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1.
BMC Public Health ; 23(1): 517, 2023 03 17.
Artigo em Inglês | MEDLINE | ID: mdl-36932371

RESUMO

BACKGROUND: Surveying expected reasons for retirement may be a useful strategy to maintain labor market affiliation. The aim was to investigate the prospective association between self-reported expected reasons for leaving the labour market and subsequent loss of paid employment before the state pension age among older workers. METHODS: The prospective risk of loss of paid employment before the official state pension age was estimated from expected reasons for leaving the labour market among 10,320 currently employed older workers (50-63 years) from the SeniorWorkingLife study. In 2018, participants replied to 15 randomly ordered questions about expected reasons for leaving the labour market and were in 2020 followed in a national register containing information on labour market participation. RESULTS: Loss of paid employment before state pension age was predicted by expected reasons related to 'Health, work demands and occupational well-being': 'Poor physical health' (RR 1.47, 95% CI 1.45-1.49), 'Poor mental health' (RR 1.36, 95% CI 1.32-1.40), 'Not being capable of doing the job' (RR 1.20, 95% CI 1.18-1.22), and 'Not thriving at the workplace' (RR 1.14, 95% CI 1.11-1.17). Expected reasons related to the possibility of receiving voluntary early retirement benefits also increased this risk. Expected reasons related to 'Leisure' ('Wish for more self-determination'; 'Wish for more time for hobbies'), 'Economy' ('Economic considerations'; 'Possibility of receiving pension'), and 'Norms' ('Retirement norms'; 'To make space for younger employees') decreased the risk of loss of paid employment before state pension age. Age-stratified analyses revealed that expected reasons related to the domain of 'Health, work demands and occupational well-being' predicted risk of loss of paid employment to a greater extent among workers aged 50-55 compared to those aged 56-63. CONCLUSIONS: Expected reasons for leaving the labour market predicted actual labour market participation among older workers in Denmark. Expected reasons related to poor physical and mental health, and not being capable of doing the job seem to be stronger PUSH-factors among workers aged 50-55 compared to those aged 56-63. Preventing early labour market detachment should take the worker's expected reasons for leaving into account.


Assuntos
Emprego , Aposentadoria , Humanos , Estudos Prospectivos , Emprego/psicologia , Aposentadoria/psicologia , Ocupações , Pensões
2.
Eur J Ageing ; 19(4): 1375-1383, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36506691

RESUMO

It is increasingly urgent to retain older workers in the workforce. In the present study, we analysed the prospective associations between employees' perceptions of their managers' attitudes towards older workers, and of having experienced age discrimination in the labour market with the risk of loss of paid work before the state pension age. Questionnaire data from 10,320 currently employed workers aged 50 + on perceptions of managers' attitudes towards older workers and perceived age discrimination were collected at baseline in the SeniorWorkingLife study. Data on labour market affiliation were obtained from national registers at baseline and two-year follow-up. Results show that the perception of negative attitudes was prospectively associated with an increased risk of loss of paid work for three of the five negative attitudes "older workers create conflicts, their qualifications are outdated, and they cannot keep up with the pace and development". Perception of positive attitudes was prospectively associated with a reduced risk of loss of paid work. The perception of age discrimination was prospectively associated with an increased risk of loss of paid work. The results strengthen existing evidence on associations between ageism and labour market attachment, by applying a longitudinal design and including actual change in labour market participation. However, some negative attitudes may be more detrimental to the older workers' labour market participation. Employees' positive perceptions of managers' attitudes reduced the risk. Good relations between employees and managers appear to be important for retaining older workers in the labour market.

3.
Artigo em Inglês | MEDLINE | ID: mdl-35742416

RESUMO

BACKGROUND: This study investigates the association between the implementation of new technology in the workplace and the subsequent loss of paid employment among older workers. METHODS: We estimated the prospective risk of loss of paid employment (register-based) from questions on new technology among 10,320 older workers (≥50 years). To investigate potential differences between work types, analyses were stratified by job function: (1) work with symbols (office, administration, analysis, IT), (2) work with people (people, service, care), (3) work in the field of production (processing, producing or moving things). RESULTS: The introduction of new technology at the workplace reduced the risk of losing paid employment among older workers working with symbols (risk ratio [RR] 0.74, 95% CI 0.72-0.76) and in the field of production (RR 0.83, 95% CI 0.80-0.85), whereas new technology increased this risk among those working with people (RR 1.22, 95% CI 1.19-1.26). Being involved in the introduction of new technology and receiving adequate training in its use decreased the risk of loss of paid employment. CONCLUSIONS: Depending on the context, the introduction of new technology at work associates positively as well as negatively with future labour market participation among older workers. Worker involvement and adequate training in the use of new technology seem to be important for retaining workers in the labour market.


Assuntos
Emprego , Local de Trabalho , Humanos , Ocupações , Estudos Prospectivos , Aposentadoria , Tecnologia
4.
Front Psychol ; 13: 832241, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35222210

RESUMO

Due to aging populations and the prolonging of working lives, the number of senior workers will increase. Therefore, this study investigates the use of SOC strategies (Selection, Optimization, and Compensation) across organizational levels as a means for senior workers to maintain workability and age successfully at work. The need to expand the perspective of the SOC model beyond the individual level, when applied to a work context, has been emphasized theoretically in the literature, nevertheless, SOC strategies have so far only been examined at the individual level. This study is the first to explore SOC strategies at the organizational, leadership, and group level. We focus on senior employees and the SOC strategies they use to balance out demands and limited resources. Based on 23 semi-structured interviews with senior employees and immediate managers at two hospitals (nurses), and two dairies (skilled/unskilled workers), we explore which specific SOC strategies are used at each level and reflect on the applicability of broadening the perspective of the SOC model when applying it to a work context. Based on the empirical findings and the discussion of the empirical exploration of SOC strategies beyond the individual level, we argue that it is advantageous to further pursue this line of inquiry and include the group, leadership, and organizational level when applying the SOC model in a work setting.

5.
Artigo em Inglês | MEDLINE | ID: mdl-34299885

RESUMO

BACKGROUND: Poor psychosocial work conditions are known to foster negative health consequences. While the existing literature on this topic focus mainly on white-collar workers, the influence of different aspects of the psychosocial work environment in physically demanding jobs remain understudied. Likewise, senior workers represent a population of the workforce at increased risk of adverse health outcomes and premature exit from the labour market. This study investigates the association between psychosocial work factors and perceived stress among the senior work force. METHODS: Utilizing cross-sectional findings, this study reports associations between psychosocial factors (organizational justice, cooperation and collegial support, decision latitude, clarity of tasks, and quality of leadership) and the outcome of perceived stress quantified by Cohen's Perceived Stress Scale (CPSS). Currently employed senior workers with physically demanding jobs were included in the analyses (n = 3386). Associations were modeled using general linear models with weights to make the estimates representative. RESULTS: For all individually adjusted psychosocial variables, the category of "good" was consistently associated with lower stress scores compared to the categories of both "moderate" and "poor" (all p < 0.0001). Likewise, in the mutually adjusted analysis, the category of "good" was statistically different from "poor" for all included variables, while the category of "moderate" remained different from "poor" for "clarity of tasks", "cooperation and collegial support", and "decision latitude". CONCLUSIONS: Among senior workers with physically demanding jobs, poor ratings of organizational factors related to the psychosocial work environment are consistently associated with high stress scores. Blue-collar occupations focusing primarily on physical risk factors are recommended to increase awareness on psychosocial aspects that may be relevant to the local work environment.


Assuntos
Cultura Organizacional , Justiça Social , Estudos Transversais , Humanos , Ocupações , Estresse Psicológico/epidemiologia
6.
Artigo em Inglês | MEDLINE | ID: mdl-34203862

RESUMO

This study is the first to develop a questionnaire to measure employees' perceptions of the use of the action strategies selection, optimisation, and compensation (SOC) beyond the individual level, which has so far been lacking in research and practice. The study thus contributes an important tool for research into the role of SOC strategies at the leadership, group, and individual levels for long and healthy working lives. It may also be used by practitioners as a tool to provide input when developing targeted interventions to support long and healthy working lives. The development of the questionnaire was based on SOC theory, qualitative and cognitive interviews, and existing SOC questionnaires. The validity and reliability of the questionnaire were tested on data from a cross-sectional survey with responses from 785 nurses and 244 dairy workers. Results from confirmatory factor analyses supported the theoretically expected nine-factor structure of the questionnaire in both study populations (nurses and dairy workers). Furthermore, the results largely supported the criterion validity and internal reliability of the scales in the questionnaire. Nevertheless, further validation across additional occupational groups is needed.


Assuntos
Liderança , Percepção , Estudos Transversais , Humanos , Reprodutibilidade dos Testes , Inquéritos e Questionários
7.
Artigo em Inglês | MEDLINE | ID: mdl-33920020

RESUMO

BACKGROUND: Due to demographic changes, the need to prolong working life has become increasingly salient. Paradoxically, stereotyping and discrimination against workers based on their age can limit possibilities for a long working life. A large body of research has investigated attitudes towards older workers; however, less is known about differences across occupational groups as well gender differences. AIM: To compare perceptions of the managers' perceptions of older workers between employees from mainly seated work and mainly physical work as well as men and women. METHOD: Data from 11,444 workers aged 50+ from the baseline questionnaire survey in the SeniorWorkingLife study were analyzed. RESULTS: Across all groups, a larger proportion of the respondents indicated that their managers had more positive than negative perceptions of older workers. Respondents from the International Standard Classification of Occupations (ISCO) group 5-9 (mainly physical work) and women were less likely to point at both positive and negative perceptions than the ISCO group 14 (mainly seated work) and men, respectively. CONCLUSIONS: The results indicate that there are differences between those with mainly physical and mainly seated work as well as gender differences. More research is warranted to explore the nature of these differences and, in particular, attitudes towards older female and male workers, respectively.


Assuntos
Atitude , Ocupações , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Exame Físico , Estereotipagem , Inquéritos e Questionários
8.
Saf Health Work ; 11(2): 228-234, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32596020

RESUMO

BACKGROUND: The concept of social capital has its focus on cooperative relations in the workplace. This study investigates the association between social capital and sickness absence among workers in 41 work groups in the Danish dairy industry and examines the possible effects of an intervention on social capital in the workplace on sickness absence. METHODS: A sample of 791 dairy workers working in 41 work groups that participated in an intervention study on social capital filled in a questionnaire on four subtypes of social capital, and social capital scores from individual participants were aggregated to the level of work groups. Sickness absence was measured at the level of work groups in company registers as the two-year average percentage of working time lost to sickness absence. Group-level associations between social capital and sickness absence were analyzed using multilevel linear regression analysis. Analyses were adjusted for age, gender, group size, and random effects at the workplace level. RESULTS: We found statistically significant associations between social capital within work groups, social capital in relation to the immediate manager, and social capital toward the workplace as a whole on the one side and sickness absence on the other side. We found no support for any effects of the intervention on sickness absence. CONCLUSION: The work group level of social capital is associated with the work group level of sickness absence. However, the intervention to enhance group-level social capital had no effect on reducing sickness absence in the intervention group.

9.
Artigo em Inglês | MEDLINE | ID: mdl-32403380

RESUMO

Aim: Analyse factors affecting retirement decisions comparing employees expecting to retire before, at, and after the state pension age. Methods: In the SeniorWorkingLife cohort, 12,269 workers aged +50 replied to questions about expected retirement age, reasons for leaving, and reasons for staying longer. Results: For all groups, poor health, wish for more leisure, and economy were the most salient expected reasons for retiring. Many would stay longer if there were better possibilities for more leisure time, more work flexibility, and economic benefits. Those expecting to retire before state pension age were more likely to point at desire for more leisure time as expected reason for retiring, and less likely to point at economic reasons, and more likely to point at health and work demands as possible reasons for prolonging working life. Those expecting to retire after state pension age were more likely to point at external factors and recognition from the management. Conclusion: Factors influencing retirement decisions are similar across the groups. Initiatives for better work-life balance, healthy lifestyle, and economic incentives to continue working may help prevent early retirement and motivate prolonging work life beyond retirement. Results also indicate that less strenuous work is particularly relevant to prevent early retirement.


Assuntos
Emprego , Motivação , Aposentadoria , Fatores Etários , Tomada de Decisões , Dinamarca , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pensões
10.
Ind Health ; 58(5): 433-442, 2020 Oct 08.
Artigo em Inglês | MEDLINE | ID: mdl-32350169

RESUMO

We investigated the effects of an intervention aiming at enhancing four types of team-level social capital (bonding, bridging and two types of linking social capital) in six dairy plants with a total of 60 teams. Social capital and work engagement was assessed in baseline and follow-up surveys. The follow-up period was approximately 20 months, comprising an intervention period of 12 months. Intervention effects were assessed by comparing changes in team-level mean-scores for teams that had developed action plans with teams that had not. Results show that teams that had developed action plans generally showed a larger increase in social capital and work engagement than other teams. Differences were statistically significant for linking social capital towards the workplace as a whole and work engagement. However, effect sizes indicate an effect of the action plans despite the lack of statistical significance. Moreover, the self-reported level of implementation of the action plans was associated with the size and direction of the observed change.


Assuntos
Capital Social , Engajamento no Trabalho , Local de Trabalho/psicologia , Indústria de Laticínios , Dinamarca , Humanos , Apego ao Objeto , Inquéritos e Questionários
11.
Artigo em Inglês | MEDLINE | ID: mdl-31491940

RESUMO

Most European countries are gradually increasing the state pension age, but this may run counter to the capabilities and wishes of older workers. The objective of this study is to identify opportunities in the workplace for supporting a prolonged working life in different groups in the labour market. A representative sample of 11,200 employed workers ≥ 50 years responded to 15 questions in random order about opportunities at their workplace for supporting a prolonged working life. Respondents were stratified based on the Danish version of the International Standard Classification of Occupations (ISCO). Using frequency and logistic regression procedures combined with model-assisted weights based on national registers, results showed that the most common opportunities at the workplace were possibilities for more vacation, reduction of working hours, flexible working hours, access to treatment, further education and physical exercise. However, ISCO groups 5-9 (mainly physical work and shorter education) had in general poorer access to these opportunities than ISCO groups 1-4 (mainly seated work and longer education). Women had poorer access than men, and workers with reduced work ability had poorer access than those with full work ability. Thus, in contrast with actual needs, opportunities at the workplace were lower in occupations characterized by physical work and shorter education, among women and among workers with reduced work ability. This inequality poses a threat to prolonging working life in vulnerable groups in the labour market.


Assuntos
Fatores Socioeconômicos , Recursos Humanos , Adulto , Emprego , Europa (Continente) , Exercício Físico , Feminino , Pessoal de Saúde , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Ocupações , Pensões , Local de Trabalho/normas
12.
J Occup Environ Med ; 61(10): 800-805, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31365461

RESUMO

OBJECTIVE: The aim of this study was to investigate the prospective association between social capital in the workplace and self-reported job performance, work engagement, and psychological well-being. METHODS: Survey data on 538 employees in the dairy industry were analyzed using linear multilevel regression analysis. Social capital was analyzed as individual-level and aggregated team-level variables. Follow-up time was approximately 2 years. Analyses were adjusted for age, sex, outcome measured at T1, and random effects at team level. RESULTS: Individual-level social capital at T1 predicted self-reported job performance, and psychological well-being at T2. Changes in individual-level and team-level social capital from T1 to T2 were significantly associated with self-reported job performance, work engagement, and psychological well-being at T2. CONCLUSIONS: Social capital in the workplace is associated with relevant outcomes for work organizations. Workplace interventions to enhance social capital are recommended.


Assuntos
Saúde Mental , Capital Social , Engajamento no Trabalho , Desempenho Profissional , Local de Trabalho/psicologia , Adulto , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Saúde Ocupacional , Estudos Prospectivos , Inquéritos e Questionários
13.
Eval Program Plann ; 72: 227-236, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30448625

RESUMO

Social capital in the workplace has been found to be associated with employee wellbeing and work engagement. Yet, evidence of effects of interventions to enhance the social capital are lacking. The intervention mapping method has been described as a useful tool for developing workplace interventions but it is very resource consuming. We aimed to develop an adapted version of the intervention mapping method which is more practically feasible to apply. To get insight into strengths and weaknesses of the adapted method, we applied it and conducted interviews with staff at six companies. The interviews revealed that the action plans developed using the adapted intervention mapping method were generally perceived as relevant and that the action plans had a positive effect on the social capital. However, the implementation of the action plans had been a challenge. In conclusion, the adapted intervention mapping method appears to be suitable for developing interventions to enhance the social capital in the workplace. However, more attention to the implementation of the action plans needs to be incorporated into the method. Suggestions to enhance the implementation included the involvement of the management in the implementation and monitoring of the implementation of the action plans as well as integrating the action plans into existing procedures in the workplace.


Assuntos
Indústrias , Desenvolvimento de Programas/métodos , Capital Social , Local de Trabalho/psicologia , Processos Grupais , Humanos , Saúde Ocupacional , Avaliação de Programas e Projetos de Saúde
14.
Scand J Psychol ; 59(2): 198-205, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29460370

RESUMO

The study explored the association between team-level social capital and individual-level work engagement. Questionnaire data were collected from six companies in the dairy industry. Seven hundred seventy-two participants divided into 65 teams were included. In confirmatory factor analyses, we found a superior model fit to a four dimensional model of social capital: bonding social capital, bridging social capital and two types of linking social capital. The results showed a positive association between all subtypes of social capital at the team level and work engagement at the individual level. However, this association only remained significant for linking social capital in relation the workplace as a whole when we adjusted for psychosocial working conditions. The level of intra-team agreement in social capital score did not moderate the association between social capital and work engagement. In conclusion, the results provide further support for previous findings suggesting a positive association between social capital and work engagement. They add to the existing knowledge by suggesting that linking social capital in relation to the workplace is the most important explanatory variable for work engagement, thus emphasizing the need to distinguish between subtypes of social capital in research and practice.


Assuntos
Comportamento Cooperativo , Emprego/psicologia , Processos Grupais , Capital Social , Engajamento no Trabalho , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
15.
BMC Geriatr ; 17(1): 160, 2017 07 21.
Artigo em Inglês | MEDLINE | ID: mdl-28732489

RESUMO

BACKGROUND: Knowledge on factors affecting the rate of cognitive decline and how to maintain cognitive functioning in old age becomes increasingly relevant. The purpose of the current study was to systematically review the evidence for the impact of retirement on cognitive functioning and on age related cognitive decline. METHOD: We conducted a systematic literature review, following the principles of the PRISMA statement, of longitudinal studies on the association between retirement and cognition. RESULTS: Only seven studies fulfilled the inclusion criteria. We found weak evidence that retirement accelerates the rate of cognitive decline in crystallised abilities, but only for individuals retiring from jobs high in complexity with people. The evidence of the impact of retirement on the rate of decline in fluid cognitive abilities is conflicting. CONCLUSION: The review revealed a major knowledge gap in regards to the impact of retirement on cognitive decline. More knowledge on the association between retirement and age related cognitive decline as well as knowledge on the mechanisms behind these associations is needed.


Assuntos
Envelhecimento/psicologia , Disfunção Cognitiva/epidemiologia , Disfunção Cognitiva/psicologia , Aposentadoria/psicologia , Idoso , Idoso de 80 Anos ou mais , Cognição/fisiologia , Disfunção Cognitiva/diagnóstico , Feminino , Humanos , Estudos Longitudinais , Masculino , Estudos Observacionais como Assunto/métodos , Ensaios Clínicos Controlados Aleatórios como Assunto/métodos , Aposentadoria/tendências
16.
Occup Environ Med ; 73(7): 487-96, 2016 07.
Artigo em Inglês | MEDLINE | ID: mdl-27178844

RESUMO

According to the use it or lose it hypothesis, intellectually stimulating activities postpone age-related cognitive decline. A previous systematic review concluded that a high level of mental work demands and job control protected against cognitive decline. However, it did not distinguish between outcomes that were measured as cognitive function at one point in time or as cognitive decline. Our study aimed to systematically review which psychosocial working conditions were prospectively associated with high levels of cognitive function and/or changes in cognitive function over time. Articles were identified by a systematic literature search (MEDLINE, Web of Science (WOS), PsycNET, Occupational Safety and Health (OSH)). We included only studies with longitudinal designs examining the impact of psychosocial work conditions on outcomes defined as cognitive function or changes in cognitive function. Two independent reviewers compared title-abstract screenings, full-text screenings and quality assessment ratings. Eleven studies were included in the final synthesis and showed that high levels of mental work demands, occupational complexity or job control at one point in time were prospectively associated with higher levels of cognitive function in midlife or late life. However, the evidence to clarify whether these psychosocial factors also affected cognitive decline was insufficient, conflicting or weak. It remains speculative whether job control, job demands or occupational complexity can protect against cognitive decline. Future studies using methodological advancements can reveal whether workers gain more cognitive reserve in midlife and late life than the available evidence currently suggests. The public health implications of a previous review should thereby be redefined accordingly.


Assuntos
Disfunção Cognitiva/prevenção & controle , Disfunção Cognitiva/psicologia , Trabalho/psicologia , Local de Trabalho/psicologia , Fatores Etários , Cognição , Disfunção Cognitiva/etiologia , Humanos , Meio Social , Estresse Psicológico/psicologia
17.
J Appl Gerontol ; 34(3): NP62-82, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25765824

RESUMO

Structured telephone interviews were conducted with 840 older drivers to explore their reasons for self-regulating their driving. The main reason for reduced driving was having fewer activities to drive to, and for avoidance of driving situations, reasons also included not liking or feeling insecure about driving in the situation. The lower-functioning participants, but still only a minority, were more likely to indicate decline in vision and reaction time as reasons for avoidance. Women were more likely to indicate lack of confidence as a reason for avoidance. The results suggest that the reduction in driving and avoidance of driving situations are separate types of self-regulatory behavior; that self-regulation of driving is an automatic process, in which older drivers are not aware that they are compensating for functional loss; and that it is important to acknowledge gender differences when designing interventions aimed at enhancing safe mobility.


Assuntos
Idoso/psicologia , Condução de Veículo/psicologia , Fatores Etários , Idoso de 80 Anos ou mais , Condução de Veículo/estatística & dados numéricos , Feminino , Humanos , Entrevistas como Assunto , Masculino , Autocontrole/psicologia
18.
Accid Anal Prev ; 49: 322-9, 2012 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23036412

RESUMO

Ageing in general is associated with functional decline that may have an adverse effect on driving. Nevertheless, older drivers have been found to show good judgement and to self-regulate their driving, which may enable them to continue driving safely despite functional decline. The process of the self-monitoring of driving ability and the awareness of functional decline, and its association with the self-regulation of driving is, however, not fully understood. The aim of the present study was to examine the perceived changes in driving skills, the discomfort experienced in driving, and the self-regulation of driving as measured by the avoidance of certain driving situations by older drivers with different levels of self-rated cognitive problems. Eight hundred and forty Danish drivers aged 75-95 completed a structured telephone interview. The results showed that the recognition of cognitive problems was associated with an experience of improvement in higher level driving skills but also of a decline in lower level driving skills. Moreover, cognitive problems recognised by drivers were associated with discomfort in, and avoidance of, driving situations. Finally, a linear relationship between discomfort in driving and avoidance was found and this tended to be stronger for drivers recognising cognitive problems. The results indicate that older drivers who recognise problems with cognitive functions display good self-assessment of changes in their driving skills. In addition, the results suggest that driving-related discomfort is an important factor affecting the self-regulation of driving. Finally, the findings indicate that driving-related discomfort functions as an indirect self-monitoring of driving ability and may contribute to the safe driving performance of Danish older drivers.


Assuntos
Envelhecimento/psicologia , Condução de Veículo/psicologia , Transtornos Cognitivos/psicologia , Autoeficácia , Autoavaliação (Psicologia) , Controles Informais da Sociedade , Estresse Psicológico/etiologia , Idoso , Idoso de 80 Anos ou mais , Transtornos Cognitivos/complicações , Feminino , Humanos , Entrevistas como Assunto , Masculino , Segurança , Autorrelato , Estresse Psicológico/psicologia
19.
Accid Anal Prev ; 45: 634-8, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-22269551

RESUMO

Although screening policies for older drivers based on chronological age are widely used in many countries, previous research has shown that increasing age does not cause higher crash rates and that consequently, chronological age per se is at best only a weak predictor of safe driving performance. Previous research on age-based mandatory screening of older drivers has not been able to demonstrate any safety benefits from screening measures. The present study is a population-based evaluation of the safety effects that the introduction of the cognitive test as an age-based screening tool has had in Denmark. The primary data used came from the Danish road accident register. The present study compared the number of fatal accidents before and after the implementation of screening for cognitive impairment. There were two main findings. First, there was no statistically significant difference in the number of older drivers involved in fatal accidents before and after the implementation of the screening process, indicating that the screening had no effect on the safety of older drivers. Second, there was a significant increase in the number of unprotected older (but not younger) road users who were killed between the two periods of observation, suggesting that the screening process produced a modal shift among older persons from driving to unprotected, significantly less safe modes of transportation. As a consequence, the number of fatalities in this group increased. Older driver screening is an example of a political measure that intuitively makes sense, but fails to produce the desired benefits. On the contrary, on a system level, it decreases the overall safety and is connected to various direct and indirect costs.


Assuntos
Acidentes de Trânsito/prevenção & controle , Acidentes de Trânsito/psicologia , Doença de Alzheimer/diagnóstico , Disfunção Cognitiva/diagnóstico , Programas de Rastreamento , Entrevista Psiquiátrica Padronizada , Testes Neuropsicológicos , Segurança , Acidentes de Trânsito/mortalidade , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Doença de Alzheimer/psicologia , Disfunção Cognitiva/psicologia , Dinamarca , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Política , Valor Preditivo dos Testes , Medição de Risco/estatística & dados numéricos , Análise de Sobrevida , Adulto Jovem
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