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首页> 外文期刊>Occupational and environmental medicine >The impact of late career job loss on myocardial infarction and stroke: a 10 year follow up using the health and retirement survey.
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The impact of late career job loss on myocardial infarction and stroke: a 10 year follow up using the health and retirement survey.

机译:后期职业失业对心肌梗塞和中风的影响:使用健康和退休调查进行为期10年的随访。

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BACKGROUND: Involuntary job loss is a major life event associated with social, economic, behavioural, and health outcomes, for which older workers are at elevated risk. OBJECTIVE: To assess the 10 year risk of myocardial infarction (MI) and stroke associated with involuntary job loss among workers over 50 years of age. METHODS: Analysing data from the nationally representative US Health and Retirement Survey (HRS), Cox proportional hazards analysis was used to estimate whether workers who suffered involuntary job loss were at higher risk for subsequent MI and stroke than individuals who continued to work. The sample included 4301 individuals who were employed at the 1992 study baseline. RESULTS: Over the 10 year study frame, 582 individuals (13.5% of the sample) experienced involuntary job loss. After controlling for established predictors of the outcomes, displaced workers had a more than twofold increase in the risk of subsequent MI (hazard ratio (HR) = 2.48; 95% confidence interval (CI) = 1.49 to 4.14) and stroke (HR = 2.43; 95% CI = 1.18 to 4.98) relative to working persons. CONCLUSION: Results suggest that the true costs of late career unemployment exceed financial deprivation, and include substantial health consequences. Physicians who treat individuals who lose jobs as they near retirement should consider the loss of employment a potential risk factor for adverse vascular health changes. Policy makers and programme planners should also be aware of the risks of job loss, so that programmatic interventions can be designed and implemented to ease the multiple burdens of joblessness.
机译:背景:非自愿失业是与社会,经济,行为和健康状况相关的主要生活事件,老年工人面临的风险较高。目的:评估50岁以上工人因心肌梗塞和中风与非自愿失业相关的10年风险。方法:通过分析全国代表性的美国健康与退休调查(HRS)的数据,使用Cox比例风险分析来估计遭受非自愿失业的工人与继续工作的人相比,其发生随后的MI和中风的风险是否更高。样本包括4301名在1992年研究基线受雇的人。结果:在为期10年的研究框架中,有582人(占样本的13.5%)经历了非自愿性的失业。在控制了确定的结果预测指标之后,流离失所的工人随后发生心梗的风险(危险比(HR)= 2.48; 95%置信区间(CI)= 1.49至4.14)和中风(HR = 2.43)增加了两倍以上。 ; 95%CI = 1.18至4.98)。结论:结果表明,晚期职业失业的真正代价超过了经济上的匮乏,并包括严重的健康后果。对待即将退休时失去工作的人的医师应考虑失业,这是不利于血管健康变化的潜在危险因素。政策制定者和计划制定者还应该意识到失业的风险,以便可以设计和实施计划干预措施,以减轻失业的多重负担。

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