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dc.contributor.authorvon Bonsdorff, Mikaela
dc.contributor.authorSeitsamo, Jorma
dc.contributor.authorIlmarinen, Juhani
dc.contributor.authorNygård, Clas-Håkan
dc.contributor.authorvon Bonsdorff, Monika
dc.contributor.authorRantanen, Taina
dc.date.accessioned2012-07-11T06:32:49Z
dc.date.available2012-07-11T06:32:49Z
dc.date.issued2011
dc.identifier.citationvon 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="http://dx.doi.org/10.1503/cmaj.100713">doi:10.1503/cmaj.100713</a> Retrieved from <a href="http://www.cmaj.ca/cgi/reprint/183/4/E235">http://www.cmaj.ca/cgi/reprint/183/4/E235</a>
dc.identifier.otherTUTKAID_42049
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/38183
dc.description.abstractBackground: 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.isoeng
dc.publisherCanadian medical association
dc.relation.ispartofseriesCanadian Medical Association Journal (CMAJ)
dc.relation.urihttp://www.cmaj.ca/cgi/reprint/183/4/E235
dc.subject.otherwork abilityen
dc.subject.otheroccupational gradeen
dc.subject.othermortalityen
dc.subject.otherdisabilityen
dc.subject.othertyökykyfi
dc.subject.otherammattiluokkafi
dc.subject.otherkuolleisuusfi
dc.subject.othertoimintakykyfi
dc.titleWork ability in midlife as a predictor of mortality and disability in later life: a 28-year prospective follow-up study
dc.typeArticle
dc.identifier.urnURN:NBN:fi:jyu-201207102038
dc.contributor.laitosTerveystieteiden laitosfi
dc.contributor.laitosDepartment of Health Sciencesen
dc.contributor.oppiaineGerontologia ja kansanterveysfi
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.identifier.doi10.1503/cmaj.100713
dc.date.updated2012-07-10T03:30:22Z
dc.type.coarjournal article
dc.description.reviewstatuspeerReviewed
dc.format.pagerangeE235-242
dc.relation.issn1488-2329
dc.relation.numberinseries4
dc.relation.volume183
dc.type.versionpublishedVersion
dc.rights.accesslevelopenAccessfi


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