Multimorbidity and intention to retire: a cross-sectional study on 14 European countries

Laires, P.A.; Serrano‐Alarcón, Manuel; Canhão, Helena; Perelman, Julian

doi:10.1007/s00038-019-01322-0

Cited by 10 publications

(11 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Another potential explanation for the multimorbidity prevalence herein reported is that our cohort included active workingclass women, with regular access to healthcare. Under these circumstances, they could have received prevention or treatment, thus reducing the multimorbidity burden in this group [13]. Women in our cohort, who had multimorbidity at follow-up, had a different profile at baseline in comparison to their peers who were free of multimorbidity at follow-up: in the former group there was more obesity, hypertension, unqualified jobs, and lower HDL-C and higher triglyceride levels.…”

Section: Tablementioning

confidence: 87%

Multimorbidity in a cohort of middle-aged women: Risk factors and disease clustering

Blümel

Carrillo‐Larco

Vallejo³

et al. 2020

Maturitas

View full text Add to dashboard Cite

We aimed to evaluate which risk factors in middle-aged women are associated with higher risk of multimorbidity in older age. Study design: We conducted a prospective cohort study from 1990 to 1993 in Santiago de Chile, Chile among women aged 40-59 (at baseline). Diagnosed illnesses were retrieved from national health records in 2020. Main outcome measures: : Clinical and laboratory evaluation was conducted. Results: 1066 women were followed-up for a mean of 27.8 years, after which 49.7% presented multimorbidity. These women, as compared with those without multimorbidity, were more likely at baseline to have had obesity (20.4% vs. 8.6%, p < 0.001); be post-menopause (47.2% vs. 40.5%; p < 0.03); have jobs that did not require a qualification (74.2% vs. 56.0%, p < 0.001); arterial hypertension (19.8% vs 14.4%, p < 0.018); lower HDLcholesterol (51.3 ± 12.9 vs. 53.6 ± 12.7 mg/dL, p < 0.005); and higher triglyceride levels (136.0 ± 65.0 vs. 127.0 ± 74.0 mg/dL, p = 0.028). Hypertension was associated in 22.0% of women with diabetes, in 20.9% with osteoarthritis and 14.0% with depression. Osteoarthritis was also associated with diabetes mellitus (8.3%) and depression (7.8%). Diabetes mellitus, in addition to hypertension and osteoarthritis, was associated with depression (6.4%). In a logistic regression model, we observed that obesity in middle-aged women was the strongest risk factor for multimorbidity in the elderly (OR: 2.48; 95% CI, 1.71-3.61), followed by having a job that did not require a qualification (OR: 2.18; 95% CI, 1.67-2.83) and having a low HDL-cholesterol level (OR: 1.31; 95% CI, 1.02-1.68). Conclusions: Multimorbidity was highly prevalent in this older female population. Obesity in middle-aged women was the strongest risk factor for multimorbidity at older age. These results are relevant for Chile and other countries with similar population profiles.

show abstract

Section: Tablementioning

confidence: 87%

Multimorbidity in a cohort of middle-aged women: Risk factors and disease clustering

Blümel

Carrillo‐Larco

Vallejo³

et al. 2020

Maturitas

View full text Add to dashboard Cite

show abstract

“…Multimorbidity, commonly defined as the coexistence of two or more chronic diseases in a single individual ( Diederichs et al, 2011 ), has become a global concern following the health expectation increase among chronic disease patients. Some studies revealed that the prevalence of multimorbidity among the middle-aged and elderly people in China has ranged from 57.0 to 74.0% ( Shuaishuai et al, 2021 ), which is higher than 59.4% in Canada (ranged from 16.9 to 59.4%) and 36.6% in European countries ( Nguyen and Jeannie, 2019 ; Laires et al, 2020 ). In particular, among the older patients with multimorbidity, multiple medication regimens under the treatment of concurrent chronic diseases also increased the polypharmacy risks ( Hajjar et al, 2007 ; Nguyen and Jeannie, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Predictors of Polypharmacy Among Elderly Patients in China: The Role of Decision Involvement, Depression, and Taking Chinese Medicine Behavior

Chen

Feng

et al. 2021

Front. Pharmacol.

View full text Add to dashboard Cite

Introduction: The prevalence of polypharmacy is gradually increasing in geriatrics, which may contribute to adverse effects, such as potential drug–drug and drug–disease interactions. These side effects remain an important challenge in patient safety, which has a significant impact on mortality and incidence rate.Aims: Therefore, this study aims to understand the epidemiology of polypharmacy and identify factors that have an impact on the management of potentially inappropriate prescribing.Methods: This study is a cross-sectional study, analyzing the prescription data from 720 hospitalized patients aged 50+ with a random cluster sampling method. We used inverse probability treatment weighting (IPTW) method to group and match polypharmacy and non-polypharmacy patients, and logistic regression was conducted to explore the factors associated with polypharmacy.Results: The prevalence of polypharmacy accounted for 50.14% among the old patients in this study. Female patients (67.34%) have more polypharmacy than male patients, and key predictors associated with polypharmacy in the logistic regression model included the following: domicile (AOR = 0.63, 95% CI 0.42–0.95), annual income (AOR = 0.38, 95% CI 0.20–0.70), the number of chronic diseases (AOR = 3.68, 95% CI 2.69–5.06), taking Chinese medicine (AOR = 1.70, 95% CI 1.22–2.36), decision involvement (AOR = 1.49 95% CI 1.10–2.03), and depression (AOR = 1.42, 95% CI 1.03–1.96).Conclusion: Polypharmacy is common among the participants with chronic diseases in Hubei province, China. The study emphasizes that gerontology practitioners should be prudent in applying clinical guidelines to provide personalized, comprehensive assessment of decision making of prescriptions, especially in socioeconomically deprived areas.

show abstract

“…Our findings are supported by studies that reported an association between CHCs and retirement 18 , 20 , 23 and are consistent with previous evidence of greater likelihood of retirement among participants with CHCs. 18 , 20 , 22 A Dutch study reported that employees with CHCs had higher rates of retirement. 23 Kang et al reported significant associations between diagnosed CHCs and early ill-health retirement in Korean adults with hypertension, diabetes, lung disease, CVD, and cerebrovascular disease.…”

Section: Discussionmentioning

confidence: 99%

“…21 Job insecurity is significantly associated with increased risk of cardiovascular disease (CVD) and its risk factors, psychological distress, diabetes, and multimorbidity. 6,11 Evidence from the literature implies that job insecurity can impact retirement decisions 14,15,22 ; however, to our knowledge, these associations have not been assessed using longitudinal population data. Furthermore, CHCs are independently associated with both job insecurity and retirement 23,24 ; however, it is unclear how they may impact the association between these two factors.…”

mentioning

confidence: 97%

Association of perceived job security and chronic health conditions with retirement in older UK and US workers

Mutambudzi

Flowers

Demou

2021

European Journal of Public Health

View full text Add to dashboard Cite

Background The relationship between job insecurity, chronic health conditions (CHCs) and retirement among older workers are likely to differ between countries that have different labor markets and health and social safety nets. To date, there are no epidemiological studies that have prospectively assessed the role of job insecurity in retirement incidence, while accounting for CHC trajectories in two countries with different welfare systems. We investigated the strength of the association between baseline job insecurity and retirement incidence over an 11-year period while accounting for CHC trajectories, among workers 50–55 years of age at baseline in the UK and USA. Methods We performed Cox proportional hazards regression analysis, using 2006–2016 data from the Health and Retirement Study (US cohort, n = 570) and English Longitudinal Study on Aging (UK cohort n = 1052). Results Job insecurity was associated with retirement after adjusting for CHC trajectories (HR = 0.69, 95% CI = 0.50–0.95) in the UK cohort only. CHC trajectories were associated with retirement in both cohorts; however, this association was attenuated in the US cohort, but remained significant for the medium-increasing trajectory in the UK cohort (HR = 1.41, 95% CI = 1.01–1.97) after adjustment for all covariates. Full adjustment for relevant covariates attenuated the association between job insecurity and retirement indicating that CHCs, social and health factors are contributing mechanistic factors underpinning retirement incidence. Conclusions The observed differences in the two cohorts may be driven by macro-level factors operating latently, which may affect the work environment, health outcomes and retirement decisions uniquely in different settings.

show abstract

Multimorbidity and intention to retire: a cross-sectional study on 14 European countries

Cited by 10 publications

References 46 publications

Multimorbidity in a cohort of middle-aged women: Risk factors and disease clustering

Multimorbidity in a cohort of middle-aged women: Risk factors and disease clustering

Predictors of Polypharmacy Among Elderly Patients in China: The Role of Decision Involvement, Depression, and Taking Chinese Medicine Behavior

Association of perceived job security and chronic health conditions with retirement in older UK and US workers

Contact Info

Product

Resources

About