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Modelling the end of mandatory retirement for U.S. medical school faculty.

The author used data taken in mid-1989 from the Faculty Roster of the Association of American Medical Colleges to calculate the age distributions of U.S. medical school faculty active at any time from 1978 to 1988 and their age-specific probabilities of separating from their academic positions (e.g., to take another position, to enter the private sector, or to retire). A simple Markov model was constructed to predict the future faculty age distributions, isolating the factors of growth rate, separation probability, and potential delays in retirement. Age projections proved most sensitive to assumptions about future growth rate, less sensitive to the choice of separation probabilities within the range of those observed in the previous decade, and least sensitive to modelled delays in retirement of as much as five years for half the retiring faculty. The same pattern of sensitivity was true of projected turnover. The conclusion is that the end of mandatory retirement alone will have a negligible effect on medical faculty demographics.

Adult↗

Early retirement in an international perspective.

Early retirement and sick pension in Sweden have almost doubled during the last two decades. Today more than 5 percent are pensioned. The situation in Sweden must be seen connection with the international development of early retirement and therefore the following study has been made in the industrialized countries (the OECD-countries plus the industrialized states in East Europe). Assistance at the data collection was given by the ministries of social affairs in respective countries. The study shows that in all countries there is an increase of sick pension and early retirement. Exceptions are England and West Germany where the development is more even. A plausible explanation might be that both countries were involved in the world war II and that among the early retirees is a large group of war invalids. Today, 35 years after the war, this group should be refound in ages over 55, i.e. the ages when early retirement passes over to age retirement. If the outflow from the group is large it could hide the inflow of a large number of normal early retirees.

Age Factors↗

Managing finances for a fulfilled Canadian retirement.

Finances play an important, if not pivotal, role in a healthy retirement. Managing money, knowing where one stands financially, forecasting needs for the lifestyle of choice, are all necessary activities to leading a fulfilling happy retirement. Until the basic needs of life are met, the greater joys of socializing, esteem, and fulfillment cannot be achieved. In Canada there are pensions for seniors available according to certain requirements. Knowledge of these pensions is essential before retiring. Knowing how to evaluate one's worth and forecast future needs is necessary to achieve the anticipated retirement so frequently cherished. By planning early and managing decisions and actions effectively, an individual can ensure the best possible retirement.

Aged↗

Retirement of anaesthetists. Attitudes in Yorkshire.

The tenure of posts by consultant anaesthetists is compared with that by consultants in other specialties. Populations studied were not strictly comparable: however, due mainly to early retirement for reasons unknown, only 70--80% of anaesthetists who might have been expected to retire at 65 years of age actually did so. Provisional plans for a study of occupational health are described. Results of a questionnaire on attitudes to retirement are reported. Comments elicited refer to: financial and family considerations; a belief in longevity associated with early retirement; effects of ageing upon health, ability and response to 'stress'; lack of self-pacing and of job adjustment for age and health; professional and administrative 'stresses'; recruitment, manpower and workload; health hazards; and a wish to pursue other interests. Forty per cent of responders anticipated retiring before the age of 61 years. Possible relevance of early appointment as consultant is mentioned.

Adult↗

Depression and early retirement: prospective population based study in middle aged men.

BACKGROUND: Mental depression is an important health problem in many countries. It reduces productivity at work and is the fastest increasing reason for early retirement. METHODS: This study followed up a Finnish cohort of 1726 men from 1984 to 2000. Depression was assessed at baseline by HPL depression score. Pension records were obtained from the national pension registers. Cox's regression analysis was used to estimate the associations of depression with the risk of all disability pensions combined, separately for different causes of disability, and non-illness based pension. RESULTS: During the follow up, 839 men (48.6%) received a disability pension. A total of 142 men (16.9% of all disability pensions) retired because of mental disorder and of these, 75 (52.8%) because of depression. After adjustment for the potential confounders, men in the highest third of depression score had an increased risk of non-illness based pension (RR 1.86 95% CI 1.37 to 2.51) and disability pension attributable to mental disorders (RR 2.74, 95% CI 1.68 to 4.46), chronic somatic diseases (RR 1.68, 95% CI 1.05 to 2.71), cardiovascular diseases (RR 1.61, 95% CI 1.12 to 2.32). The mean age of retirement for men with a high and low depression score was 57.6 years (SD 3.87) and 59.1 years (SD 3.65) (p<0.001) respectively. CONCLUSIONS: A high depression score predicted disability attributable to any cause, especially mental disorders, and non-illness based pensions. Depressed people retired on average 1.5 years younger than those without depression. Further studies are needed to elucidate the pathways of how mental depression leads people to seek retirement pension.

Adult↗

Physical diability after retirement and occupational risk factors during working life: a cross sectional epidemiological study in the Paris area.

STUDY OBJECTIVE: The aim was to examine the relationship between exposure to occupational risk factors during working life and physical disability after retirement. DESIGN: The study was a cross sectional epidemiological survey of a representative sample of retired subjects belonging to a supplementary pension fund in the Paris area. SETTING: The study took place in the general community. PATIENTS: 307 men and 320 women (63.1% of those approached) answered a questionnaire during home interviews. Their average age was 69 (SD4) years at the beginning of the survey. Whether or not subjects had been exposed to occupational risks was determined from their statements concerning the presence or absence of eight harmful environmental conditions while at work. Physical disability was defined as difficulty in carrying out seven basic activities of daily life. MAIN RESULTS: The results of univariate analyses showed significant relationships between exposure during working life to occupational risks including noise, heat, dust, carrying heavy loads, and awkward postures on the one hand, and the presence of a physical disability after retirement on the other. Multivariate analysis based on logistic regression models that took account of age, sex, and health impairments revealed a specific link between exposure to carrying heavy loads and physical disability after retirement. CONCLUSIONS: These results suggest that occupational risk factors might be important in determining such disability in retired people.

Activities of Daily Living↗

Is retirement good or bad for mental and physical health functioning? Whitehall II longitudinal study of civil servants.

BACKGROUND: To determine whether retirement at age 60 is associated with improvement or deterioration in mental and physical health, when analysed by occupational grade and gender. METHODS: Longitudinal study of civil servants aged 54 to 59 years at baseline, comparing changes in SF-36 health functioning in retired (n=392) and working (n=618) participants at follow up. Data were collected from self completed questionnaires. RESULTS: Mental health functioning deteriorated among those who continued to work, but improved among the retired. However, improvements in mental health were restricted to those in higher employment grades. Physical functioning declined in both working and retired civil servants. CONCLUSION: The study found that retirement at age 60 had no effects on physical health functioning and, if anything, was associated with an improvement in mental health, particularly among high socioeconomic status groups.

Female↗

Predictors of re-employment and quality of life in NHS staff one year after early retirement because of ill health; a national prospective study.

AIMS: To measure changes in health related quality of life and employment status of NHS staff one year after early retirement because of ill health, and to identify predictors of re-employment. METHODS: A national cohort of 1317 NHS staff taking early retirement because of ill health in 1998 was recruited. Postal questionnaires were used to assess their quality of life (SF-36) and employment status 12 months after retirement. RESULTS: A total of 1143 (87%) ill health retirees responded; 152 (13%) retirees were working at one year, mostly part-time, and 22% of them were re-employed by the NHS. Independent predictors of re-employment were: living in England rather than Wales and occupation of doctor. There was an increased likelihood of re-employment with reducing age and increasing quality of life at baseline. Retirees' quality of life improved from baseline to one year after ill health retirement, but at one year still remained lower than the general population. Improvements in physical and mental component scores were greater in those working at one year compared with those not working. CONCLUSION: Reducing ill health retirement is likely to be of benefit to the individual, the NHS, and the economy. Results suggest that such a reduction may be possible and the identified predictors of re-employment may help in this process.

Adult↗

Neuropsychological function in retired workers with previous long-term occupational exposure to solvents.

OBJECTIVES: It is plausible that neurodegenerative processes of aging might have a contributing role in the development of chronic effects of exposure to organic solvents. This study evaluated the risk for neuropsychological deficits among retired workers, relative to their histories of exposure to occupational solvents. METHODS: This cross sectional study evaluated retired male workers, 62-74 years of age, including 89 people with previous long-term occupational exposure to solvents (67 retired painters and 22 retired aerospace manufacturing workers), and 126 retired carpenters with relatively minimal previous exposure to solvents. Subjects completed a standardised neuropsychological evaluation and psychiatric interview, structured interviews for histories of occupational exposure and alcohol consumption, and questionnaires assessing neurological and depressive symptoms. RESULTS: By comparison with the carpenters, the painters on average reported greater cumulative alcohol consumption and had lower scores on the WAIS-R vocabulary subtest, usually presumed to reflect premorbid intellectual functioning. These findings, however, were not sufficient to account for the other study findings. Controlling for age, education, vocabulary score, and alcohol use, the painters had lower mean scores on test measures of motor, memory, and reasoning ability; and a subgroup of aerospace workers with moderate to high cumulative exposure to solvents (n = 8) had lower mean scores on measures of visuomotor speed, and motor, attention, memory, and reasoning ability. Subjects were more likely to have an increased number of relatively abnormal test scores (three or more outlier scores on 17 test measures) among both the painter group (odds ratio (OR), 3.1; 95% confidence interval (95% CI) 1.5 to 6.2) and the subgroup of aerospace workers with higher cumulative exposure (OR 5.6; 95% CI 1.0 to 38). The painters, but not the aerospace workers, reported significantly more neurological and depressive symptoms. CONCLUSIONS: The findings are consistent with residual central nervous system dysfunction from long-term exposure to organic solvents, persisting years after the end of exposure.

Aged↗

A longitudinal survey of the evolution of some cardiovascular risk factors during the careers of male firefighters retiring from Strathclyde Fire Brigade from 1985-1994.

This paper is based on a retrospective survey of the cardiovascular risk factor records of 526 wholetime male firefighters retiring from Strathclyde Fire Brigade during the decade beginning 1 January 1985 who had accumulated 14,022 man-years of service. Changes in body mass index (BMI) and systolic & diastolic blood pressure (S&DBP) were observed from enlistment and through the triennial routine medical examinations (RME) which took place from age 40 to retirement, usually occurring after age 50. Tobacco consumption, electrocardiographic abnormalities, and fasting lipid levels were checked at each RME. The findings were then subdivided into quinquennia. Mean BMI(+/- 1 SD) increased from 23.4(2.6) at enlistment to 26.6(3.2) at retirement with the proportion of those obese (BMI > = 30) changing from 1.8% to 17.2% respectively. Systolic and diastolic BP also rose throughout the study from 126(7.14) and 77(7.11) to 137(16.9) and 87(10.9). No subjects had BP > 160 or > 110 at enlistment but, on retirement, this had been attained by 7.2 and 2.1%. Mean cholesterol and triglyceride levels rose from 5.23(0.70) to 6.21(1.09) and 1.65(0.67) to 1.93(1.32). HDL cholesterol fell from 1.71(0.35) to 1.37(0.46). The proportion of non-smokers rose from 35.9 to 48.9%. When the results were analysed by quinquennia, statistically significant differences at retirement were found for BMI, S&DBP, and triglycerides. This would suggest that health education activities have not been effective in this workforce.

Adult↗

Early retirement pensions in Sweden: trends and regional variations.

The total number of early retirement pensiones has risen sharply since the end of the 1960s. The increase was greatest during the early 1970s following a reform in 1970 which extended the right to early retirement pension to older workers because of labour market considerations. This article discusses various conceivable explanations for the growth in the number of early retirement pensioners and regional variations of this phenomenon. The following explanatory factors are considered: (a) The prospects of getting (keeping) a job. (b) Work capacity. (c) The nature of the pension scheme. (d) Alternative possibilities of support. (e) Preferences concerning early retirement pensions. The discussion focuses on two explanations highlighted in the public debate in Sweden: changes in pension legislation and the role of the solidarity wages policy. An empirical analysis of variations at the provincial level reveals a definite correlation between the proportion of early retirement pensioners and various indices of unemployment and underemployment.

Age Factors↗

Effect of loneliness on mortality after retirement.

In the present study, the effect of the type and number of available objects on post-retirement mortality was examined. The hypothesis is that the fewer available objects people have upon retirement, the greater will be the mortality after the retirement. The material was divided into three groups: married (assumed to have the greatest object potential), widowed or divorced (second greatest), and single (least potential). The material consisted of men retired on old age pension in 1964. Of these, 792 were married, 119 were widowed or divorced, and 77 were single. No statistically significant differences in mortality between groups on the basis of marital status could be found, although the results tended to favour the hypothesis. The number of suicides and accidents in the group of men dying within two years of retirement exceeded the expected values, but this increase was distributed fairly evenly between groups on the basis of marital status.

Aged↗

Immigration and socio-economy as predictors of early retirement pensions.

The purpose of this study, performed in a Swedish municipality, was to obtain a view of early retirement pensioners, focusing on immigration and socio-economy as predictors of early retirement pensions. A questionnaire was sent to 453 early retirement pensioners with disorders of the musculoskeletal system. A corresponding questionnaire was sent to a randomly selected, age- and sex-matched control group of the same size. The response rate was 83%. The study concludes that immigration and low socio-economy are predictors of early retirement pension (ERP). The rate of immigrants was 19% among the ERPs compared to 5% among the controls. The early retired immigrants were comparatively young, and some of them were overqualified for their previous jobs. Of the ERPs 74% were blue-collar workers compared to 39% of the controls. Neither work satisfaction nor unemployment was found to predict ERP.

Adult↗

A comparison of early retirement pensions in the United States and Russia: the pensions of musicians.

Early retirement pensions for particular occupations free national policy to establish the social security early retirement age at a later age that is more appropriate for the population as a whole. This paper focuses on early retirement pensions in the United States and the Russian Federation. While comparing early retirement pensions generally, the paper provides a more detailed discussion of the pensions for musicians. While this is an unconventional group to choose for the study of pensions, study of their pensions yields insights into the principles underlying retirement age policy in the two countries.

Adult↗

Women and retirement.

A feminist analysis of retirement is presented by questioning the applicability of traditional definitions and theories of retirement to retired women. The effects of marriage, caregiving and other family obligations on women's retirement are examined within the context of salient social, psychological and economic factors. An empowerment-oriented perspective that considers interactions and connections between family and work roles, public and private and personal and political levels are recommended to alleviate the high poverty rates among older women, to promote parity among men and women during retirement and to emancipate women from substantial involvement in unpaid work, specifically, caregiving and home labor.

Aged↗

[Effects of shift work on quality of sleep among retired workers].

To examine the relationship between shiftwork experience and quality of sleep after retirement, we carried out a self-reported questionnaire survey on 777 retired workers of a manufacturing company. Questionnaire items included past illness, current health status, dietary habit, alcohol drinking, smoking, regular exercise, sleep, working condition (job, shift work experience, shift work periods and side job), current working status, social activity, educational background, sex, age and number of years since retirement. Present health status (adjusted odds ratio 4.318, 95% CI 2.475-7.534), shift work experience (2.190, 1.211-3.953), present working status (1.913, 1.155-3.167) and dietary habit (1.653, 1.055-2.591) were significantly related to sleep disturbance after retirement by multiple logistic regression analysis. To prevent sleep disturbance after retirement, people should keep a regular lifestyle and good health status, especially ex-shift workers.

Aged↗

[The elderly person and retirement].

The present aimed at characterizing the retired old population (members of the retired people and pensioners Association of Ribeirão Preto, São Paulo) who live in this town. The study was carried out from 01/01/89 through 31/12/89. This population was composed of 38 retired and old age pensioners: 30 (78.9%) males and 8 (21.1%) females. It was used the method for data collecting which was the questionnaire with close and open questions; the used technique was the recorded interview. As in our country the retired benefit is inferior to be work's remunerations in the period of activity, the retired person is obliged to look for other ways of income to complement that benefit, and the medical assistance, where it was not expected by the population.

Age Distribution↗

Modes of experiencing and adapting to retirement.

Retirement is typically viewed as a monolithic event which affects all individuals in generally the same way. As a way of beginning to transcend stereotypic views and understand the complex reality of how individuals actually experience retirement, this study was directed toward identifying and describing diversity in modes of retirement adaptation. Twenty-four individuals, drawn from a range of occupational groups, were intensively interviewed one month prior to and six to eight months following retirement. Interview transcripts were analyzed using a phenomenological method which generates systematic descriptions of the structure of an individual's experience. Comparisons among these analyses yielded four distinct ways of conceptualizing and experiencing retirement--as a transition to old age, as a new beginning, as a continuation of preretirement life structure, and as an imposed disruption. Features of each of these patterns of adaptation are described and implications of these findings for preretirement planning and counseling are discussed.

Adaptation, Psychological↗