International Journal of Epidemiology
Volume 43, Issue 1, 2014, Pages 160-167

Does retirement reduce the risk of myocardial infarction? A prospective registry linkage study of 617511 Danish workers (Article) (Open Access)

Olesen K.* , Rugulies R. , Rod N.H. , Bonde J.P.
  • a Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, Denmark
  • b The National Research Centre for the Working Environment, Copenhagen, Denmark
  • c Department of Public Health, University of Copenhagen, Copenhagen, Denmark
  • d Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, Denmark

Abstract

Background: Recent studies have suggested that retirement may have beneficial effects on health outcomes. In this study we examined whether the risk of myocardial infarction (MI) was reduced following retirement in a Danish population sample. Methods: Participants were 617 511 Danish workers, born between 1932 and 1948, entering the study at the age of 60, without previous known incidents of ischaemic heart disease. Information on retirement and MI were obtained from Danish national registers. A Cox proportional hazard model was used to address the relation between retirement and onset of MI, while adjusting for age, sex, income, occupational position, education, cohabitation and immigrant status. The participants were followed for up to 7 years. Results: Of the study population, 3% were diagnosed with MI during follow-up. Retirement was associated with a modestly higher risk of MI with a hazard ratio of 1.11 (95% confidence interval: 1.06, 1.16) when comparing retirees with active workers of the same age. Conclusions: This study does not support the hypothesis that retirement reduces risk of MI. On the contrary, we find that retirement is associated with a modestly increased risk of MI. © The Author 2014; all rights reserved.

Author Keywords

Myocardial infarction work Retirement occupational health

Index Keywords

education participatory approach prospective study immigrant numerical model proportional hazards model Myocardial Infarction Registries Proportional Hazards Models heart infarction health risk risk register follow up human Prospective Studies risk assessment middle aged coronary risk pensioner Denmark controlled study priority journal Aged retirement cohabitation income Humans workplace cardiovascular disease worker male residential area occupational exposure Socioeconomic Factors female socioeconomics age structure Incidence Article employment status adult major clinical study age cohort analysis occupational health disease association risk reduction sex

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84896863661&doi=10.1093%2fije%2fdyt260&partnerID=40&md5=69f772a83842c5c1d56bbc0dd694833c

DOI: 10.1093/ije/dyt260
ISSN: 03005771
Cited by: 11
Original Language: English