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dc.contributor.author Gallo, WT
dc.contributor.author Teng, HM
dc.contributor.author Falba, TA
dc.contributor.author Kasl, SV
dc.contributor.author Krumholz, HM
dc.contributor.author Bradley, EH
dc.coverage.spatial England
dc.date.accessioned 2010-06-28T19:04:46Z
dc.date.issued 2006-10
dc.identifier http://www.ncbi.nlm.nih.gov/pubmed/16798871
dc.identifier oem.2006.026823
dc.identifier.citation Occup Environ Med, 2006, 63 (10), pp. 683 - 687
dc.identifier.uri http://hdl.handle.net/10161/2621
dc.description.abstract BACKGROUND: Involuntary job loss is a major life event associated with social, economic, behavioural, and health outcomes, for which older workers are at elevated risk. OBJECTIVE: To assess the 10 year risk of myocardial infarction (MI) and stroke associated with involuntary job loss among workers over 50 years of age. METHODS: Analysing data from the nationally representative US Health and Retirement Survey (HRS), Cox proportional hazards analysis was used to estimate whether workers who suffered involuntary job loss were at higher risk for subsequent MI and stroke than individuals who continued to work. The sample included 4301 individuals who were employed at the 1992 study baseline. RESULTS: Over the 10 year study frame, 582 individuals (13.5% of the sample) experienced involuntary job loss. After controlling for established predictors of the outcomes, displaced workers had a more than twofold increase in the risk of subsequent MI (hazard ratio (HR) = 2.48; 95% confidence interval (CI) = 1.49 to 4.14) and stroke (HR = 2.43; 95% CI = 1.18 to 4.98) relative to working persons. CONCLUSION: Results suggest that the true costs of late career unemployment exceed financial deprivation, and include substantial health consequences. Physicians who treat individuals who lose jobs as they near retirement should consider the loss of employment a potential risk factor for adverse vascular health changes. Policy makers and programme planners should also be aware of the risks of job loss, so that programmatic interventions can be designed and implemented to ease the multiple burdens of joblessness.
dc.format.extent 683 - 687
dc.format.mimetype application/pdf
dc.language eng
dc.language.iso en_US
dc.relation.ispartof Occup Environ Med
dc.relation.isversionof 10.1136/oem.2006.026823
dc.subject Age Factors
dc.subject Female
dc.subject Follow-Up Studies
dc.subject Humans
dc.subject Life Change Events
dc.subject Male
dc.subject Middle Aged
dc.subject Myocardial Infarction
dc.subject Proportional Hazards Models
dc.subject Risk Factors
dc.subject Stress, Psychological
dc.subject Stroke
dc.subject Surveys and Questionnaires
dc.subject Unemployment
dc.title The impact of late career job loss on myocardial infarction and stroke: a 10 year follow up using the health and retirement survey.
dc.type Journal Article
dc.department Economics
pubs.author-url http://www.ncbi.nlm.nih.gov/pubmed/16798871
pubs.issue 10
pubs.organisational-group /Duke
pubs.organisational-group /Duke/Trinity College of Arts & Sciences
pubs.organisational-group /Duke/Trinity College of Arts & Sciences/Economics
pubs.publication-status Published
pubs.volume 63
dc.identifier.eissn 1470-7926

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