Back to Search
Start Over
Occupational social class trajectories in physical functioning among employed women from midlife to retirement
- Source :
- BMC Public Health, BMC Public Health, Vol 19, Iss 1, Pp 1-10 (2019), Lahelma, E, Pietiläinen, O, Chandola, T, Hyde, M, Rahkonen, O & Lallukka, T 2019, ' Occupational social class trajectories in physical functioning among employed women from midlife to retirement ', BMC Public Health, vol. 19, no. 1, pp. 1525 . https://doi.org/10.1186/s12889-019-7880-0
- Publication Year :
- 2019
- Publisher :
- BioMed Central, 2019.
-
Abstract
- Background Prior analyses of class differences in health trajectories among employees have often omitted women and transitions to retirement. We examined social class trajectories in physical functioning among Finnish female employees from midlife to retirement age, and whether transitions to retirement modified these trajectories. Methods Data were derived from mail surveys at Phases 1–3 (2000–2012) among employees of the City of Helsinki, Finland, aged 40–60 at baseline (n = 8960, 80% women, response rates 69–83%). We included respondents to any of the Phases 1–3 aged 40–72 (n = 6976). We distinguished higher and lower social classes, and employment statuses, i.e. employed, mandatorily retired and disability-retired. Short Form 36 physical component summary was used to measure physical functioning. Mixed-effect growth curve models were used to assess the association of social class and employment status with functioning over age. Results For employed women, physical functioning deteriorated faster in the lower than in the higher class, with class trajectories widening in ages 40–65. After mandatory retirement, functioning deteriorated in both classes, whereas after disability retirement, functioning improved. Across employment statuses, functioning converged at older ages, and the disability-retired caught up with the better functioning of the employed and mandatorily retired. Employment status modified the trajectories, as among the continuously employed and mandatorily retired women functioning deteriorated, but among the disability-retired, trajectories improved and reached a similar level with employed and mandatorily retired women. Social class inequalities remained in all employment status groups. Conclusions Overall, our results suggest evidence for the cumulative disadvantage model, with accumulating work exposures among lower classes potentially contributing to their trajectories of ill health.
- Subjects :
- Male
Work
Health Status
Trajectories
0302 clinical medicine
Surveys and Questionnaires
Medicine
030212 general & internal medicine
Finland
media_common
Retirement
lcsh:Public aspects of medicine
030503 health policy & services
Age Factors
EARLY OLD-AGE
Middle Aged
Physical Functional Performance
3142 Public health care science, environmental and occupational health
8. Economic growth
INEQUALITIES
Life course approach
Female
Mandatory retirement
0305 other medical science
Research Article
Adult
Employment
medicine.medical_specialty
Inequality
media_common.quotation_subject
Social class
PANEL
03 medical and health sciences
Sex Factors
SWITZERLAND
Humans
Women
Disabled Persons
Disadvantage
Aged
LIFE-COURSE
business.industry
DISABILITY
Public health
Public Health, Environmental and Occupational Health
lcsh:RA1-1270
Socioeconomic Factors
HEALTH-TRAJECTORIES
Biostatistics
business
Physical functioning
Retirement age
Demography
Follow-Up Studies
Subjects
Details
- Language :
- English
- ISSN :
- 14712458
- Volume :
- 19
- Database :
- OpenAIRE
- Journal :
- BMC Public Health
- Accession number :
- edsair.doi.dedup.....053540bfe4d0130c8aebdf0d138fa092