自愿和非自愿退休对心理健康的影响:来自爱尔兰老年人的证据。

IF 1 4区 医学 Q4 HEALTH POLICY & SERVICES
Irene Mosca, Alan Barrett
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引用次数: 0

摘要

背景:少数试图确定退休对心理健康和福祉的因果影响的研究提供了相互矛盾的证据。因此,退休对心理健康的影响是积极的还是消极的尚不清楚。研究目的:我们的主要目的是通过20项流行病学研究中心抑郁量表(CES-D)来调查退休对心理健康的影响。方法:我们使用来自爱尔兰老龄化纵向研究(TILDA)的前两波数据。这是一个50岁及以上居住在爱尔兰的具有全国代表性的样本。为了处理可能的内生性问题,我们使用了一阶差分估计模型,并对两波之间发生的广泛的生命事件进行了控制。这些事件包括向退休过渡,也包括人口、社会、经济和身体健康事件。作为TILDA调查的一部分,退休的原因被问及。我们利用这些信息,区分自愿退休、非自愿退休或因自身健康状况不佳而退休的个人。结果:我们发现非自愿或强迫退休对心理健康有负向且统计上显著的影响。在自愿退休的情况下,也发现了负面的心理健康影响,但幅度较小,影响在所有模型中都没有统计学意义。我们还发现,由于健康状况不佳而退休与心理健康呈负相关。这些负面影响似乎随着时间的推移而减弱。讨论:在各种退休原因对心理健康影响程度的差异的发现是对文献的重要补充。虽然我们的估计方法减少了潜在的内生性问题,但我们的第一种差分方法并没有消除时变的不可观察性。对卫生保健提供和使用的影响:非自愿退休的个人比其他人更有可能遭受抑郁症状。因此,他们更有可能带着这些症状去看全科医生。对卫生政策的影响:如果能够避免非自愿退休,那将是可取的。从工作到退休的过渡路径可以帮助保护人们的心理健康。对进一步研究的启示:退休的原因现在应该在这类分析中出现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Impact of Voluntary and Involuntary Retirement on Mental Health: Evidence from Older Irish Adults.

Background: The few studies that have attempted to identify the causal effects of retirement on mental health and well-being have provided conflicting evidence. Hence, whether retirement affects mental health positively or negatively is still unclear.

Aims of the study: Our primary objective is to investigate the impact of retirement on mental health as measured by the 20-item Center for Epidemiological Studies Depression Scale (CES-D).

Methods: We use data from the first two waves of The Irish Longitudinal Study on Ageing (TILDA). This is a nationally representative sample of individuals aged 50 and over and living in Ireland. To deal with possible endogeneity problems, we use first-differenced estimation models and control for a broad range of life events occurring between the two waves. These include transition to retirement but also demographic, social, economic and physical health events. As part of the TILDA survey, reasons for retirement are asked. We exploit this information and distinguish between individuals who retired voluntarily, involuntarily or because of own ill health.

Results: We find that involuntary, or forced, retirement has a negative and statistically significant effect on mental health. In the case of voluntary retirement, negative mental health effects are also found but the magnitude is smaller and the effects are not statistically significant in all models. We also find that retirement due to poor ill health is negatively associated with mental health. These negative effects seem to diminish with time.

Discussion: The finding of differences in the extent of mental health impacts across the various reasons for retirement is an important addition to the literature. While our estimation approach reduces potential endogeneity problems, time-variant unobservables are not removed through our first differencing approach.

Implications for health care provision and use: Individuals who are retiring involuntarily are more likely than others to be suffering depressive symptoms. Hence, they are more likely to present at GPs with such symptoms.

Implications for health policies: It would be preferable if involuntary retirement can be avoided. Transitions paths from work to retirement could help protect people's mental health.

Implications for further research: Reasons for retirement should now feature in analyses of this type.

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来源期刊
CiteScore
2.20
自引率
6.20%
发文量
8
期刊介绍: The Journal of Mental Health Policy and Economics publishes high quality empirical, analytical and methodologic papers focusing on the application of health and economic research and policy analysis in mental health. It offers an international forum to enable the different participants in mental health policy and economics - psychiatrists involved in research and care and other mental health workers, health services researchers, health economists, policy makers, public and private health providers, advocacy groups, and the pharmaceutical industry - to share common information in a common language.
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