Gayan Perera Robert Stewart Kings College London IoPPN WHERL is an interdisciplinary consortium funded by the crossresearch council Lifelong Health and Wellbeing LLHW programme under Extending Working Lives ESL0028251 ID: 758384
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Slide1
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)Slide2
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 SurveySlide3
N
umber 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 populationsSlide4
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).Slide5
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
Slide6
Paid employment and common mental disorders in 50-64 year olds: analysis of 14 years of national data (1993-2007
)
Gayan Perera
1
, Karen Glaser
1
,
Rob Stewart1, et al
1
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)Slide7
Prevalences of Common Mental Disorders (CMD) in 50-64 year oldsSlide8
CMD by employment statusSlide9
* Adjusted for
age,
marital status, highest qualification, social class, tenure, serious debt, smoking status
Association* between non-employment and CMDSlide10
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.Slide11
* 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 CMDSlide12
Paid employment and common mental disorder in 65- 74
year olds: analysis of 7
years of national data
(2000-2007)
Gayan Perera
1
, Karen Glaser1
, Rob Stewart
1
et al
1
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)Slide13
CMD by employment status:
65-74 year oldsSlide14
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.Slide15
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)
No consistent time-trends (apart from men in 2000)
Similar for men and women (apart from 2000)Non-employment after 65 associated with CMDBut only independently in 2007Slide16
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