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首页> 外文期刊>Occupational and environmental medicine >Influence of poor health on exit from paid employment: a systematic review.
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Influence of poor health on exit from paid employment: a systematic review.

机译：健康状况差对有偿就业的影响：系统评价。

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The objective was to provide a systematic literature review on associations between poor health and exit from paid employment through disability pension, unemployment and early retirement, and to estimate the magnitude of these associations using meta-analyses. Medline and Embase databases were searched for longitudinal studies on the relationship between health measures and exit from paid employment. Random-effects models were used to estimate the pooled effects. In total, 29 studies were included. Self-perceived poor health was a risk factor for transition into disability pension (relative risk (RR) 3.61; 95% CI 2.44 to 5.35), unemployment (RR 1.44; 95% CI 1.26 to 1.65) and early retirement (RR 1.27; 95% CI 1.17 to 1.38). Workers with mental health problems had an increased likelihood for transition into disability pension (RR 1.80; 95% CI 1.41 to 2.31) or unemployment (RR 1.61; 95% CI 1.29 to 2.01). Chronic disease was a risk factor for transition into disability pension (RR 2.11; 95% CI 1.90 to 2.33) or unemployment (RR 1.31; 95% CI 1.14 to 1.50), but not for early retirement. This meta-analysis showed that poor health, particularly self-perceived health, is a risk factor for exit from paid employment through disability pension, unemployment and, to a lesser extent, early retirement. To increase sustained employability it should be considered to implement workplace interventions that promote good health.
机译：目的是提供有关不良健康与通过残疾养恤金，失业和提早退休而退出有偿就业之间的关联的系统的文献综述，并使用荟萃分析评估这些关联的程度。搜索Medline和Embase数据库，以进行有关健康措施与有偿就业退出之间关系的纵向研究。随机效应模型用于估计合并效应。总共包括29个研究。自我感觉不良的健康状况是导致残疾养老金过渡的风险因素（相对风险（RR）3.61; 95％CI 2.44至5.35），失业（RR 1.44; 95％CI 1.26至1.65）和提前退休（RR 1.27; 95） ％CI 1.17至1.38）。有精神健康问题的工人更有可能过渡到残疾抚恤金（RR 1.80; 95％CI 1.41至2.31）或失业（RR 1.61; 95％CI 1.29至2.01）。慢性病是过渡到残疾抚恤金（RR 2.11; 95％CI 1.90至2.33）或失业（RR 1.31; 95％CI 1.14-1.50）的风险因素，但不包括提前退休的风险因素。这项荟萃分析表明，健康状况不佳，尤其是自我感觉良好的健康状况，是通过残疾养恤金，失业以及（在较小程度上）提前退休而退出有偿就业的风险因素。为了提高持续的就业能力，应考虑实施促进健康的工作场所干预措施。

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