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Seil K, Yu S, Brackbill R, Alper H, Maqsood J. Effects of 9/11-related injury on retirement patterns among World Trade Center Health Registry enrollees. Am J Ind Med 2021; 64:873-880. [PMID: 34467532 DOI: 10.1002/ajim.23288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Revised: 08/13/2021] [Accepted: 08/17/2021] [Indexed: 11/09/2022]
Abstract
BACKGROUND Many survivors of the 9/11/2001 terrorist attacks in New York City sustained injuries. The aim of this study was to understand how 9/11-related injuries affected retirement patterns of World Trade Center Health Registry enrollees. METHODS The study included enrollees who participated in the 2017 Health & Quality of Life Survey, focused on 9/11-related injuries and quality of life, and the 2017-2018 Health & Employment Survey, focused on retirement and employment (N = 3535). Using Cox proportional hazards and logistic regression modeling, we calculated the risk of retiring at earlier ages and the odds of retirees working again, controlling for relevant covariates. RESULTS Results showed that 9/11-related injuries did affect retirement patterns. Injured enrollees were at greater risk of retiring at younger age compared to non-injured enrollees. Compared to more severely injured retirees, non-injured and less severely injured retirees were significantly more likely to work again postretirement. Our results suggested that being injured on 9/11 was associated with retirement, meaning that if the injury had not occurred, the individual may have continued working longer. CONCLUSIONS The need to retire earlier than planned could be addressed with employer and societal changes. Employers should consider making accommodations for those impacted by 9/11 a priority, as it is imperative for those who were injured on 9/11 to have the ability to work to support their physical, mental, and financial well-being.
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Affiliation(s)
- Kacie Seil
- New York City Department of Health and Mental Hygiene World Trade Center Health Registry Long Island City New York USA
| | - Shengchao Yu
- New York City Department of Health and Mental Hygiene World Trade Center Health Registry Long Island City New York USA
| | - Robert Brackbill
- New York City Department of Health and Mental Hygiene World Trade Center Health Registry Long Island City New York USA
| | - Howard Alper
- New York City Department of Health and Mental Hygiene World Trade Center Health Registry Long Island City New York USA
| | - Junaid Maqsood
- New York City Department of Health and Mental Hygiene World Trade Center Health Registry Long Island City New York USA
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Shiri R, Hiilamo A, Lallukka T. Indicators and determinants of the years of working life lost: a narrative review. Scand J Public Health 2021; 49:666-674. [PMID: 33645306 PMCID: PMC8512267 DOI: 10.1177/1403494821993669] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objective: This narrative review summarizes the available indicators for working life
expectancy and years of working life lost (YWLL) and their determinants. Methods: We searched PubMed and Embase databases from their inception until August
2020 and screened all studies proposing an indicator for working life
expectancy or YWLL. We also reviewed studies focusing on sociodemographic,
lifestyle and work-related determinants of working life expectancy and YWLL.
The results were synthesized narratively. Results: We identified 13 different indicators for the length of working life or YWLL.
The most frequently used indicators were ‘working life expectancy’, ‘healthy
working life expectancy’, and YWLL. Working life expectancy and healthy
working life expectancy are longer for men than women. Working life
expectancy at the age of 50 has been increasing since the mid-90s, and the
increase has been larger for women, reducing the sex difference. Working
life is shorter for people with a low level of education, in lower
occupational classes, for people exposed to high physical work demands,
those living in the most socioeconomically deprived areas, people with
overweight or obesity, smokers, people who are inactive during leisure time
and in people with a chronic health problem. Conclusions: Despite increasing interest in understanding the determinants of YWLL,
only a few studies have simultaneously considered multiple exit routes
from the labour market. We propose a new measure for total YWLL
considering all relevant exit routes from employment. This comprehensive
measure can be used to assess the effect of given policy changes on
prolonging working life.
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Affiliation(s)
- Rahman Shiri
- Finnish Institute of Occupational Health, Helsinki, Finland
| | - Aapo Hiilamo
- Finnish Institute of Occupational Health, Helsinki, Finland
| | - Tea Lallukka
- Finnish Institute of Occupational Health, Helsinki, Finland.,Department of Public Health, University of Helsinki, Helsinki, Finland
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Work limitations due to neck-shoulder pain and physical work demands in older workers: cross-sectional study. Int Arch Occup Environ Health 2020; 94:433-440. [PMID: 33106931 DOI: 10.1007/s00420-020-01594-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Accepted: 10/12/2020] [Indexed: 10/23/2022]
Abstract
PURPOSE Many older workers are working despite having neck-shoulder pain (NSP), which may give rise to work limitations due to pain, especially among those with high physical work demands. This study investigated the joint association of neck-shoulder pain intensity and physical work demands with work limitations among older workers. METHODS In SeniorWorkingLife, workers ≥ 50 years (n = 11,800) replied to questions about NSP intensity, work limitations due to pain, and physical activity demands at work. The odds ratio for having a higher level of work limitations due to pain in relation to neck-shoulder pain intensity and physical work demands were modeled using logistic regression controlled for various confounders. RESULTS The results showed that the neck-shoulder pain intensity was associated with work limitations in a dose-response fashion (p < 0.0001). Importantly, a significant interaction existed between neck-shoulder pain intensity and physical activity at work (p < 0.0001), e.g., 77% of workers with high pain and high work demands experienced work limitations due to the pain. CONCLUSION Higher neck-shoulder pain intensity and higher physical work demands-and particularly in combination-were associated with higher odds of work limitation due to pain among older workers. Thus, it seems especially important to accommodate work demands through a better work environment for these groups of workers.
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Effect of Socioeconomic Factors on the Relationship Between Musculoskeletal Pain and Ill-Health Retirement in Korea: Results From the Korean Longitudinal Study of Aging. J Occup Environ Med 2019; 62:e27-e32. [PMID: 31764600 DOI: 10.1097/jom.0000000000001786] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To investigate the relationship between musculoskeletal pain (MSP) and ill-health retirement (IHR) and modifying role of socioeconomic factors. METHODS The data used were samples from the Korean Longitudinal Study of Aging from 2006 to 2014. IHR was defined as retirement due to health problems before regular retirement age. Hazard ratio (HR) was calculated using Cox proportional hazards model to determine the effects of MSP and covariance on IHR. RESULTS People who have "any site of pain" were more likely to experience IHR than people with no pain. In the subgroup analysis, risk of IHR due to MSP was higher in the 60s, white-collar, and high-income earners than the other groups. CONCLUSIONS MSP has a substantial negative impact on labor force participation, and there was a clear effect modification of socioeconomic status on IHR risk.
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Lee W, Yoon JH, Koo JW, Chang SJ, Roh J, Won JU. Predictors and estimation of risk for early exit from working life by poor health among middle and older aged workers in Korea. Sci Rep 2018; 8:5180. [PMID: 29581459 PMCID: PMC5979952 DOI: 10.1038/s41598-018-23523-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2017] [Accepted: 03/12/2018] [Indexed: 11/23/2022] Open
Abstract
The aims of this study were to investigate the predictors and estimate the risk for early exit from work owing to poor personal health status of the retirees. This study analysed the longitudinal data of 2,708 workers aged more than 45 years old from the Korean Longitudinal Study of Ageing. Multivariate Cox regression analyses were conducted to identify the predictors and to build a prediction model for early exit from work due to poor health. Internal validation was performed using random split, and external validation using the English Longitudinal Study of Ageing. Over the 8-year follow-up, 124 workers exited work early because of poor health. Significant predictors for early exit from work due to poor health included hypertension (hazard ratio [HR], 1.52; 95% confidence interval [CI], 1.01-2.28), abnormal body mass index (HR, 1.60; 95% CI, 1.10-2.35), decreased grasping power index, and perceived health status. The prediction model designed to estimate the risk of unwanted early exit from work because of poor health status showed fair performance in both the internal and external validations. The current study revealed the specific determinants and the possibility of prediction of shortened working life due to poor health status.
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Affiliation(s)
- Wanhyung Lee
- The Institute for Occupational Health, College of Medicine, Yonsei University, Seoul, Korea
- Graduate School of Public Health, College of Medicine, Yonsei University, Seoul, Korea
- Incheon Worker's Health Center, Incheon, Korea
| | - Jin-Ha Yoon
- The Institute for Occupational Health, College of Medicine, Yonsei University, Seoul, Korea
- Graduate School of Public Health, College of Medicine, Yonsei University, Seoul, Korea
- Incheon Worker's Health Center, Incheon, Korea
- Department of Preventive Medicine, College of Medicine, Yonsei University, Seoul, Korea
| | - Jung-Wan Koo
- Department of Occupational and Environmental Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Sei-Jin Chang
- Department of Preventive Medicine, Institute Occupational and Environmental Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
| | - Jaehoon Roh
- The Institute for Occupational Health, College of Medicine, Yonsei University, Seoul, Korea
- Graduate School of Public Health, College of Medicine, Yonsei University, Seoul, Korea
- Incheon Worker's Health Center, Incheon, Korea
- Department of Preventive Medicine, College of Medicine, Yonsei University, Seoul, Korea
| | - Jong-Uk Won
- The Institute for Occupational Health, College of Medicine, Yonsei University, Seoul, Korea.
- Graduate School of Public Health, College of Medicine, Yonsei University, Seoul, Korea.
- Incheon Worker's Health Center, Incheon, Korea.
- Department of Preventive Medicine, College of Medicine, Yonsei University, Seoul, Korea.
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