Evidence map›Paper›PMID 27913614›Full record

ArticleJournal of epidemiology and community health2017

Relationship between employment histories and frailty trajectories in later life: evidence from the English Longitudinal Study of Ageing.

Wentian Lu, Rebecca Benson, Karen Glaser, Loretta G Platts, Laurie M Corna, Diana Worts, Peggy McDonough, Giorgio Di Gessa, Debora Price, Amanda Sacker

Open access · hybridAbstract read
In one paragraph

Article in Journal of epidemiology and community health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
10.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 49 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 3 countries.

Wentian LuESRC International Centre for Lifecourse Studies in Society and Health (ICLS), Research Department of Epidemiology and Public Health, Institute of Epidemiology and Health Care, University College London, London, UK.
Rebecca BensonResearch Department of Epidemiology and Public Health, Institute of Epidemiology and Health Care, University College London, London, UK.
Karen GlaserDepartment of Global Health & Social Medicine, Institute of Gerontology, School of Social Science and Public Policy, King's College London, London, UK.
Loretta G PlattsStress Research Institute, Stockholm University, Stockholm, Sweden.ORCID 0000-0002-3243-0262
Laurie M CornaDepartment of Global Health & Social Medicine, Institute of Gerontology, School of Social Science and Public Policy, King's College London, London, UK.
Diana WortsDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Peggy McDonoughDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Giorgio Di GessaDepartment of Social Policy, The London School of Economics and Political Science, London, UK.ORCID 0000-0001-6154-1845
Debora PriceManchester Institute for Collaborative Research on Ageing, University of Manchester, Manchester, UK.
Amanda SackerESRC International Centre for Lifecourse Studies in Society and Health (ICLS), Research Department of Epidemiology and Public Health, Institute of Epidemiology and Health Care, University College London, London, UK.
Centre for Life · GBKing's College London · GBUniversity of Toronto · CALondon School of Economics and Political Science · GBStockholm University · SEUniversity College London · GBUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGiven the acceleration of population ageing and policy changes to extend working lives, evidence is needed on the ability of older adults to work for longer. To understand more about the health impacts of work, this study examined the relationship between employment histories before retirement and trajectories of frailty thereafter.

methodsThe sample comprised 2765 women and 1621 men from the English Longitudinal Study of Ageing. We used gendered typologies of life-time employment and a frailty index (FI). Multilevel growth curve models were used to predict frailty trajectories by employment histories.

resultsWomen who had a short break for family care, then did part-time work till 59 years had a lower FI after 60 years than those who undertook full-time work until 59 years. Women who were largely family carers or non-employed throughout adulthood, had higher levels of frailty at 60 years but experienced a slower decline with age. Men who worked full-time but early exited at either 49 or 60 years had a higher FI at 65 years than those who worked full-time up to 65 years. Interaction between employment histories and age indicated that men in full-time work who experienced an early exit at 49 tended to report slower declines.

conclusionsFor women, experiencing distinct periods throughout the lifecourse of either work or family care may be advantageous for lessening frailty risk in later life. For men, leaving paid employment before 65 years seems to be beneficial for decelerating increases in frailty thereafter. Continuous full-time work until retirement age conferred no long-term health benefits.

Indexed as

Health StatusAgedEmploymentEnglandFemaleFrail ElderlyFrailtyGeriatric AssessmentHumansLongitudinal StudiesMaleMiddle AgedOccupationsRetirementSocial ClassAGEINGEMPLOYMENTSocial and life-course epidemiology

Identifiers

PMID27913614
PMCPMC5484034
OpenAlexW2559610314

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.