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Psychosocial working conditions and cognitive and physical impairment in older age
Division of Clinical Geriatrics, Center for Alzheimer's Research, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet and Karolinska University Hospital, Stockholm, Solna, Sweden; Ageing Epidemiology Research Unit (AGE), School of Public Health, Faculty of Medicine, Imperial College London, London, United Kingdom.
Aging Research Center (ARC), Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet/Stockholm University, Stockholm, Sweden.
Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Aging Research Center (ARC), Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet/Stockholm University, Stockholm, Sweden.ORCID iD: 0000-0002-8617-0355
Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Aging Research Center (ARC), Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet/Stockholm University, Stockholm, Sweden; Stress Research Institute, Department of Psychology, Stockholm University, Stockholm, Sweden.ORCID iD: 0000-0003-3662-5486
2023 (English)In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 104, article id 104802Article in journal (Refereed) Published
Sustainable development
Sustainable Development
Abstract [en]

Background

Psychosocial working conditions are associated with cognitive and physical impairments. The aim of this study was to investigate the associations between mid-late life psychosocial working conditions and the combination of physical and cognitive impairment among older adults, and the potential sex differences in these associations.

Methods

Data were derived from two Swedish nationally representative surveys (n = 839; follow-up: 20–24 years). Multinomial and binary logistic regressions assessed the associations between work stressors (job demand-control model), and a combination of cognitive and physical impairment.

Results

Low control jobs were significantly associated with higher odds of cognitive (OR: 1.41, CI: 1.15–1.72) and physical impairment (OR: 1.23, CI: 1.02–1.47), and cognitive and physical impairment combined (OR: 1.50, CI: 1.19–1.89). Passive jobs (low control, low demand) were associated with higher odds of cognitive impairment (OR: 1.57, CI: 1.12–2.20), and combined cognitive and physical impairment (OR: 1.59, CI: 1.07–2.36). Active jobs (high control, high demand) were associated with lower odds of cognitive impairment (OR: 0.48, CI: 0.29–0.80). Sex-stratified analyses showed stronger associations among men; passive jobs were associated with both cognitive (OR: 2.18, CI: 1.31–3.63) and physical impairment (OR: 1.78, CI: 1.13–2.81), while low strain jobs were associated with less physical impairment (OR: 0.55, CI: 0.33-0.89). No significant associations between work stressors and impairment were found for women.

Conclusions

These results highlight the importance of psychosocial working conditions for late-life physical and cognitive impairment, especially among men. Jobs characterised by low control and low demands are associated with higher risk for impairments.

Place, publisher, year, edition, pages
Elsevier, 2023. Vol. 104, article id 104802
Keywords [en]
Work stressors, Psychosocial working conditions, Cognition, Physical function, Aging, Sex differences, Longitudinal
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hj:diva-58438DOI: 10.1016/j.archger.2022.104802ISI: 000854055700002PubMedID: 36084608Scopus ID: 2-s2.0-85137742510Local ID: HOA;intsam;830153OAI: oai:DiVA.org:hj-58438DiVA, id: diva2:1694108
Funder
Marcus Wallenbergs Foundation for International Scientific Collaboration, MMW 2016.0081Forte, Swedish Research Council for Health, Working Life and Welfare, 2019–01141Riksbankens Jubileumsfond, P21-0173Available from: 2022-09-08 Created: 2022-09-08 Last updated: 2022-09-29Bibliographically approved

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Kåreholt, IngemarNilsen, Charlotta

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