Arthritis, Occupational Class, and the Aging US Workforce.

Objectives. The working poor sometimes delay retirement to survive. However, their higher risk of disease and disability threatens both their financial survival and their ability to work through the retirement years. We used the burden of disease attributable to arthritis by occupational class to il...

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Publicado en:American Journal of Public Health Vol. 101; no. 9; pp. 1729 - 1735
Autores principales: Caban-Martinez, Alberto J., Lee, David J., Fleming, Lora E., Tancredi, Daniel J., Arheart, Kristopher L., LeBlanc, William G., McCollister, Kathryn E., Christ, Sharon L., Louie, Grant H., Muennig, Peter A.
Formato: equations & formulas research tables/charts Journal Article
Publicado: American Public Health Association Sep2011
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2011
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      pub: American Public Health Association
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        atl: Arthritis, Occupational Class, and the Aging US Workforce.
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        au:
          Caban-Martinez, Alberto J.
          Lee, David J.
          Fleming, Lora E.
          Tancredi, Daniel J.
          Arheart, Kristopher L.
          LeBlanc, William G.
          McCollister, Kathryn E.
          Christ, Sharon L.
          Louie, Grant H.
          Muennig, Peter A.
        affil: Department of Epidemiology and Public Health, University of Miami, Miller School of Medicine, Miami, FL
      sug:
        subj:
          Arthritis
          Occupations and Professions Classification
          Workforce
          Employment of Older Workers
          Quality-Adjusted Life Years
          Human
          Funding Source
          Socioeconomic Factors
          Surveys
          Administrative Research
          Life Table Method
          Blue Collar Workers
          Aged
          White Collar Workers
          Insurance, Disability
          Comparative Studies
          Retirement
          Odds Ratio
          Confidence Intervals
          Economic and Social Security
          Aged: 65+ years
      ab: Objectives. The working poor sometimes delay retirement to survive. However, their higher risk of disease and disability threatens both their financial survival and their ability to work through the retirement years. We used the burden of disease attributable to arthritis by occupational class to illustrate the challenges faced by the older poor. Methods. We merged data from the National Health Interview Survey, Medical Expenditure Panel Survey, and the National Death Index into a single database. We then calculated and compared age- and occupational class-specific quality-adjusted life years (QALYs) between workers with and without arthritis by using unabridged life tables. Results. White-collar workers have a higher overall health-related quality of life than do other workers, and suffer fewer QALYs lost to arthritis at all ages. For instance, whereas 65-year-old white-collar workers without arthritis look forward to 17 QALYs of future life, blue-collar workers with arthritis experience only 11, and are much less likely to remain in the workforce than are those in service, farming, or white-collar jobs. Conclusions. To meet the needs of the aging workforce, more extensive health and disability insurance will be needed.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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