title: Type of retirement as a determinant of pre- and post-retirement hospital in-patient care use: a prospective study.
abstract: BACKGROUND
  We examined prospectively the use of all-cause hospital in-patient care among public sector employees by using a 3-year pre- and post-retirement study window.
  
  
  METHODS
  A total of 5269 participants of the Finnish Longitudinal Study of Municipal Employees had retired during January 1984 and July 2000. They had register-based data on retirement (non-disability retirement n = 3411, men 40%, and diagnose-specific disability retirement n = 1858, men 50%) and all-cause hospital in-patient admissions and discharges. Analyses were conducted using Generalized Estimating Equation model.
  
  
  RESULTS
  The prevalence of hospital care use for non-disability retirees remained stable during the 6-year study window. The rate ratio (RR) for hospital care use increased in the year prior to retirement for men and women who transitioned into disability retirement due to cardiovascular disease and for women with disability due to mental disease. The RRs for hospital care use in the post-retirement year decreased for men who retired due to cardiovascular disease or mental disorders and for women who retired due to cardiovascular or musculoskeletal diseases.
  
  
  CONCLUSIONS
  An increase in hospital care preceding retirement in major diagnosis-specific disability retirement groups was followed by various patterns of decrease in the need of care indicated a beneficial health effect of retirement.
authors.affiliation: Gerontology Research Center and Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
authors.forename: Monika E
authors.initials: ME
authors.lastname: von Bonsdorff
authors.affiliation: Gerontology Research Center and Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
authors.forename: Taina
authors.initials: T
authors.lastname: Rantanen
authors.affiliation: Gerontology Research Center and Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
authors.forename: Timo
authors.initials: T
authors.lastname: Törmäkangas
authors.affiliation: Gerontology Research Center and Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
authors.forename: Jenni
authors.initials: J
authors.lastname: Kulmala
authors.affiliation: Finnish Institute of Occupational Health, Helsinki, Finland.
authors.forename: Jorma
authors.initials: J
authors.lastname: Seitsamo
authors.affiliation: Gerontology Research Center and School of Health Sciences, University of Tampere, Tampere, Finland.
authors.forename: Clas-Håkan
authors.initials: CH
authors.lastname: Nygård
authors.affiliation: University of Eastern Finland, Kuopio, Finland.
authors.forename: Juhani
authors.initials: J
authors.lastname: Ilmarinen
authors.affiliation: Gerontology Research Center and Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
authors.forename: Mikaela B
authors.initials: MB
authors.lastname: von Bonsdorff
mesh_terms: D000328:Adult; D005260:Female; D005387:Finland; D006760:Hospitalization / Q000639:trends*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D017150:Public Sector; D012179:Retirement
keywords: aging; hospital care; retirement