Complex Multimorbidity and Working beyond Retirement Age in Japan: A Prospective Propensity-Matched Analysis

International Journal of Environmental Research and Public Health

Daisuke Kato¹  Naoki Kondo²  Ichiro Kawachi³ 

[1] Department of Family Medicine, Mie University Graduate School of Medicine, Tsu 514-8507, Japan;Department of Social Epidemiology, Graduate School of Medicine and Public Health, Kyoto University, Kyoto 606-8315, Japan;Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA 02215, USA;

关键词: multimorbidity;    complex multimorbidity;    employment;   

DOI  :  10.3390/ijerph19116553

来源: DOAJ

【 摘 要 】

Background: With the aging of populations worldwide, the extension of people’s working lives has become a crucial policy issue. The aim of this study is to assess the impact of complex multimorbidity (CMM) as a predictor of working status among retirement-aged adults in Japan. Methods: Using a nationwide longitudinal cohort study of people aged over 65 who were free of documented disability at baseline, we matched individuals with respect to their propensity to develop CMM. The primary outcome of the study was working status after the six-year follow-up. Results: Among 5613 older adults (mean age: 74.2 years) included in the study, 726 had CMM and 2211 were still working at the end of the follow-up. In propensity-matched analyses, the employment rate was 6.4% higher in the CMM-free group at the end of the six-year follow-up compared to the CMM group (725 pairs; 29.5% vs. 35.9%; p = 0.012). Logistic regression analysis showed that CMM prevented older people from continuing to work beyond retirement age and was a more important factor than socioeconomic factors (income or educational attainment) or psychological factors (depressive symptoms or purpose in life). Conclusions: Our study found that CMM has an adverse impact on the employment rate of older adults in Japan. This finding suggests that providing appropriate support to CMM patients may extend their working lives.

【 授权许可】

Unknown