Do sleep problems explain the association between work stress and the trajectories of work ability from midlife to pensionable age?

J Occup Environ Med. 2023 Aug 28. doi: 10.1097/JOM.0000000000002954. Online ahead of print.

ABSTRACT

OBJECTIVE: This study examined whether mid-life work stress, defined as job strain and effort-reward imbalance (ERI), predicts work ability trajectories observed 12 years preceding the individual pensionable age. Additionally, the role of sleep problems as a mediator in these associations was examined.

METHODS: Survey data were collected from 2707 Finnish municipal employees.

RESULTS: Identified work ability trajectories were: ‘Stable Excellent’, ‘Stable Good’, ‘Moderate’ and ‘Low decreasing’. Baseline job strain and ERI were associated with a greater likelihood of belonging to impaired work ability trajectories when compared to ‘Stable Good’ trajectory. Baseline sleep problems explained the association of job strain by 38% and of ERI by 54%.

CONCLUSIONS: Mid-life work stress is associated with work ability in the last years preceding pensionable age. Sleep problems might be a potential mediator in these associations.

PMID:37641167 | DOI:10.1097/JOM.0000000000002954

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