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Blog author, Solai Buchanan is an experienced Registered Dietitian and Certified Diabetes Educator with an MS from Columbia Teachers College. She specializes in treating heart disease, diabetes, hypertension, high cholesterol, polycystic ovarian syndrome,and other chronic diseases. She is a provider at a full-service cardiology practice accepting most insurance and staffed with a primary care MD, pediatrician, and cardiologist. Call: 718.894.7907. NYCC is lead by Interventional Cardiologist Sanjeev Palta, MD, FSCAI, FACC. He trained at Cornell-Columbia Presbyterian Hospital and the State University Hospital of Brooklyn. He currently is an Attending Cardiologist at New York Methodist Hospital and Maimonides Medical Center. He is also an Assistant Clinical Professor in the Department of Medicine at Mount Sinai Medical Center. Having performed over 2000 invasive cardiac procedures Dr. Palta’s patients know they are in trusted hands.

Tuesday, March 11, 2014

LEAVING THE WORKFORCE DETRIMENTAL TO HEALTH

A growing body of research indicates that leaving the workforce, whether one is retiring, going on disability, or simply cannot find work, has serious detrimental effects on mental and physical health.  Leaving the workforce changes one's physical environment as well as one's mental and physical activity patterns and researchers point out that these changes profoundly change individual's health behaviors, social interactions, psychosocial stresses.  

Retirement is often perceived as a golden opportunity to focus on healthy behaviors.  However, retirement, marked by reduced social interaction, less physical movement, and a loss of sense of purpose, actually increases the risk of health problems.  For example, a study published in 2008 by the National Bureau of Economic Research found retirement increased difficulties with mobility and daily activities 16%. A recent report published by the Institute of Economic Affairs in London concluded retirement , raises the risk of developing clinical depression by about 40%, increases the risk of developing at least one diagnosed physical condition by approximately 60%, and raises the risk of needing medication for a physical condition by 58%. 

Involuntary unemployment appears to be especially bad for health in the US where unemployed workers often lose health insurance.  It is estimated that in the United States, each percentage rise in unemployment leads to 6,000 deaths.  A review of more than 300 studies on mental health and unemployment found that unemployment was markedly linked to declines in mental health.  For instance, men who had lost jobs within the last four years were three times more likely than stably employed men to have recently abused alcohol. Likewise, women who had a stint of unemployment were three times more likely than other women to have suffered extended periods of depression.  According to a study out of Columbia University, long-term unemployment can reduce life expectancy by an average of 1 ½ years.   Parent’s unemployment even appears to have lasting effects on the success of their children.  A 2008 report based on a study that followed the earnings of 39,000 Canadian fathers and sons over 30 years beginning in the late 1970's found that when the sons of men who lost their jobs joined the workforce, they earned 9% less than the sons of otherwise comparable workers.

There is evidence that being out of the workforce is particularly damaging to heart and cardiovascular health.  A number of studies have found that persons in retirement or on disability decrease their amount of walking and other physical activity when they leave the workforce.  A recent study at the Harvard School of Public Health looked at rates of heart attack and stroke among men and women in the ongoing U.S. Health and Retirement Study. Among 5,422 individuals in the study, those who had retired were 40% more likely to have had a heart attack or stroke than those who were still working. The increase was most pronounced during the first year after retirement with mortality rates of the newly retired 50% greater.

What to do:  While the common perception is that if we could only quit our stressful jobs and focus on our health we would be better off, in fact, work is beneficial to health.  So, keep working as long as you can.  If you do leave the workforce, actively engage in behaviors that protect your health.  Foster a new social networks, pursue activities that keep you physically active and bring you joy, and continue to challenge your mind with structured and unstructured learning.  

Adapted from articles available at:
http://www.medicalnewstoday.com/articles/260622.php
http://www.health.harvard.edu/blog/is-retirement-good-for-health-or-bad-for-it-201212105625
http://consumer.healthday.com/encyclopedia/article.asp?AID=646671
http://economix.blogs.nytimes.com/2012/03/28/the-enduring-consequences-of unemployment/?_r=0
http://thinkprogress.org/economy/2012/04/02/456809/long-term-unemployment-decreases-life-expectancy/

Sources:
Centers for Disease Control and Prevention.  Current Depression Among Adults --- United States, 2006 and 2008. Mortality and Morbidity Weekly Report.  October 1, 2010 / 59(38);1229-1235

Paul K, Moser K. Unemployment impairs mental health: Meta-analyses. Journal of Vocational Behavior. Volume 74, Issue 3 June 2009

Jin RL. The impact of unemployment on health: a review of the evidence. Can Med Assoc J. 1995 Sept 1; 153(5)529-539.

Warr, PB. Work, Unemployment and Mental Health.  New York, Oxford University Press. 1987.

Warr, PB. Self-esteem and unemployment among young workers.  Le Travail Human.  1983,
46,355-366.



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