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History of Job Strain And Risk of Late-Life Dependency: A Nationwide Swedish Registerbased Study
Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).ORCID iD: 0000-0002-8617-0355
Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology.ORCID iD: 0000-0003-3662-5486
Karolinska Inst, Stockholm, Stockholms Län, Sweden.
Linkoping Univ, Linköping, Östergötlands Län, Sweden.
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2022 (English)In: Innovation in Aging, E-ISSN 2399-5300, Vol. 6, no Supplement 1, p. 502-503Article in journal, Meeting abstract (Refereed) Published
Sustainable development
Sustainable Development
Abstract [en]

There is substantial evidence that work plays a significant role in post-retirement health. Yet little is known about its role in when late-life dependency may occur. We examined associations between job strain and the risk of entering late-life dependency. Individually linked nationwide Swedish registers were used to identify people 70+ alive in January 2014, and who did not experience the outcome (late-life dependency) during two months prior to the start of the follow-up. Late-life dependency was operationalized as use of long-term care. Information about job strain was obtained via a job exposure matrice and matched with job titles. Cox regression models with age as time-scale (adjusted for living situation, educational attainment, country of birth, and sex) were conducted to estimate hazard ratios (HR) for entering late-life dependency during the 24 months of follow-up (n=993,595). Having an initial high starting point of job strain followed by an increasing trajectory throughout working life implied a 23% higher risk of entering late-life dependency at a younger age, compared with the reference group (low starting point with a decreasing trajectory). High initial starting point followed by a stable trajectory implied a 12% higher risk of entering late-life dependency at a younger age. High initial starting point followed by a decreasing trajectory implied a 10% risk reduction, and a low starting point with a stable trajectory implied a 22% risk reduction, of entering late-life dependency at a younger age. Reducing stressful jobs across working life may contribute to postponing late-life dependency.

Place, publisher, year, edition, pages
Oxford University Press, 2022. Vol. 6, no Supplement 1, p. 502-503
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Geriatrics
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URN: urn:nbn:se:hj:diva-60009DOI: 10.1093/geroni/igac059.1927ISI: 000913044002360OAI: oai:DiVA.org:hj-60009DiVA, id: diva2:1744960
Funder
Riksbankens JubileumsfondForte, Swedish Research Council for Health, Working Life and WelfareAvailable from: 2023-03-21 Created: 2023-03-21 Last updated: 2025-10-13Bibliographically approved

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Kåreholt, IngemarNilsen, Charlotta

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