In a community cohort of 833 women and men aged >60 years, employed at the tim e of a first acute myocardial infarction(AMI), the relation of sociodemographic, vocational, and medical variables to the following three aspects of employment was investigated longitudinally: resumption of employment anytime within 5 years after AMI, resumption of employment within 3 months of the AMI, and maintenance of employment 5 years after AMI. Different sets of characteristics of persons w ith a first AMI were related to the different criteria of employment. Only socio demographic and vocational variables were related to early resumption of employm ent, whereas maintenance of employment 5 years after AMI was influenced by both medical and nonmedical variables. These results support the importance of examin ing different aspects of resumption and maintenance of employment after AMI. The y also suggest that early resumption of employment after AMI and employment anyt ime 5 years after AMI are more a function of the sociodemographic and vocational characteristics of the person with the AMI than of that person’s medical condi tion, whereas long-term maintenance of employment after an AMI is also related to the person’s medical condition.
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