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职业阶层与退休年龄后继续工作:一项队列研究。

Occupational class and working beyond the retirement age: a cohort study.

作者信息

Virtanen Marianna, Oksanen Tuula, Pentti Jaana, Ervasti Jenni, Head Jenny, Stenholm Sari, Vahtera Jussi, Kivimäki Mika

机构信息

Finnish Institute of Occupational Health, P.O. Box 40, FI-00251 Helsinki, Finland.

出版信息

Scand J Work Environ Health. 2017 Sep 1;43(5):426-435. doi: 10.5271/sjweh.3645. Epub 2017 May 15.

Abstract

Objectives The aim of this study was to examine occupational class differences in working more than six months beyond the mandatory retirement age and factors that may contribute to these differences. Methods The study comprised a prospective cohort study of a total of 5331 Finnish municipal employees (73% women) who were not on work disability pension and reached the age eligible for old-age pension in 2005-2011. Occupational class included four categories: managers and professionals, lower grade non-manual, skilled manual, and elementary occupations. Survey responses while at work were linked to national health and pension registers. Results A total of 921 participants (17.3%) worked beyond the pensionable age. Compared with elementary workers, skilled manual workers had a similar probability [gender-adjusted risk ratio (RR) 0.95, 95% confidence interval (95% CI) 0.72-1.23] while lower grade non-manual workers had a 2.03-fold (95% CI 1.59-2.58), and managers and professionals had a 1.79-fold (95% CI 1.41-2.27) probability of working beyond the pensionable age. Adjustment for physical workload (32.0% in lower non-manual, 36.7% in managers and professionals), work time control (20.4% and 11.4%) and perceived work ability (16.5% and 29.1%) contributed to the largest attenuation for these associations. Analyses using a counterfactual approach suggested greater mediated effects for physical workload and work time control than those observed in traditional mediation analyses. Conclusions Employees with higher occupational classes are two times more likely to continue working beyond the retirement age compared to those with lower occupational classes. A large proportion of these differences were explained by having physically light job, better work time control, and better self-rated work ability among employees with high occupational class.

摘要

目标 本研究旨在调查在法定退休年龄后工作超过六个月的职业阶层差异以及可能导致这些差异的因素。方法 本研究为一项前瞻性队列研究,共纳入5331名芬兰市政雇员(73%为女性),这些雇员未领取工作残疾抚恤金,并于2005年至2011年达到领取养老金的年龄。职业阶层包括四类:经理和专业人员、低级非体力劳动者、熟练体力劳动者和初级职业者。工作期间的调查回复与国家健康和养老金登记册相关联。结果 共有921名参与者(17.3%)在可领取养老金年龄后仍继续工作。与初级职业者相比,熟练体力劳动者继续工作的可能性相似[性别调整风险比(RR)为0.95,95%置信区间(95%CI)为0.72 - 1.23],而低级非体力劳动者继续工作的可能性为2.03倍(95%CI为1.59 - 2.58),经理和专业人员继续工作的可能性为1.79倍(95%CI为1.41 - 2.27)。对身体工作量(低级非体力劳动者中为32.0%,经理和专业人员中为36.7%)、工作时间控制(分别为20.4%和11.4%)以及感知工作能力(分别为16.5%和29.1%)进行调整后,这些关联的减弱最为显著。使用反事实方法的分析表明,身体工作量和工作时间控制的中介效应比传统中介分析中观察到的更大。结论 与低职业阶层的员工相比,高职业阶层的员工在退休年龄后继续工作的可能性高出两倍。这些差异的很大一部分可归因于高职业阶层员工的工作体力较轻、工作时间控制更好以及自我评估的工作能力更强。

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