能力及其他健康因素与提前退休之间的关系。在这项前瞻性队列研究中,对工作状态进行了4次调查。提前退休的频率为16.1%;男性和低学历人群的提前退休频率更高。自我感觉健康状况较差以及患有更多慢性病的人退休更早。基本日常生活活动无障碍者的提前退休频率为16.0%,有困难者为22.4%(p < 0.019),活动受限者退休更早(风险比1.50)。与无慢性病者相比,患有两种或更多慢性病者的提前退休率更高(风险比1.26),每周饮酒5天者比不饮酒者的提前退休率更高(风险比1.34)。体重指数每增加1个单位,风险增加1.02倍。已清楚表明基本活动对提前退休有多重要。这一新发现对文献是一项贡献,并将为干预研究提供新见解。在工具性活动和行动能力方面有困难的人更早退休的情况更常见,但这在统计学上不显著。我们的研究结果将有助于增加工作场所的保护措施,并多年维持健康的劳动力队伍。

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