早期退休与死亡风险的关联:台湾的一项基于人口的研究
Tsui-Hung Wang1, Shao-Yun Chien2, Wan-Ju Cheng1,3
1National Center for Geriatrics and Welfare Research, National Health Research Institutes, Zhunan, Taiwan.
Journal of epidemiology and community health
|May 20, 2024
概括
提前退休显著增加了死亡风险,特别是在年轻男性和特定职业或健康状况不佳的人群中. 这凸显了有针对性的公共卫生政策的必要性,以减轻与提前退休相关的风险.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 老年学是一门学科.
背景情况:
- 早期退休在台湾是一个普遍的现象.
- 了解其对健康的影响对于公共福祉至关重要.
研究的目的:
- 评估提前退休与死亡率之间的关联.
- 探索社会人口统计学因素如何改变这种风险.
主要方法:
- 使用台湾国家健康保险研究数据库 (2009-2019) 进行的一项大型队列研究.
- 包括1,762,621名提前退休者 (45-64岁) 和匹配的就业比较者.
- 使用考克斯回归模型和子组分析来确定死亡风险和修改效应.
主要成果:
- 提前退休的人表现出明显更高的任何原因死亡风险 (调整后的HR 1.69).
- 在年轻人 (45-54岁),男性,在农业/渔业或私营部门工作的人以及健康状况较差的人群中观察到较高的风险.
- 增加的死亡风险与胃肠道疾病,自杀和神经系统疾病有关.
结论:
- 提前退休与死亡风险的大幅增加有关.
- 政策干预应侧重于脆弱的子组和可能与生活方式因素相关的死亡原因.
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