Life course and work ability among older adults: ELSI-Brazil

ABSTRACT OBJECTIVE To examine factors associated with perception of work ability in a nationally representative sample of Brazilians aged 50 years and over. METHODS We used data from 8,903 participants of the baseline survey of the Brazilian Longitudinal Study of Aging (ELSI-Brazil). The dependent variable was self-rated work ability (good or very good versus fair, poor, or very poor). Independent variables included factors that operate at the beginning, middle, and current stage of life. Multivariate analysis was based on prevalence ratios (PR) and 95% confidence intervals (95%CI) estimated by Poisson regression. RESULTS Good work ability was reported by 49% of \ participants (49.4% among men and 48.6% among women). Results of the multivariate analysis showed that, for both men and women, good work ability showed positive and statistically significant associations (p < 0.05) with good health up to 15 years of age (PR = 1.22 and 1.18 , respectively), educational level ≥ 8 years (PR = 1.19 and 1.21, respectively), and current good self-rated health (PR = 1.88 and 1.94, respectively). Negative associations were observed for current age (PR = 0.99 for each increase of one year among men and women), medical diagnosis of depression (PR = 0.70 for men and PR = 0.87 for women), and having one or more at least chronic diseases (PR = 0.88 for men and 0.91 for women). Only for men, positive associations for the age at which they started working (PR = 1.14 and 1.12 for 11–17 and ≥ 18 years, respectively) and living with a spouse (PR = 1.09) were found. CONCLUSIONS Work ability in older ages is built over the life course, particularly by the health conditions in childhood and adolescence, age at which men begin working, educational level, and health conditions in older ages. Policies aimed at increasing longevity in the labor market must take these factors into account.

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Main Authors: Castro,Camila Menezes Sabino de, Lima-Costa,Maria Fernanda, César,Cibele Comini, Neves,Jorge Alexandre Barbosa, Andrade,Fabíola Bof de, Souza Junior,Paulo Roberto Borges de, Sampaio,Rosana Ferreira
Format: Digital revista
Language:English
Published: Faculdade de Saúde Pública da Universidade de São Paulo 2018
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102018000300513
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spelling oai:scielo:S0034-891020180003005132018-10-23Life course and work ability among older adults: ELSI-BrazilCastro,Camila Menezes Sabino deLima-Costa,Maria FernandaCésar,Cibele CominiNeves,Jorge Alexandre BarbosaAndrade,Fabíola Bof deSouza Junior,Paulo Roberto Borges deSampaio,Rosana Ferreira Aged Work Capacity Evaluation Health Chronic Disease Socioeconomic Factors Epidemiologic Factors Health Surveys ABSTRACT OBJECTIVE To examine factors associated with perception of work ability in a nationally representative sample of Brazilians aged 50 years and over. METHODS We used data from 8,903 participants of the baseline survey of the Brazilian Longitudinal Study of Aging (ELSI-Brazil). The dependent variable was self-rated work ability (good or very good versus fair, poor, or very poor). Independent variables included factors that operate at the beginning, middle, and current stage of life. Multivariate analysis was based on prevalence ratios (PR) and 95% confidence intervals (95%CI) estimated by Poisson regression. RESULTS Good work ability was reported by 49% of \ participants (49.4% among men and 48.6% among women). Results of the multivariate analysis showed that, for both men and women, good work ability showed positive and statistically significant associations (p < 0.05) with good health up to 15 years of age (PR = 1.22 and 1.18 , respectively), educational level ≥ 8 years (PR = 1.19 and 1.21, respectively), and current good self-rated health (PR = 1.88 and 1.94, respectively). Negative associations were observed for current age (PR = 0.99 for each increase of one year among men and women), medical diagnosis of depression (PR = 0.70 for men and PR = 0.87 for women), and having one or more at least chronic diseases (PR = 0.88 for men and 0.91 for women). Only for men, positive associations for the age at which they started working (PR = 1.14 and 1.12 for 11–17 and ≥ 18 years, respectively) and living with a spouse (PR = 1.09) were found. CONCLUSIONS Work ability in older ages is built over the life course, particularly by the health conditions in childhood and adolescence, age at which men begin working, educational level, and health conditions in older ages. Policies aimed at increasing longevity in the labor market must take these factors into account.info:eu-repo/semantics/openAccessFaculdade de Saúde Pública da Universidade de São PauloRevista de Saúde Pública v.52 suppl.2 20182018-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102018000300513en10.11606/s1518-8787.2018052000648
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country Brasil
countrycode BR
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databasecode rev-scielo-br
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region America del Sur
libraryname SciELO
language English
format Digital
author Castro,Camila Menezes Sabino de
Lima-Costa,Maria Fernanda
César,Cibele Comini
Neves,Jorge Alexandre Barbosa
Andrade,Fabíola Bof de
Souza Junior,Paulo Roberto Borges de
Sampaio,Rosana Ferreira
spellingShingle Castro,Camila Menezes Sabino de
Lima-Costa,Maria Fernanda
César,Cibele Comini
Neves,Jorge Alexandre Barbosa
Andrade,Fabíola Bof de
Souza Junior,Paulo Roberto Borges de
Sampaio,Rosana Ferreira
Life course and work ability among older adults: ELSI-Brazil
author_facet Castro,Camila Menezes Sabino de
Lima-Costa,Maria Fernanda
César,Cibele Comini
Neves,Jorge Alexandre Barbosa
Andrade,Fabíola Bof de
Souza Junior,Paulo Roberto Borges de
Sampaio,Rosana Ferreira
author_sort Castro,Camila Menezes Sabino de
title Life course and work ability among older adults: ELSI-Brazil
title_short Life course and work ability among older adults: ELSI-Brazil
title_full Life course and work ability among older adults: ELSI-Brazil
title_fullStr Life course and work ability among older adults: ELSI-Brazil
title_full_unstemmed Life course and work ability among older adults: ELSI-Brazil
title_sort life course and work ability among older adults: elsi-brazil
description ABSTRACT OBJECTIVE To examine factors associated with perception of work ability in a nationally representative sample of Brazilians aged 50 years and over. METHODS We used data from 8,903 participants of the baseline survey of the Brazilian Longitudinal Study of Aging (ELSI-Brazil). The dependent variable was self-rated work ability (good or very good versus fair, poor, or very poor). Independent variables included factors that operate at the beginning, middle, and current stage of life. Multivariate analysis was based on prevalence ratios (PR) and 95% confidence intervals (95%CI) estimated by Poisson regression. RESULTS Good work ability was reported by 49% of \ participants (49.4% among men and 48.6% among women). Results of the multivariate analysis showed that, for both men and women, good work ability showed positive and statistically significant associations (p < 0.05) with good health up to 15 years of age (PR = 1.22 and 1.18 , respectively), educational level ≥ 8 years (PR = 1.19 and 1.21, respectively), and current good self-rated health (PR = 1.88 and 1.94, respectively). Negative associations were observed for current age (PR = 0.99 for each increase of one year among men and women), medical diagnosis of depression (PR = 0.70 for men and PR = 0.87 for women), and having one or more at least chronic diseases (PR = 0.88 for men and 0.91 for women). Only for men, positive associations for the age at which they started working (PR = 1.14 and 1.12 for 11–17 and ≥ 18 years, respectively) and living with a spouse (PR = 1.09) were found. CONCLUSIONS Work ability in older ages is built over the life course, particularly by the health conditions in childhood and adolescence, age at which men begin working, educational level, and health conditions in older ages. Policies aimed at increasing longevity in the labor market must take these factors into account.
publisher Faculdade de Saúde Pública da Universidade de São Paulo
publishDate 2018
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102018000300513
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