The impact of late career job loss on myocardial infarction and stroke: a 10 year follow up using the health and retirement survey

TitleThe impact of late career job loss on myocardial infarction and stroke: a 10 year follow up using the health and retirement survey
Publication TypeJournal Article
Year of Publication2006
AuthorsGallo, WT, Teng, HM, Falba, TA, Kasl, SV, Krumholz, HV, Bradley, EH
JournalOccupational and Environmental Medicine
Volume63
Issue10
Pagination683 - 687
Date PublishedJun-06-2006
ISSN Number1351-0711
KeywordsEconomics, Job loss, Myocardial Infarction, Stroke, Unemployment
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.

URLhttp://oem.bmj.com/cgi/doi/10.1136/oem.2006.026823https://syndication.highwire.org/content/doi/10.1136/oem.2006.026823
DOI10.1136/oem.2006.026823
Short TitleOccupational and Environmental Medicine
Citation Key9743