| Literature DB >> 28808669 |
Alison Schinkel-Ivy1,2, Irene Mosca3,4, Avril Mansfield2,5,6.
Abstract
Older adults are increasingly important to maintaining stable workforces. As such, factors contributing to early workforce exit must be identified. This study aimed to identify predictors of unexpected retirement and unemployment at older age, with respect to psychological constructs, resulting adverse behaviors, and health-related factors reflecting functional status. Data were extracted from The Irish Longitudinal Study on Ageing (TILDA) to predict unexpected retirement and unemployment in older adults in Ireland. Increasing age, increasing number of impairments in activities of daily living, and frailty status of "pre-frail/frail" (relative to non-frail) increased the likelihood of unexpected retirement; while greater numbers of physical limitations and "pre-frail/frail" status significantly predicted unemployment at older age. Pre-frail/frail status or reduced physical capability for everyday tasks may adversely affect older individuals' ability to obtain and/or maintain employment. These findings advance the current understanding of factors associated with unexpected retirement and unemployment at older ages. Findings may aid in identifying strategies to extend working life and to aid at-risk older adults, and may inform components of care on which to focus to minimize loss of function and mobility, and maintain independence, with aging.Entities:
Keywords: older adults; unemployment; unexpected retirement; work
Year: 2017 PMID: 28808669 PMCID: PMC5536377 DOI: 10.1177/2333721417722709
Source DB: PubMed Journal: Gerontol Geriatr Med ISSN: 2333-7214
Predictor Variables Extracted and/or Derived From TILDA.
| Measure | TILDA variable | TILDA question/definition |
|---|---|---|
| Age | CM003 | For the purposes of this research can you tell me if you are aged . . . (Selected from provided options) |
| Sex | CS004 | Is Respondent male or female? (code without asking) |
| FOF | PH408 | Are you afraid of falling? |
| Activity limitation due to FOF | PH410 | Do you ever limit your activities, for example, what you do or where you go, because you are afraid of falling? |
| Anxiety | PH316_02 | What type of emotional, nervous, or psychiatric problems do/did you have? (Selected from provided options) |
| Pain | PH501 | Are you often troubled with pain? |
| Number of physical limitations | DISimpairments (derived from FL001_01 to FL001_11) | Because of a physical or mental health problem, do you have difficulty doing any of the activities on this card? Exclude any difficulties that you expect to last less than 3 months. (Selected from provided options; e.g., walking 100 m, sitting for about 2 hr, climbing one flight of stairs without resting) |
| Number of ADL impairments | DISadl (derived from FL002_1 to FL002_6) | Because of a health or memory problem, do you have difficulty doing any of the activities on this card? Again, exclude any difficulties you expect to last less than 3 months. (Selected from provided options; e.g., dressing, including putting on shoes and socks; bathing or showering; getting in or out of bed) |
| Self-rating of health | PH009 | In general, compared with other people your age, would you say your health is . . . |
| Frailty ( | ||
| Weight loss | PH008 | In the past year have you lost 10 pounds (4.5 kg) or more in weight when you weren’t trying to, for example, because of illness? |
| Exhaustion | MH007 | I felt that everything I did was an effort. |
| Physical activity ( | IPAQmetminutes | International Physical Activity Questionnaire ( |
| Walk time | FRTUGTimeSec | Timed Up and Go score (modified from Fried Frailty Scale; time to walk 15 feet was not collected as part of the TILDA database) |
| Grip strength | Griptest1D, griptest2D, griptest 1ND, griptest 2ND (maximum) | Maximum force on hand dynamometer test |
Source. TILDA (2010).
Note. Bolded terms under the “frailty” heading indicate positive responses for frailty for that characteristic. Positive responses for one to two or 3+ characteristics denote a frailty status of “pre-frail” or “frail,” respectively. TILDA = The Irish Longitudinal Study on Ageing; ADL = activity of daily living; FOF = fear of falling; BMI = body mass index.
Results of the Univariate Analyses for Unexpected Retirement and Unemployment.
| Employed ( | Unexpected retirement ( | Odds ratio (unexpected retirement relative to employed) |
| Unemployment ( | Odds ratio (unemployed relative to employed) |
| |
|---|---|---|---|---|---|---|---|
| Age (years) | 55.6 (5.3) | 62.1 (6.7) | 1.17 [1.14, 1.20] | <.0001[ | 56.1 (5.4) | 1.02 [0.99, 1.05] | .21 |
| Sex | |||||||
| Male | 830 (49.5) | 83 (59.3) | 1.49 [1.05, 2.11] | .026 | 71 (42.3) | 0.75 [0.54, 1.03] | .076 |
| Female | 848 (50.5) | 57 (40.7) | 1.0 | 97 (57.7) | 1.0 | ||
| FOF (%) | 13.9 | 16.4 | 1.22 [0.76, 1.95] | .41 | 18.5 | 1.40 [0.93, 2.12] | .11 |
| Activity limitation due to FOF (%) | 3.4 | 4.3 | 1.27 [0.54, 3.01] | .58 | 5.4 | 1.61 [0.78, 3.31] | .20 |
| Anxiety (%) | 3.8 | 5.7 | 1.53 [0.72, 3.26] | .27 | 5.4 | 1.43 [0.70, 2.92] | .33 |
| Pain (%) | 27.7 | 31.4 | 1.20 [0.83, 1.74] | .34 | 38.1 | 1.61 [1.16, 2.24] | .0046[ |
| Physical limitations ( | 1.12 (1.52) | 1.61 (1.99) | 1.18 [1.07, 1.29] | .0005[ | 1.57 (1.86) | 1.17 [1.07, 1.27] | .0004[ |
| ADL impairments ( | 0.03 (0.19) | 0.12 (0.42) | 2.83 [1.74, 4.61] | <.0001[ | 0.07 (0.34) | 1.92 [1.12, 3.27] | .018 |
| Perception of health (score) | 2.16 (0.89) | 2.11 (1.03) | 0.94 [0.77, 1.14] | .50 | 2.36 (0.98) | 1.28 [1.08, 1.52] | .0055[ |
| Frailty | |||||||
| Not frail | 1,018 (60.8) | 62 (44.3) | 0.53 [0.37, 0.76] | .0002[ | 82 (48.8) | 0.65 [0.47, 0.90] | .0004[ |
| Pre-frail | 646 (38.5) | 74 (52.9) | 1.0 | 80 (47.6) | 1.0 | ||
| Frail | 14 (0.8) | 4 (2.9) | 2.49 [0.80, 7.78] | 6 (3.6) | 3.46 [1.29, 9.26] | ||
Note. Values presented for each group are the means with standard deviations in parentheses and accompanying ranges (continuous or ordinal variables), or number of participants with percentage of the group in parentheses (nominal variables). Odds ratios are the odds of unexpected retirement or unemployment at Wave 2 relative to being employed at Wave 2, with 95% confidence intervals of the odds ratios in brackets. The p value corresponds to the statistical significance of the associated odds ratio. FOF = fear of falling; ADL = activity of daily living.
Significant model following ainitial (α = .005) and bsubsequent (α = .007) Holm–Bonferroni adjustment.
Results of the Multivariate Analyses for Unexpected Retirement and Unemployment.
| Predictor variable | Odds ratio (relative to employed) | |
|---|---|---|
| Unexpected retirement | 0.80 | |
| Age | 1.16 [1.13, 1.19] | |
| Number of ADL impairments | 2.06 [1.21, 3.52] | |
| Frailty status (relative to non-frail) | 1.52 [1.05, 2.21] | |
| Unemployment | 0.59 | |
| Number of physical limitations | 1.14 [1.05, 1.25] | |
| Frailty status (relative to non-frail) | 1.48 [1.07, 2.05] |
Note. Odds ratios are the odds of unexpected retirement or unemployment at Wave 2 relative to being employed at Wave 2, with 95% confidence intervals of the odds ratios in brackets. ADL = activity of daily living.