History of working conditions and the risk of old-age dependency: a nationwide Swedish register-based study
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History of working conditions and the risk of old-age dependency : a nationwide Swedish register-based study. / Nilsen, Charlotta; Agerholm, Janne; Kelfve, Susanne; Wastesson, Jonas W.; KÅreholt, Ingemar; Nabe-Nielsen, Kirsten; Meinow, Bettina.
In: Scandinavian Journal of Public Health, 2023.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - History of working conditions and the risk of old-age dependency
T2 - a nationwide Swedish register-based study
AU - Nilsen, Charlotta
AU - Agerholm, Janne
AU - Kelfve, Susanne
AU - Wastesson, Jonas W.
AU - KÅreholt, Ingemar
AU - Nabe-Nielsen, Kirsten
AU - Meinow, Bettina
N1 - Publisher Copyright: © Author(s) 2023.
PY - 2023
Y1 - 2023
N2 - Aims: There is substantial evidence that previous working conditions influence post-retirement health, yet little is known about previous working conditions’ association with old-age dependency. We examined job strain, hazardous and physical demands across working life, in relation to the risk of entering old-age dependency of care. Methods: Individually linked nationwide Swedish registers were used to identify people aged 70+ who were not receiving long-term care (residential care or homecare) at baseline (January 2014). Register information on job titles between the years 1970 and 2010 was linked with a job exposure matrix of working conditions. Random effects growth curve models were used to calculate intra-individual trajectories of working conditions. Cox regression models with age as the timescale (adjusted for living situation, educational attainment, country of birth, and sex) were conducted to estimate hazard ratios for entering old-age dependency during the 24 months of follow-up (n = 931,819). Results: Having initial adverse working conditions followed by an accumulation throughout working life encompassed the highest risk of entering old-age dependency across the categories (job strain: HR 1.23, 95% CI 1.19–1.27; physical demands: HR 1.36, 95% CI 1.31–1.40, and hazardous work: HR 1.35, 95% CI 1.30–1.40). Initially high physical demands or hazardous work followed by a stable trajectory, or initially low-level physical demand or hazardous work followed by an accumulation throughout working life also encompassed a higher risk of dependency. Conclusions: A history of adverse working conditions increased the risk of old-age dependency. Reducing the accumulation of adverse working conditions across the working life may contribute to postponing old-age dependency.
AB - Aims: There is substantial evidence that previous working conditions influence post-retirement health, yet little is known about previous working conditions’ association with old-age dependency. We examined job strain, hazardous and physical demands across working life, in relation to the risk of entering old-age dependency of care. Methods: Individually linked nationwide Swedish registers were used to identify people aged 70+ who were not receiving long-term care (residential care or homecare) at baseline (January 2014). Register information on job titles between the years 1970 and 2010 was linked with a job exposure matrix of working conditions. Random effects growth curve models were used to calculate intra-individual trajectories of working conditions. Cox regression models with age as the timescale (adjusted for living situation, educational attainment, country of birth, and sex) were conducted to estimate hazard ratios for entering old-age dependency during the 24 months of follow-up (n = 931,819). Results: Having initial adverse working conditions followed by an accumulation throughout working life encompassed the highest risk of entering old-age dependency across the categories (job strain: HR 1.23, 95% CI 1.19–1.27; physical demands: HR 1.36, 95% CI 1.31–1.40, and hazardous work: HR 1.35, 95% CI 1.30–1.40). Initially high physical demands or hazardous work followed by a stable trajectory, or initially low-level physical demand or hazardous work followed by an accumulation throughout working life also encompassed a higher risk of dependency. Conclusions: A history of adverse working conditions increased the risk of old-age dependency. Reducing the accumulation of adverse working conditions across the working life may contribute to postponing old-age dependency.
KW - dependency
KW - later life
KW - long-term care
KW - longitudinal
KW - Older age
KW - physical working conditions
KW - psychosocial working conditions
KW - Sweden
KW - work-related stress
U2 - 10.1177/14034948231188999
DO - 10.1177/14034948231188999
M3 - Journal article
C2 - 37537973
AN - SCOPUS:85166902323
JO - Scandinavian Journal of Public Health, Supplement
JF - Scandinavian Journal of Public Health, Supplement
SN - 1403-4956
ER -
ID: 362543850