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The Impact of Working Beyond Traditional Retirement Ages on Mental Health: Implications for Public Health and Welfare Policy

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Abstract

Background: Many people now want or need to work longer due to increased life expectancy. In some countries statutory retirement ages deny older people free access to the labour market. It has been hypothesised that exclusion from employment may have negative effects on the mental health of older people. The global financial crisis has forced some countries to propose increasing the retirement age but the implications of this for population health are unclear. This paper reviews the evidence for the mental health impacts of working beyond retirement, and discusses the implications for future public health and welfare policy.

Methods: A systematic literature review was conducted of studies that examined the effect of working or volunteering beyond traditional retirement ages on mental health outcomes.

Results: Of the ten studies that met the inclusion criteria, none showed a negative impact of working beyond retirement age on mental health. Four studies showed that post-retirement working has a statistically significant positive effect on a range of mental health outcomes.

Discussion: This review suggests that working beyond traditional retirement ages may be beneficial for mental health in some populations. The mechanisms by which this occurs are complex but are likely to be mediated by the maintenance of productive societal roles, continued income and social support. The benefits of post-retirement employment are unlikely to be universal as such factors will have varying effects depending on individual lifestyle, self-esteem and socioeconomic status. Although our research shows that allowing older people free access to the employment market may have important health benefits, flexible retirement strategies are needed to ensure that any national policy to increase statutory retirement age does not increase health and social inequalities in the elderly.

References

  1. 1.

    Buka SL. Psychiatric epidemiology: reducing the global burden of mental health. Am J Epidemiol. 2008;168:977–79.

  2. 2.

    Djernes JK. Prevalence and predictors of depression in populations of elderly: A review. Acta Psychiatrica Scandinavica. 2006;113:372–87.

  3. 3.

    Kung HC, Hoyert DL, Xu J, Murphy SL. Deaths: Final data for 2005. Natl Vital Stat Rep. 2008;56:1–120.

  4. 4.

    Waern M, Rubenowitz E, Runeson B, Skoog I, Wilhelmson K, Allebeck P. Burden of illness and suicide in elderly people: Case-control study. BMJ. 2002;324:1355.

  5. 5.

    de Boer AG, Wijker W, de Haes HC. Predictors of health care utilization in the chronically ill: A review of the literature. Health Policy. 1997;42:101–15.

  6. 6.

    Doyle Y, McKee M, Rechel B, Grundy E. Meeting the challenge of population ageing. BMJ. 2009;339:b3926.

  7. 7.

    Portnoi VA. Postretirement depression: Myth or reality. Compr Ther. 1983;9:31–7.

  8. 8.

    Cohen GD. Prospects for mental health and aging. In: Birren JE, Sloane (Editors). Handbook of mental health and Aging. Hemel Hempstead: Prentice/Hall International; 1980. p. 971–93.

  9. 9.

    United Kingdom. The Employment Equality (Age) Regulations 2006. 2006. Available from URL: http://www.legislation.gov.uk/uksi/2006/1031/contents/made (Accessed 9 February 2011).

  10. 10.

    O’Cinneide C. Age discrimination and European Law. 2005. Employment and Social Affairs, European Commission. Available from URL: http://www.equalrightstrust.org/ertdocumentbank/age%20discrimination%20and%20european%20law.pdf (Accessed 9 February 2011).

  11. 11.

    Back K, WaG CS. Retirement and self-ratings. In: Simpson IH, McKinney JC, (editors). Social aspects of aging: Durham (NC): Duke University Press; 1966. p. 120–129.

  12. 12.

    Kimmel DC, Price KF, Walker JW. Retirement choice and retirement satisfaction. J Gerontol. 1978;33:575–585.

  13. 13.

    Higgins JPT. Cochrane handbook for systematic reviews of interventions. Version 5.0.2 The Cochrane Collaboration. 2009. Available from URL: http://www.cochrane.org/training/cochrane-handbook (Accessed 9 February 2011).

  14. 14.

    Bosse R, Aldwin CM, Levenson MR, Ekerdt DJ. Mental health differences among retirees and workers: findings from the Normative Aging Study. Psychol Aging. 1987;2:383–389.

  15. 15.

    Christ SL, Lee DJ, Fleming LE, LeBlanc WG, Arheart KL, Chung-Bridges K, et al. Employment and occupation effects on depressive symptoms in older Americans: Does working past age 65 protect against depression? J Gerontol B Psychol Sci Soc Sci. 2007;6:S399–S403.

  16. 16.

    Herzog A, House JS, Morgan JN. Relation of work and retirement to health and well-being in older age. Psychol Aging 1991;6:202–211.

  17. 17.

    Butterworth P, Gill SC, Rodgers B, Anstey KJ, Villamil E, Melzer D. Retirement and mental health: Analysis of the Australian national survey of mental health and well-being. Soc Sci Med. 2006;62:1179–1191.

  18. 18.

    Gill SC, Butterworth P, Rodgers B, Anstey KJ, Villamil E, Melzer D. Mental health and the timing of Men’s retirement. Soc Psychiatry Psychiatr Epidemiol. 2006;41:515–522.

  19. 19.

    Tokuda Y, Ohde S, Takahashi O, Shakudo M, Yanai H, Shimbo T, et al. Relationships between working status and health or health-care utilization among Japanese elderly. Geriatr Gerontol Int 2008;8:32–40.

  20. 20.

    Aquino JA, Russell DW, Cutrona CE, Altmaier EM. Employment status, social support, and life satisfaction among the elderly. J Counseling Psychol. 1996;43:480–489.

  21. 21.

    Choi NG, Bohman TM. Predicting the changes in depressive symptomatology in later life: How much do changes in health status, marital and caregiving status, work and volunteering, and health-related behaviors contribute? J Aging Health. 2007;19:152–177.

  22. 22.

    Lum TY, Lightfoot E. The effects of volunteering on the physical and mental health of older people. Res Aging. 2005;27:31–55.

  23. 23.

    Musick MA, Wilson J. Volunteering and depression: The role of psychological and social resources in different age groups. Soc Sci Med. 2003;56:259–269.

  24. 24.

    Warr P, Butcher V, Robertson I, Callinan M. Older people’s well-being as a function of employment, retirement, environmental characteristics and role preference. Br J Psychol. 2004;95:297–324.

  25. 25.

    Atchley RC. A continuity theory of normal aging. Gerontologist. 1989;29:183–190.

  26. 26.

    Mein G, Martikainen P, Hemingway H, Stansfeld S, Marmot M. Is retirement good or bad for mental and physical health functioning? Whitehall II longitudinal study of civil servants. J Epidemiol Comm Health. 2003;57:46–49.

  27. 27.

    Reitzes DC, Mutran EJ, Fernandez ME. Does retirement hurt well-being? Factors influencing self-esteem and depression among retirees and workers. Gerontologist. 1996;36:649–656.

  28. 28.

    H M Government. Building a society for all ages. London. 2009. HM Government. Available from URL: http://webarchive.nationalarchives.gov.uk/20100210151716/hmg.gov.uk/buildingasocietyforallages.aspx (Accessed 9 February 2011).

  29. 29.

    Humphrey A, Costigan P, Pickering K, Stratford N, Barnes M. Factors affecting the labour market participation of older workers. 2003. London: Department of Work and Pensions. Available from URL: http://research.dwp.gov.uk/asd/asd5/rports2003-2004/rrep200.pdf (Accessed 9 February 2011).

  30. 30.

    Westerlund H, Vahtera J, Ferrie JE, Singh-Manoux A, Pentti J, Melchior M, et al. Effect of retirement on major chronic conditions and fatigue: French GAZEL occupational cohort study. BMJ. 2010;341:(c6149).

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Author information

Correspondence to Will Maimaris BM Bchir.

Additional information

Recommended Citation: Maimaris W, Hogan H, Lock K. The impact of working beyond traditional retirement ages on mental health: Implications for public health and welfare policy. Public Health Reviews. 2010;32:532–48.

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Key words

  • Retirement
  • volunteerism
  • employment status
  • mental health
  • social policy
  • elderly