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Paid Employment and Mental Health in 65–74-Year-Olds: Analysis of National Data From 2000, 2007 and 2014

Perera, Gayan; Glaser, Karen; Di Gessa, Giorgio; Stewart, Robert; (2024) Paid Employment and Mental Health in 65–74-Year-Olds: Analysis of National Data From 2000, 2007 and 2014. International Journal of Geriatric Psychiatry , 39 (10) , Article e6143. 10.1002/gps.6143. Green open access

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Abstract

Introduction: Employment rates for people aged 65 and over have been changing rapidly in many countries, but little is known about associations of employment status with mental health status and their stability over time. We therefore investigated mental health associations with employment status in 65–74-year-olds in three national samples. // Methods: The data for these analyses were drawn from three national surveys of psychiatric morbidity among adults in England living in private households carried out in 2000, 2007, and 2014. Employment status was the primary exposure of interest. Common mental disorder (CMD) and constituent symptoms were ascertained identically in the three surveys from the revised Clinical Interview Schedule. Covariates included identical demographic, social and physical health measures. // Results: A significant association between non-employment and CMD was present in 2007 (odds ratio 2.66 [95% CI: 1.02–7.83]) but there was no significant association between non-employment and CMD in 2000 or 2014. The largest attenuation in the association between non-employment and CMD was seen when adjusted for physical health related factors. In combined samples, non-employment was most strongly associated with self-reported cognitive difficulties (OR 1.25, 1.01–1.61), depressive ideas (1.30, 1.01–1.67), worry (1.30, 1.01–1.68), and anxiety (1.27, 1.00–1.64) as constituent CMD symptoms. // Conclusion: Evidence is still unclear whether employment after statutory retirement ages is associated with better mental health, and associations may be symptom-specific. In the light of policies to encourage older workers to remain active in the labour market, more research is needed into the interrelationships between paid work and mental health, as well as other outcomes.

Type: Article
Title: Paid Employment and Mental Health in 65–74-Year-Olds: Analysis of National Data From 2000, 2007 and 2014
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/gps.6143
Publisher version: http://dx.doi.org/10.1002/gps.6143
Language: English
Additional information: Copyright © 2024 The Author(s). International Journal of Geriatric Psychiatry published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, https://creativecommons.org/licenses/by/4.0/, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Keywords: British National Surveys of Psychiatric Morbidity; common mental disorders; mental health; older people; paid employment
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10197749
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