title: Working conditions in mid-life and mental health in older ages.
abstract: This article illustrates the importance of previous working conditions during mid-life (between 40 and 55) for mental health among older retired men and women (60 or older) across 13 European countries. We link information on health from the second wave (2006-2007) of the Survey of Health, Ageing and Retirement in Europe (SHARE) with information on respondents' working life collected retrospectively in the SHARELIFE interview (2008-2009). To measure working conditions, we rely on core assumptions of existing theoretical models of work stress (the demand-control-support and the effort-reward imbalance model) and distinguish four types of unhealthy working conditions: (1) a stressful psychosocial work environment (as assessed by the two work stress models) (2) a disadvantaged occupational position throughout the whole period of mid-life, (3) experience of involuntary job loss, and (4) exposure to job instability. Health after labour market exit is measured using depressive symptoms, as measured by the EURO-D depression scale. Main results show that men and women who experienced psychosocial stress at work or had low occupational positions during mid-life had significantly higher probabilities of high depressive symptoms during retirement. Additionally, men with unstable working careers and an involuntary job loss were at higher risks to report high depressive symptoms in later life. These associations remain significant after controlling for workers' health and social position prior mid-life. These findings support the assumption that mental health of retirees who experienced poor working conditions during mid-life is impaired.
authors.affiliation: International Centre for Life Course Studies in Society and Health, Department of Primary Care and Public Health, Imperial College London, UK. Electronic address: m.wahrendorf@imperial.ac.uk.
authors.forename: Morten
authors.initials: M
authors.lastname: Wahrendorf
authors.affiliation: International Centre for Life Course Studies in Society and Health, Department of Primary Care and Public Health, Imperial College London, UK.
authors.forename: David
authors.initials: D
authors.lastname: Blane
authors.affiliation: International Centre for Life Course Studies in Society and Health, Department of Epidemiology and Public Health, University College London, UK.
authors.forename: Mel
authors.initials: M
authors.lastname: Bartley
authors.affiliation: Institute for Medical Sociology, University of Duesseldorf, University Clinic Duesseldorf, Germany.
authors.forename: Nico
authors.initials: N
authors.lastname: Dragano
authors.affiliation: Institute for Medical Sociology, University of Duesseldorf, University Clinic Duesseldorf, Germany.
authors.forename: Johannes
authors.initials: J
authors.lastname: Siegrist
mesh_terms: D000368:Aged; D000375:Aging / Q000523:psychology*; D003863:Depression / Q000209:etiology; D005060:Europe; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D012179:Retirement / Q000523:psychology; D012189:Retrospective Studies; D012737:Sex Factors; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000209:etiology*; D011795:Surveys and Questionnaires; D014478:Unemployment / Q000523:psychology; D017132:Workplace / Q000523:psychology*