Abstract:
BACKGROUND:Although being employed during midlife is positively associated with cognitive function in later life, little is known with respect to cumulative trajectories or durations of time spent in different kinds of work. METHODS:We investigated the relationships between employment trajectory from ages 31 years to 50 years and cognitive skills at ages 50-78 years among 2521 adults in the US Panel Study of Income Dynamics from 1968 to 2016. Sequence analysis was used to identify prototypical employment trajectories, capturing employment status and high versus lower job skill level at each year of age from 31 years to 50 years. Adjusted and weighted logistic regression was used to estimate relationships between employment trajectory and performance on each of four cognitive tests representing numerical reasoning, verbal reasoning, health literacy and financial literacy. Dose-response relationships between the duration of high-skill employment and cognitive skills were examined. RESULTS:Seven prototypical employment trajectories were identified, the most common being consistently lower skill employment (44%; 1105/2521). Consistently high-skill and fluctuating skill trajectories were associated with high numerical reasoning scores (OR=1.54, 95% CI 0.99 to 2.40; OR=2.52, 95% CI 1.39 to 4.58, respectively), compared with consistently lower skill employment. There was a dose-response relationship between duration of high-skill employment and numerical reasoning (OR=1.17; 95% CI 1.06 to 1.28), plateauing after approximately 4 years of high-skill employment. CONCLUSIONS:Sequence analysis of exposure trajectories is a novel method for life course epidemiology that accounts for exposure timing, duration and ordering. Our results using this method indicate that the duration may be more important than the timing of high-skill midlife employment for later-life numerical reasoning skills.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Kobayashi LC,Feldman JMdoi
10.1136/jech-2018-211153subject
Has Abstractpub_date
2019-03-01 00:00:00pages
232-238issue
3eissn
0143-005Xissn
1470-2738pii
jech-2018-211153journal_volume
73pub_type
杂志文章abstract:STUDY OBJECTIVE:The aim was to assess the interrelationship between alcohol intake, cigarette smoking, body weight, and blood lipid concentrations. DESIGN:This was the cross sectional (screening) phase of a prospective study. The main outcome measure was the blood lipids (serum total cholesterol, HDL cholesterol, and ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.46.3.197
更新日期:1992-06-01 00:00:00
abstract:OBJECTIVE:To explore the association between physical neighbourhood stressors and smoking, and the contribution of these stressors to neighbourhood and individual socioeconomic inequalities in smoking. METHODS:Data were analysed of participants of the baseline measurement of the Dutch GLOBE study (1991), aged 20 years...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2005.043851
更新日期:2006-08-01 00:00:00
abstract:OBJECTIVE:To examine the effects of unfairness on incident coronary events and health functioning. DESIGN:Prospective cohort study. Unfairness, sociodemographics, established coronary risk factors (high serum cholesterol, hypertension, obesity, exercise, smoking and alcohol consumption) and other psychosocial work cha...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2006.052563
更新日期:2007-06-01 00:00:00
abstract:STUDY OBJECTIVE:To investigate the relationship between sociodemographic, behavioural, and family characteristics and the body mass index (BMI) (weight (kg)/height (m2)) of extremely obese people. DESIGN:Self reported sociodemographic, behavioural, and familial characteristics and weight and height were obtained by po...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.49.1.22
更新日期:1995-02-01 00:00:00
abstract:BACKGROUND:Most prospective studies on the relationship between sense of coherence (SOC) and mental health have been conducted using subjective health indicators and short-term follow-ups. The objective of this prospective occupational cohort study was to examine whether a strong sense of coherence is a protective fact...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.083352
更新日期:2010-03-01 00:00:00
abstract::We examined the relation between questionnaire answers concerning living conditions during childhood and coronary risk factors in 7405 men and 7247 women. Poverty during childhood was positively associated with age-adjusted levels (p less than 0.05) of total cholesterol and percentage of current smokers (men only) and...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.39.3.210
更新日期:1985-09-01 00:00:00
abstract:BACKGROUND:In the context of fiscal austerity in many European welfare states, policy innovation often takes the form of 'social investment', a contested set of policies aimed at strengthening labour markets. Social investment policies include employment subsidies, skills training and job-finding services, early childh...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-211283
更新日期:2019-03-01 00:00:00
abstract::A recent review of the literature identified several common methodological weaknesses in studies of the effects of occupational exposures on male and female reproductive processes. This paper suggests a strategy which addresses these problems, by the use of a standard method. The potential benefits include increased m...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.42.3.209
更新日期:1988-09-01 00:00:00
abstract::A study was carried out to assess the feasibility of using record linkage for drug monitoring. For two years, three types of records were collected for a total of 43 117 people: (1) details of basic attributes, such as sex and age; (2) details of prescriptions dispensed; and (3) records of hospital admissions, obstetr...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.35.1.25
更新日期:1981-03-01 00:00:00
abstract:BACKGROUND:This study investigates social inequalities in self-rated health dynamics for working-aged adults in four nations, representing distinct welfare regime types. The aims are to describe average national trajectories of self-rated health over a 7-year period, identify social determinants of cross-sectional and ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.091199
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:Studies have reported the incidence/risk of becoming obese, but few have described the trajectories of body mass index (BMI) and waist circumference (WC) over time, especially in low/middle-income countries. We assessed the trajectories of BMI and WC according to sex in four sites in Peru. METHODS:Data from...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2017-209795
更新日期:2018-05-01 00:00:00
abstract:STUDY OBJECTIVES:To estimate the cost per woman participating in a mammographic screening programme, and to describe methods for measuring costs. DESIGN:Expenditure, resource usage, and throughput were monitored over a 12 month period. Unit costs for each phase of the screening process were estimated and linked with t...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.48.4.391
更新日期:1994-08-01 00:00:00
abstract:OBJECTIVE:To examine the association of self-reported health (SRH) with the apolipoprotein E (APOE) gene, life stress, and sociobehavioural factors in adults aged 55 and over. DESIGN:Secondary analysis of data from the Social Environment and Biomarkers of Aging Study (SEBAS) in Taiwan in 2000, comprising 1023 individu...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,多中心研究
doi:10.1136/jech.2007.063917
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Frailty is a way to appreciate the variable vulnerability to declining health status of people as they age. No consensus for measuring frailty has been established. This study aimed to adapt a Frailty Index (FI) to the Canadian Longitudinal Study on Aging (CLSA) and evaluate its applicability in both younger...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2016-208853
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Nerve, nerve root and plexus disorders are common diseases, but little is known about familial clustering in these diseases. This is, to our knowledge, the first systematic family study carried out on these diseases. METHODS:Familial risks for siblings who were hospitalised for nerve, nerve root and plexus ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2006.046615
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Limited research has shown a possible association between exposure to physical or sexual abuse prior to age 18 and the risk of developing hypertension as an adult. The factors mediating this relationship are unknown. METHODS:Questionnaire data from 68 505 female participants in the Nurses' Health Study II w...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.095109
更新日期:2010-05-01 00:00:00
abstract:STUDY OBJECTIVE:To see whether the community mothers' programme, using lay volunteer mothers to deliver a childhood development programme, could be extended successfully to the travelling community in Ireland. DESIGN:This was a prospective study of the travelling community; comparisons were made with results of a prev...
journal_title:Journal of epidemiology and community health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1136/jech.51.3.299
更新日期:1997-06-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to assess the differences in suicide data obtained from different database sources. DESIGN:Death certificate based data on suicidal deaths were compared with the information obtained from the non-natural death investigation files at the Public Prosecutor's Office. SETTING:The study was con...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.47.1.73
更新日期:1993-02-01 00:00:00
abstract:STUDY OBJECTIVE:To explore risk factors for symptomatic knee osteoarthritis (OAK) in women, which included wearing high heeled shoes. DESIGN:Matched case-control study. Exposure information obtained by interview, included details about past footwear. Self reported weight and height data obtained representing when wome...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.57.10.823
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVE:To elucidate whether the risk of macrosomia, large for gestational age (LGA) and small for gestational age (SGA) is influenced by maternal body mass index and glucose tolerance differently in male and female fetuses. METHODS:A population study was conducted in 16 general hospitals from the Spanish National H...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,多中心研究
doi:10.1136/jech.2008.074542
更新日期:2009-01-01 00:00:00
abstract::Much of the recent controversy surrounding the relation between fetal death and pregnancy order has centred around the appropriateness of different types of analyses. In the present paper the interpretation of various methods are discussed with reference to "real" and "hypothetical" data. The pattern of results obtain...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.38.1.29
更新日期:1984-03-01 00:00:00
abstract:BACKGROUND:There are few longitudinal studies investigating the risk of major depression by socioeconomic status (SES). In this study, data from the longitudinal cohort of Canadian National Population Health Survey were used to estimate the risk of major depressive episode (MDE) over 6 years by SES levels. METHODS:The...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.090910
更新日期:2010-05-01 00:00:00
abstract:OBJECTIVE:To assess the short term health effects of improving housing. DESIGN:Randomised to waiting list. SETTING:119 council owned houses in south Devon, UK. PARTICIPANTS:About 480 residents of these houses. INTERVENTION:Upgrading houses (including central heating, ventilation, rewiring, insulation, and re-roofin...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2006.048462
更新日期:2007-09-01 00:00:00
abstract:BACKGROUND:Dimensions of the individual socioeconomic position-education, social class, social status and income-are associated with mortality. Inequalities in death also related to the social position of the household. It is, however, less clear how the socioeconomic position of one marital/cohabiting partner influenc...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.089623
更新日期:2009-12-01 00:00:00
abstract:STUDY OBJECTIVE:To develop a cross disciplinary literature search methodology for conducting systematic reviews of all types of research investigating aspects of the built environment and the health of the public. DESIGN:The method was developed following a comprehensive search of literature in the area of housing and...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.56.1.48
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:Social features of neighbourhood environments may influence smoking by creating a stressful environment or by buffering stress through social cohesion. However, the association of the overall neighbourhood social environment (NSE) with smoking, and the association of specific neighbourhood social factors wit...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2016-207990
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:Vitamin D has been suggested to have a role in infection defence and on the immune system. We therefore investigated the effect of serum 25-hydroxyvitamin D₃ (25(OH)D₃) on the risk of incident hospitalised pneumonia in an ageing general population in eastern Finland. METHODS:The study population included 72...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2012-202027
更新日期:2013-06-01 00:00:00
abstract:STUDY OBJECTIVE:The aim of the study was to examine a cohort of cases of childhood cancer occurring in a defined geographical area to try to identify clustering and possible causative factors. DESIGN:Data were analysed using the close pair method developed by Knox for signs of clustering in relation to date and place ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.44.1.55
更新日期:1990-03-01 00:00:00
abstract::Mortality from congenital malformations by mother's country of birth was examined in England and Wales between the years 1976 and 1980, based on stillbirths and infant deaths. There were 18 870 stillbirths and infant deaths attributed to congenital malformations in this period, of which 2 375 (13%) were to mothers bor...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.39.2.102
更新日期:1985-06-01 00:00:00
abstract:BACKGROUND:828 elderly subjects residing in nursing homes were followed up during 4 months to ascertain incidence of symptoms associated with Pontiac fever (PF) in a non-epidemic setting. METHODS:The exposure situation was inhalation of Legionella bacteria while showering. An audit of the hot water system in all insti...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,多中心研究
doi:10.1136/jech.2007.063784
更新日期:2008-10-01 00:00:00