Do cognitively stimulating activities affect the association between retirement timing and cognitive functioning in old age?

被引:5
作者
Baumann, Isabel [1 ,2 ]
Eyjolfsdottir, Harpa Sif [3 ,4 ]
Fritzell, Johan [3 ,4 ]
Lennartsson, Carin [3 ,4 ]
Darin-Mattsson, Alexander [3 ,4 ]
Kareholt, Ingemar [3 ,4 ,5 ]
Andel, Ross [6 ,7 ]
Dratva, Julia [1 ,8 ]
Agahi, Neda [3 ,4 ]
机构
[1] Zurich Univ Appl Sci, Ctr Hlth Sci, Winterthur, Switzerland
[2] Zurich Univ Appl Sci, Overcoming Vulnerabil Life Course Perspect, Natl Ctr Competence Res, Winterthur, Switzerland
[3] Karolinska Inst, Aging Res Ctr, Stockholm, Sweden
[4] Stockholm Univ, Stockholm, Sweden
[5] Jonkoping Univ, Sch Hlth Sci, Aging Res Network Jonkoping, Inst Gerontol, Jonkoping, Sweden
[6] Univ S Florida, Sch Aging Studies, Tampa, FL 33620 USA
[7] St Annes Univ Hosp, Int Clin Res Ctr, Brno, Czech Republic
[8] Univ Basel, Med Fac, Basel, Switzerland
基金
瑞典研究理事会; 瑞士国家科学基金会;
关键词
retirement timing; retirement policy; health outcomes; cognition; occupational activities; leisure activities; propensity score matching; MINI-MENTAL-STATE; WORKING-CONDITIONS; LIFE-STYLE; FOLLOW-UP; HEALTH; MIDLIFE; TRAJECTORIES; INTENTIONS; COMPLEXITY; EMPLOYMENT;
D O I
10.1017/S0144686X20000847
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
In response to the rising financial pressure on old-age pension systems in industrialised economies, many European countries plan to increase the eligibility age for retirement pensions. We used data from Sweden to examine whether (and if so, how) retirement after age 65 - the eligibility age for basic pension - compared to retiring earlier affects older adults' (between ages 70 and 85) cognitive functioning. Using a propensity score matching (PSM) approach, we addressed the selection bias potentially introduced by non-random selection into either early or late retirement. We also examined average and heterogeneous treatment effects (HTEs). HTEs were evaluated for different levels of cognitive stimulation from occupational activities before retirement and from leisure activities after retirement. We drew from a rich longitudinal data-set linking two nationally representative Swedish surveys with a register data-set and found that, on average, individuals who retire after age 65 do not have a higher level of cognitive functioning than those who retire earlier. Similarly, we did not observe HTEs from occupational activities. With respect to leisure activities, we found no systematic effects on cognitive functioning among those working beyond age 65. We conclude that, in general, retirement age does not seem to affect cognitive functioning in old age. Yet, the rising retirement age may put substantial pressure on individuals who suffer from poor health at the end of their occupational career, potentially exacerbating social- and health-related inequalities among older people.
引用
收藏
页码:306 / 330
页数:25
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