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. 2020 Apr 27;49(3):403-410.
doi: 10.1093/ageing/afz180.

Why do older workers with chronic health conditions prefer to retire early?

Anushiya Vanajan  1   2 , Ute Bültmann  2 , Kène Henkens  1   2   3
Affiliations

Why do older workers with chronic health conditions prefer to retire early?

Anushiya Vanajan et al. Age Ageing. .

Abstract

Background: older workers experiencing chronic health conditions (CHCs) are more likely to retire early. The different pathways through which CHCs stimulate retirement preferences, however, remain largely unexplored.

Objective: we present a more comprehensive model in which we test the different pathways through which four specific CHCs-arthritis, cardiovascular disease, sleep disorders and psychological disorders-influence early retirement preferences. We hypothesize that the association between CHCs and early retirement preferences is differentially mediated by subjective life expectancy (SLE), perceived health-related work limitations (HRWL) and vitality.

Methods: we collected data from 5,696 wage-employed older workers (60 to 64 years) in the Netherlands in 2015. Regression models were estimated to examine the associations between CHCs and early retirement preferences. Mediation analysis with the Karlson, Holm and Breen method was used to examine potential mediation pathways.

Results: SLE, HRWL and vitality mediated the association between CHCs and older workers' early retirement preferences. The dominant mediator differed depending on the CHC. Severe HRWL predominantly guided the retirement preferences of older workers with arthritis and cardiovascular disease. Lower vitality mainly mediated retirement preferences of older workers with sleep and psychological disorders. Lower SLE was a significant mediation pathway for older workers with cardiovascular diseases.

Conclusions: HRWL and vitality play a major role in determining retirement preferences of older workers experiencing CHCs. Since both mediators are modifiable, targeted interventions may not only extend older workers' working lives, but also improve the quality of their working lives.

Keywords: ageing workers; chronic conditions; mediation; older people; retirement.

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Conflict of interest statement

None.

Figures

Figure 1
Figure 1
Objective and conceptual framework.
See this image and copyright information in PMC

References

    1. Szinovacz ME. Contexts and pathways: retirement as institution, process, and experience. In: Adams GA and Beehr TA, eds.Retirement: Reasons, Processes, and Results, 2003; Springer Publishing Company: New York, NY, 6–52.
    1. Pond R, Stephens C, Alpass F. How health affects retirement decisions: three pathways taken by middle-older aged new Zealanders. Ageing Soc 2010; 30: 527–45.
    1. Robroek SJ, Schuring M, Croezen S, Stattin M, Burdorf A. Poor health, unhealthy behaviors, and unfavorable work characteristics influence pathways of exit from paid employment among older workers in Europe: a four year follow-up study. Scand J Work Environ Health 2013; 39: 125–33. - PubMed
    1. McGarry K. Health and retirement do changes in health affect retirement expectations? J Hum Resour 2004; 39: 624–48.
    1. Karpansalo M, Kauhanen J, Lakka TA, Manninen P, Kaplan GA, Salonen JT. Depression and early retirement: prospective population based study in middle aged men. J Epidemiol Community Health 2005; 59: 70–4. - PMC - PubMed

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