Work ability in midlife as a predictor of mortality and disability in later life: a 28-year prospective follow-up study

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Show simple item record von Bonsdorff, Mikaela Seitsamo, Jorma Ilmarinen, Juhani Nygård, Clas-Håkan von Bonsdorff, Monika Rantanen, Taina 2012-07-11T06:32:49Z 2012-07-11T06:32:49Z 2011
dc.identifier.citation von Bonsdorff, M., Seitsamo, J., Ilmarinen, J., Nygård, C., von Bonsdorff, M., & Rantanen, T. (2011). Work ability in midlife as a predictor of mortality and disability in later life: a 28-year prospective follow-up study. <em>Canadian Medical Association Journal</em>, 183 (4), E235-242. <a href="">doi:10.1503/cmaj.100713</a> Retrieved from <a href=""></a>
dc.identifier.issn 1488-2329
dc.identifier.other TUTKAID_42049
dc.description.abstract Background: Poor work ability correlates with increased morbidity and early retirement from the workforce, but the association in old age is not known. We investigated work ability in midlife among white-collar and blue-collar employees as a predictor of mortality and disability 28 years later. Methods: A total of 5971 occupationally active people aged 44–58 years participated in the Finnish Longitudinal Study of Municipal Employees (FLAME) in 1981. Perceived work ability relative to lifetime best was categorized as excellent, moderate or poor. In 2009, the ability to perform activities of daily living was assessed among 2879 respondents (71.0% of the survivors). Mortality data were available up to July 2009. Results: At the 28-year follow-up, 1918 of the 5971 participants had died and 1403 had some form of disability. Rates of death per 1000 person-years among white-collar men were 7.7 for those with excellent work ability, 14.7 for those with moderate work ability and 23.5 for those with poor work ability. Among blue-collar men, the corresponding rates were 15.5, 20.2 and 25.3. In women, rates ranged between 6.3 and 10.6 per 1000 person-years. The age-adjusted hazard ratios (HRs) for mortality were two to three times higher among blue-collar male employees with lower work ability than among white-collar male employees with excellent work ability in midlife (i.e., the reference group). The odds of death or disability at follow-up compared with white-collar workers with excellent work ability were highest among blue-collar employees with poor work ability in midlife (odds ratio [OR] 4.56, 95% confidence interval [CI] 2.82–7.37 for men; OR 3.37, 95% CI 2.28–4.98 for women). Among the survivors, similar but slightly lower risks of disability 28 years later were found. Interpretation: Perceived poor work ability in midlife was associated with accelerated deterioration in health and functioning and remains evident after 28 years of follow-up.
dc.language.iso eng
dc.publisher Canadian medical association
dc.relation.ispartofseries Canadian Medical Association Journal (CMAJ)
dc.rights openAccess fi
dc.subject.other work ability en
dc.subject.other occupational grade en
dc.subject.other mortality en
dc.subject.other disability en
dc.subject.other työkyky fi
dc.subject.other ammattiluokka fi
dc.subject.other kuolleisuus fi
dc.subject.other toimintakyky fi
dc.title Work ability in midlife as a predictor of mortality and disability in later life: a 28-year prospective follow-up study
dc.type Article en
dc.identifier.urn URN:NBN:fi:jyu-201207102038
dc.subject.kota 3142, 3141
dc.contributor.laitos Terveystieteiden laitos fi
dc.contributor.laitos Department of Health Sciences en
dc.contributor.oppiaine gerontologia ja kansanterveys fi
dc.identifier.volume 183
dc.identifier.issue 4
jyx.tutka.pagetopage E235-242
dc.identifier.doi 10.1503/cmaj.100713 2012-07-10T03:30:22Z

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