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Employment Characteristics and Risk of Hospitalization Among Older Adults Participating in the Mayo Clinic Biobank
Journal article   Open access   Peer reviewed

Employment Characteristics and Risk of Hospitalization Among Older Adults Participating in the Mayo Clinic Biobank

Paul Y. Takahashi, Euijung Ryu, Gregory D. Jenkins, Kathleen J. Yost, Christine R. Kirt, Nicole L. Larson, Ruchi Gupta, James R. Cerhan and Janet E. Olson
Mayo Clinic proceedings. Innovations, quality & outcomes, Vol.6(6), pp.552-563
10/20/2022
DOI: 10.1016/j.mayocpiqo.2022.09.003
PMCID: PMC9588999
PMID: 36299252
url
https://doi.org/10.1016/j.mayocpiqo.2022.09.003View
Published (Version of record) Open Access

Abstract

Objective To determine the relationship between characteristics of employment and future hospitalization in older adults. Patients and Methods We conducted a survey of adults aged 65 years or older participating in the Mayo Clinic Biobank. Using a frequency-matched, case-control design, we compared patients who were hospitalized within 5 years of biobank enrollment (cases) with those who were not hospitalized (controls). We assessed the duration of work, age at first job, number of jobs, disability, retirement, and reasons for leaving work. We performed logistic regression analysis to assess the association of these factors with hospitalization, accounting for age, sex, comorbid conditions, and education level. Results Among 3536 participants (1600 cases and 1936 controls; median age, 68.5 years; interquartile range, 63.4-73.9 years), cases were older, more likely to be male, and had lower education levels. Comorbid illnesses had the largest association with hospitalization (odds ratio [OR], 4.09; 95% CI, 3.37-4.97 [highest vs lowest quartile]). On adjusted analyses, odds of hospitalization increased with the presence of disability (OR, 1.31; 95% CI, 1.01-1.69) and decreased with having 1 or 2 lifetime jobs vs no employment (OR, 0.77; 95% CI, 0.60-1.00). The length of work, furlough, age of retirement, childcare issues, and reasons for leaving a job were not associated with hospitalization. Conclusion This study reports an association between disability during work and hospitalization. On the basis of our findings, it may be important to obtain a more detailed work history from patients because it may provide further insight into their future health.
 ADI, area deprivation index IQR, interquartile range MCB, Mayo Clinic Biobank OR, odds ratio Original REP, Rochester Epidemiology Project SES, socioeconomic status

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