Evidence map›Paper›PMID 34238265›Full record

SynthesisBMC public health2021

Is working in later life good for your health? A systematic review of health outcomes resulting from extended working lives.

Susan Baxter, Lindsay Blank, Anna Cantrell, Elizabeth Goyder

Abstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

34 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  10. Age-based stereotype threat and intention to work beyond retirement age: testing the indirect effect through stress.International journal of occupational medicine and environmental health · 2025
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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

4 authors.

Susan BaxterSchool of Health and Related Research, University of Sheffield, Regent Court, Regent Street, Sheffield, S14DA, UK. s.k.baxter@sheffield.ac.uk.
Lindsay BlankSchool of Health and Related Research, University of Sheffield, Regent Court, Regent Street, Sheffield, S14DA, UK.
Anna CantrellSchool of Health and Related Research, University of Sheffield, Regent Court, Regent Street, Sheffield, S14DA, UK.
Elizabeth GoyderSchool of Health and Related Research, University of Sheffield, Regent Court, Regent Street, Sheffield, S14DA, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWork, rather than unemployment, is recognised as being good for health, but there may be an age when the benefits are outweighed by adverse impacts. As countries around the world increase their typical retirement age, the potential effect on population health and health inequalities requires scrutiny.

methodsWe carried out a systematic review of literature published since 2011 from developed countries on the health effects of employment in those over 64 years of age. We completed a narrative synthesis and used harvest plots to map the direction and volume of evidence for the outcomes reported. We followed the Preferred Reporting Items for Systematic Reviews (PRISMA) checklist in our methods and reporting.

resultsWe identified seventeen relevant studies, which were of cohort or cross-sectional design. The results indicate evidence of beneficial or neutral effects from extended working on overall health status and physical health for many employees, and mixed effects on mental health. The benefits reported however, are most likely to be for males, those working part-time or reducing to part-time, and employees in jobs which are not low quality or low reward.

conclusionsExtending working life (particularly part time) may have benefits or a neutral effect for some, but adverse effects for others in high demand or low reward jobs. There is the potential for widening health inequalities between those who can choose to reduce their working hours, and those who need to continue working full time for financial reasons. There is a lack of evidence for effects on quality of life, and a dearth of interventions enabling older workers to extend their healthy working life.

Indexed as

Quality of LifeRetirementCross-Sectional StudiesEmploymentHumansMaleOutcome Assessment, Health CareEmploymentExtending workingHealthOlder workersRetirementSystematic review

Identifiers

PMID34238265
PMCPMC8268509

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.