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dc.contributor.authorKachan, D
dc.contributor.authorFleming, LE
dc.contributor.authorChrist, S
dc.contributor.authorMuennig, P
dc.contributor.authorPrado, G
dc.contributor.authorTannenbaum, SL
dc.contributor.authorYang, X
dc.contributor.authorCaban-Martinez, AJ
dc.contributor.authorLee, DJ
dc.date.accessioned2016-04-27T11:08:27Z
dc.date.issued2015
dc.description.abstractINTRODUCTION: Many US workers are increasingly delaying retirement from work, which may be leading to an increase in chronic disease at the workplace. We examined the association of older adults' health status with their employment/occupation and other characteristics. METHODS: National Health Interview Survey data from 1997 through 2011 were pooled for adults aged 65 or older (n = 83,338; mean age, 74.6 y). Multivariable logistic regression modeling was used to estimate the association of socioeconomic factors and health behaviors with 4 health status measures: 1) self-rated health (fair/poor vs good/very good/excellent); 2) multimorbidity (≤1 vs ≥2 chronic conditions); 3) multiple functional limitations (≤1 vs ≥2); and 4) Health and Activities Limitation Index (HALex) (below vs above 20th percentile). Analyses were stratified by sex and age (young-old vs old-old) where interactions with occupation were significant. RESULTS: Employed older adults had better health outcomes than unemployed older adults. Physically demanding occupations had the lowest risk of poor health outcomes, suggesting a stronger healthy worker effect: service workers were at lowest risk of multiple functional limitations (odds ratio [OR], 0.82; 95% confidence interval [CI], 0.71-0.95); and blue-collar workers were at lowest risk of multimorbidity (OR, 0.84; 95% CI, 0.74-0.97) and multiple functional limitation (OR, 0.84; 95% CI, 0.72-0.98). Hispanics were more likely than non-Hispanic whites to report fair/poor health (OR, 1.62; 95% CI, 1.52-1.73) and lowest HALex quintile (OR, 1.21; 95% CI, 1.13-1.30); however, they were less likely to report multimorbidity (OR, 0.78; 95% CI, 0.73-0.83) or multiple functional limitations (OR, 0.82; 95% CI, 0.77-0.88). CONCLUSION: A strong association exists between employment and health status in older adults beyond what can be explained by socioeconomic factors (eg, education, income) or health behaviors (eg, smoking). Disability accommodations in the workplace could encourage employment among older adults with limitations.en_GB
dc.description.sponsorshipFunding sources included the National Institute for Occupational Safety and Health (grant no. R01OH03915), the National Institute on Aging (grant no. F30AG040886), and the European Regional Development Fund and European Social Fund to the European Centre for Environment and Human Health (University of Exeter Medical School).en_GB
dc.identifier.citationVol. 12, E162 -en_GB
dc.identifier.doi10.5888/pcd12.150040
dc.identifier.urihttp://hdl.handle.net/10871/21271
dc.language.isoenen_GB
dc.publisherNational Center for Chronic Disease Prevention and Health Promotion -en_GB
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/26402052en_GB
dc.titleHealth status of older US workers and nonworkers, National Health Interview Survey, 1997-2011.en_GB
dc.typeArticleen_GB
dc.date.available2016-04-27T11:08:27Z
exeter.place-of-publicationUnited States
dc.descriptionThis is the final version of the article. Available from the publisher via the DOI in this record.en_GB
dc.identifier.journalPreventing Chronic Diseaseen_GB
dc.identifier.pmcidPMC4584473
dc.identifier.pmid26402052


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