Paid employment and common mental disorders around retirement - PowerPoint Presentation

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Paid employment and common mental disorders around retirement

Gayan PereraRobert StewartKing’s College London (IoPPN)

WHERL is an interdisciplinary consortium funded by the cross-research council Lifelong Health and Wellbeing (LLHW) programme under Extending Working Lives (ES/L002825/1)

Background

Employment trend by age in UK

E

mployment and mental health

Well-recognised association between unemployment and worse mental health (e.g. meta-analysis, Paul et al., 2009).Mental health and employment status around retirement has not been adequately described (particularly longitudinal trajectories).

ONS. Labour Force Survey

Number of people of state pension age (SPA) and above who remain in work almost doubled between 1993-2011 (now 1.4m; ONS, 2012)Proportion of people remaining in the workforce after SPA has also increased (7.6% in 1993 to 12.0% in 2011; ONS, 2012)

Employment

in

older

populations

Effect of paid work on health and well-being in later life

Some studies suggest paid employment

after SPA is

beneficial for health and well-being

(Adam et al., 2007;

Rohwedder

and Willis, 2010;

Behnke

, 2012;

Bonsang

et al., 2012;

Calvo

et al., 2013)

Some suggest that it is

detrimental

(Coe and

Zamarro

, 2011) and some that there is

no significant or meaningful relationship

(Coe and

Lindeboom

, 2008; Coe and

Zamarro

, 2011;

Behnke

, 2012;

Calvo

et al., 2013).

British Adult Psychiatric Morbidity Surveys, a cross-sectional survey in nationally representative samples.Three surveys to date: 1993, 2000, 2007 (2014 survey complete but data not yet available).Focus for these analyses:50-64 year olds living in England (1993, 2000, 2007)65-74 year olds living in England (2000, 2007)

Data

Paid employment and common mental disorders in 50-64 year olds: analysis of 14 years of national data (1993-2007) Gayan Perera1, Karen Glaser1, Rob Stewart1, et al1 King’s College London

WHERL is an interdisciplinary consortium funded by the cross-research council Lifelong Health and Wellbeing (LLHW) programme under Extending Working Lives (ES/L002825/1)

Prevalences of Common Mental Disorders (CMD) in 50-64 year olds

CMD by employment status

* Adjusted for age, marital status, highest qualification, social class, tenure, serious debt, smoking status

Association* between non-employment and CMD

Association* between non-employment and CMD

* Adjusted for age, marital status, highest qualification, social class, tenure, serious debt, smoking status. Reference group is those in paid employment.

* Adjusted for age, marital status, highest qualification, social class, tenure, serious debt, smoking status. Reference group is those in paid employment.

Association*

between

non-employment and CMD

Paid employment and common mental disorder in 65- 74 year olds: analysis of 7 years of national data (2000-2007)Gayan Perera1, Karen Glaser1, Rob Stewart1 et al1 King’s College London

WHERL is an interdisciplinary consortium funded by the cross-research council Lifelong Health and Wellbeing (LLHW) programme under Extending Working Lives (ES/L002825/1)

CMD by employment status: 65-74 year olds

Association between non-employment and CMD in 65-74 year olds

* Adjusted for

age,

marital status, highest qualification, social class, tenure, serious debt, smoking

status

. Reference group is those in paid employment.

Summary

More people in work in 50-74 year age groups

(Modest) increase in CMD prevalence over time

People in work are healthier (before and after age 65)

Non-employment prior to 65 only associated with CMD if due to health reasons (but independent of current physical health)

N

o consistent time-trends (apart from men in 2000)

Similar for men and women (apart from 2000)

Non-employment after 65 associated with CMD

But only independently in 2007

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