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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/15848


    Title: Associations of early retirement and mortality risk: A population-based study in Taiwan
    Authors: Wang, TH;Chien, SY;Cheng, WJ;Huang, YW;Wang, SH;Huang, WL;Tzeng, YL;Hsu, CC;Wu, CS
    Contributors: National Center for Geriatrics and Welfare Research;Institute of Population Health Sciences
    Abstract: Background Early retirement is highly prevalent in Taiwan. This study assesses the association between early retirement and all-cause and cause-specific mortality risks while exploring the modifying effect of sociodemographic factors.Methods Using Taiwan's National Health Insurance Research Database between 2009 and 2019, 1 762 621 early retirees aged 45-64 and an equal number of employed comparators were included. The date and cause of death were identified using the National Death Registry. Cox regression models were used to estimate HRs of early retirement for all-cause mortality and cause-specific mortality. To explore modifying effects, we conducted subgroup analyses based on age groups, sexes, occupation types and general health status (Charlson Comorbid Index score).Results The analysis revealed that early retirees, compared with their concurrently employed counterparts, had a higher mortality risk (adjusted HR (aHR) 1.69, 95% CI (1.67 to 1.71)). Specifically, younger individuals (aged 45-54) (aHR 2.74 (95% CI 2.68 to 2.80)), males (aHR 1.78 (95% CI 1.76 to 1.81)), those in farming or fishing occupations (aHR 2.13 (95% CI 2.06 to 2.21)) or the private sector (aHR 1.92 (95% CI 1.89 to 1.96)), and those with the poorest health conditions (aHR 1.79 (95% CI 1.76 to 1.83)) had higher mortality risks of early retirement. Regarding specific causes of death, the top three highest risks were associated with gastrointestinal disorders, followed by suicide and neurological disorders.Conclusions This study underscores the substantial mortality risk increase linked to early retirement, emphasising the importance of policy considerations, particularly regarding vulnerable populations and specific causes of death potentially linked to unhealthy lifestyles.
    Date: 2024-05-20
    Relation: Journal of Epidemiology and Community Health. 2024 May 20;Article in Press.
    Link to: http://dx.doi.org/10.1136/jech-2024-222075
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0143-005X&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:001229580300001
    Cited Times(Scopus): https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85193937386
    Appears in Collections:[吳其炘] 期刊論文
    [鄭婉汝] 期刊論文
    [許志成] 期刊論文
    [王世亨] 期刊論文

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