Changes in physical and mental health functioning during retirement transition : a register-linkage follow-up study
Mänty, Minna; Kouvonen, Anne; Lallukka, Tea; Lahti, Jouni; Lahelma, Eero; Rahkonen, Ossi (2018)
Oxford University Press
2018
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-201803213640
https://urn.fi/URN:NBN:fi:amk-201803213640
Tiivistelmä
Background
Changes in health functioning over different retirement transitions are poorly understood. This study aimed to examine associations between transition into statutory, disability and part-time retirement, and changes in health functioning.
Methods
Survey data were collected among ageing employees of the City of Helsinki, Finland, at three phases: (i) (2000–02), (ii) (2007) and (iii) (2012). Physical and mental health functioning were measured using the Short-Form 36 questionnaire at each phase. Retirees between phases 1 and 3 were identified from the national registers of the Finnish Centre for Pensions: full-time statutory retirement (n = 1464), part-time retirement (n = 404), and disability retirement (n = 462). Generalized estimating equations were used to examine the associations.
Results
Disability retirees had poorer pre- and post-retirement health functioning compared to statutory and part-time retirees. Statutory and part-time retirement were associated with no or only small changes in physical health functioning during retirement transition (β 0.1, 95% CI −0.3 to 0.5 and −1.0, −1.8 to −0.1, respectively), whereas a clear decline in functioning was observed among disability retirees (−4.3, −5.4 to −3.2). Mental health functioning improved during the retirement transition among statutory and part-time retirees (1.9, 1.4–2.4 and 2.0, 1.0–3.0, respectively), whereas no change was observed for disability retirees.
Conclusions
Transition to disability retirement led to a decrease in physical health functioning, and statutory retirement to a slight improvement in mental health functioning. Evidence on changes in physical and mental health functioning during retirement transition process may provide useful information for interventions to promote healthy ageing.
Changes in health functioning over different retirement transitions are poorly understood. This study aimed to examine associations between transition into statutory, disability and part-time retirement, and changes in health functioning.
Methods
Survey data were collected among ageing employees of the City of Helsinki, Finland, at three phases: (i) (2000–02), (ii) (2007) and (iii) (2012). Physical and mental health functioning were measured using the Short-Form 36 questionnaire at each phase. Retirees between phases 1 and 3 were identified from the national registers of the Finnish Centre for Pensions: full-time statutory retirement (n = 1464), part-time retirement (n = 404), and disability retirement (n = 462). Generalized estimating equations were used to examine the associations.
Results
Disability retirees had poorer pre- and post-retirement health functioning compared to statutory and part-time retirees. Statutory and part-time retirement were associated with no or only small changes in physical health functioning during retirement transition (β 0.1, 95% CI −0.3 to 0.5 and −1.0, −1.8 to −0.1, respectively), whereas a clear decline in functioning was observed among disability retirees (−4.3, −5.4 to −3.2). Mental health functioning improved during the retirement transition among statutory and part-time retirees (1.9, 1.4–2.4 and 2.0, 1.0–3.0, respectively), whereas no change was observed for disability retirees.
Conclusions
Transition to disability retirement led to a decrease in physical health functioning, and statutory retirement to a slight improvement in mental health functioning. Evidence on changes in physical and mental health functioning during retirement transition process may provide useful information for interventions to promote healthy ageing.