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中年时期的工作条件与老年时期的心理健康。

Working conditions in mid-life and mental health in older ages.

作者信息

Wahrendorf Morten, Blane David, Bartley Mel, Dragano Nico, Siegrist Johannes

机构信息

International Centre for Life Course Studies in Society and Health, Department of Primary Care and Public Health, Imperial College London, UK.

International Centre for Life Course Studies in Society and Health, Department of Primary Care and Public Health, Imperial College London, UK.

出版信息

Adv Life Course Res. 2013 Mar;18(1):16-25. doi: 10.1016/j.alcr.2012.10.004. Epub 2012 Nov 2.

Abstract

This article illustrates the importance of previous working conditions during mid-life (between 40 and 55) for mental health among older retired men and women (60 or older) across 13 European countries. We link information on health from the second wave (2006-2007) of the Survey of Health, Ageing and Retirement in Europe (SHARE) with information on respondents' working life collected retrospectively in the SHARELIFE interview (2008-2009). To measure working conditions, we rely on core assumptions of existing theoretical models of work stress (the demand-control-support and the effort-reward imbalance model) and distinguish four types of unhealthy working conditions: (1) a stressful psychosocial work environment (as assessed by the two work stress models) (2) a disadvantaged occupational position throughout the whole period of mid-life, (3) experience of involuntary job loss, and (4) exposure to job instability. Health after labour market exit is measured using depressive symptoms, as measured by the EURO-D depression scale. Main results show that men and women who experienced psychosocial stress at work or had low occupational positions during mid-life had significantly higher probabilities of high depressive symptoms during retirement. Additionally, men with unstable working careers and an involuntary job loss were at higher risks to report high depressive symptoms in later life. These associations remain significant after controlling for workers' health and social position prior mid-life. These findings support the assumption that mental health of retirees who experienced poor working conditions during mid-life is impaired.

摘要

本文阐述了中年时期(40至55岁)的既往工作条件对13个欧洲国家60岁及以上退休男女心理健康的重要性。我们将欧洲健康、老龄化与退休调查(SHARE)第二轮(2006 - 2007年)中的健康信息与在SHARELIFE访谈(2008 - 2009年)中回顾收集的受访者工作经历信息相联系。为衡量工作条件,我们依据现有工作压力理论模型的核心假设(需求 - 控制 - 支持模型和努力 - 回报失衡模型),区分出四种不健康的工作条件:(1)压力大的社会心理工作环境(由两种工作压力模型评估);(2)整个中年时期处于不利的职业地位;(3)非自愿失业经历;(4)经历工作不稳定。劳动力市场退出后的健康状况通过使用EURO - D抑郁量表测量的抑郁症状来衡量。主要结果表明,在中年时期经历过工作社会心理压力或职业地位较低的男性和女性,退休期间出现高抑郁症状的概率显著更高。此外,工作经历不稳定且有非自愿失业经历的男性在晚年报告高抑郁症状的风险更高。在控制了中年之前工人的健康状况和社会地位后,这些关联仍然显著。这些发现支持了这样一种假设,即在中年时期经历过恶劣工作条件的退休人员的心理健康受到了损害。

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