Seitsamo J, Ilmarinen J
Finnish Institute of Occupational Health, Helsinki, Finland.
Scand J Work Environ Health. 1997;23 Suppl 1:20-6.
Life-style is an important factor in explaining the changes in health and well-being in old age. In this study life-style was defined according to Abel's definition as combining life chances and life conduct. The main question concerned the change in life-style components and work ability over a 11-year period.
The study population comprised workers who responded to a questionnaire in both 1981 and 1992 and were still working in 1992 (N = 924). The changes in the dimensions of life-style (hobbies, living habits, life satisfaction) were tested with Pearson's chi-square test. The associations between life-style, work ability, and health were analyzed by correspondence analysis.
Physical activity was the life-style factor that showed a major change; it increased among both genders. All other leisure-time activities decreased during the follow-up. The women's satisfaction with their life situation increased, but the men were less satisfied at the end of the study. Work ability, as measured with the work ability index, was a crucial factor in these changes. If the work ability remained good, the respondents were also more active and more satisfied with their life. This effect of work ability was strong, especially with respect to the men's satisfaction with their life situation.
Life-style, work ability, and perceived health are highly associated, and studying them separately may give a simplistic view of the interaction between aging and work. In the future, more comprehensive approaches should be applied.
生活方式是解释老年健康和幸福变化的一个重要因素。在本研究中,生活方式根据阿贝尔的定义被界定为生活机会和生活行为的结合。主要问题涉及11年间生活方式组成部分和工作能力的变化。
研究人群包括在1981年和1992年都对问卷做出回应且在1992年仍在工作的工人(N = 924)。生活方式维度(爱好、生活习惯、生活满意度)的变化用皮尔逊卡方检验进行测试。通过对应分析来分析生活方式、工作能力和健康之间的关联。
体育活动是显示出重大变化的生活方式因素;男女的体育活动都有所增加。在随访期间,所有其他休闲活动都减少了。女性对其生活状况的满意度增加了,但男性在研究结束时满意度较低。用工作能力指数衡量的工作能力是这些变化中的一个关键因素。如果工作能力保持良好,受访者也会更活跃且对生活更满意。工作能力的这种影响很强,尤其是在男性对其生活状况的满意度方面。
生活方式、工作能力和感知到的健康高度相关,分别对它们进行研究可能会对衰老与工作之间的相互作用给出一个过于简单的观点。未来应采用更全面的方法。