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. 2021 Jul 9;21(1):1356.
doi: 10.1186/s12889-021-11423-2.

Is working in later life good for your health? A systematic review of health outcomes resulting from extended working lives

Susan Baxter  1 , Lindsay Blank  2 , Anna Cantrell  2 , Elizabeth Goyder  2
Affiliations

Is working in later life good for your health? A systematic review of health outcomes resulting from extended working lives

Susan Baxter et al. BMC Public Health. .

Abstract

Background: Work, rather than unemployment, is recognised as being good for health, but there may be an age when the benefits are outweighed by adverse impacts. As countries around the world increase their typical retirement age, the potential effect on population health and health inequalities requires scrutiny.

Methods: We carried out a systematic review of literature published since 2011 from developed countries on the health effects of employment in those over 64 years of age. We completed a narrative synthesis and used harvest plots to map the direction and volume of evidence for the outcomes reported. We followed the Preferred Reporting Items for Systematic Reviews (PRISMA) checklist in our methods and reporting.

Results: We identified seventeen relevant studies, which were of cohort or cross-sectional design. The results indicate evidence of beneficial or neutral effects from extended working on overall health status and physical health for many employees, and mixed effects on mental health. The benefits reported however, are most likely to be for males, those working part-time or reducing to part-time, and employees in jobs which are not low quality or low reward.

Conclusions: Extending working life (particularly part time) may have benefits or a neutral effect for some, but adverse effects for others in high demand or low reward jobs. There is the potential for widening health inequalities between those who can choose to reduce their working hours, and those who need to continue working full time for financial reasons. There is a lack of evidence for effects on quality of life, and a dearth of interventions enabling older workers to extend their healthy working life.

Keywords: Employment; Extending working; Health; Older workers; Retirement; Systematic review.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
PRISMA diagram illustrating the selection process
Fig. 2
Fig. 2
Harvest plot summarising results of studies reporting health outcomes
Fig. 3
Fig. 3
Harvest plot summarising results of studies reporting mental health outcomes
Fig. 4
Fig. 4
Harvest plot summarising the results of studies reporting physical health-related outcomes
See this image and copyright information in PMC

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References

    1. Welsh J, Strazdins L, Charlesworth S, Kulik CT, D'Este C. Losing the workers who need employment the most: how health and job quality affect involuntary retirement. Labour Ind. 2018;28(4):261–278. doi: 10.1080/10301763.2018.1522609. - DOI
    1. Shelton N, Head J, Carr E, Zaninotto P, Hagger-Johnson G, Murray E. Gender differences and individual, household, and workplace characteristics: Regional geographies of extended working lives. Popul Space Place. 2019;25(2):e2213. 10.1002/psp.2213. - PMC - PubMed
    1. Edge CE, Cooper AM, Coffey M. Barriers and facilitators to extended working lives in Europe: a gender focus. Public Health Rev. 2017;38(1):2. doi: 10.1186/s40985-017-0053-8. - DOI - PMC - PubMed
    1. Modini M, Joyce S, Mykletun A, Christensen H, Bryant RA, Mitchell PB, Harvey SB. The mental health benefits of employment: results of a systematic meta-review. Australas Psychiatry. 2016;24(4):331–336. doi: 10.1177/1039856215618523. - DOI - PubMed
    1. van der Mark-Reeuwijk KG, Weggemans RM, Bultmann U, Burdorf A, Deeg DJH, Geuskens GA, et al. Health and prolonging working lives: an advisory report of the health Council of the Netherlands. Scand J Work Environ Health. 2019;45(5):514–519. doi: 10.5271/sjweh.3828. - DOI - PubMed

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