Academic Journal
Association of early labor market exit with mental disorders: a population-based cohort study in Taiwan.
| Τίτλος: | Association of early labor market exit with mental disorders: a population-based cohort study in Taiwan. |
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| Συγγραφείς: | Wang TH; National Center for Geriatrics and Welfare Research, National Health Research Institutes, Zhunan, Taiwan.; Department of Healthcare Administration, Asia University, Taichung, Taiwan., Chien SY; School of Nursing, University of Washington, Seattle, WA, USA., Cheng WJ; National Center for Geriatrics and Welfare Research, National Health Research Institutes, Zhunan, Taiwan.; Department of Public Health, College of Public Health, China Medical University, Taichung, Taiwan., Huang YW; National Center for Geriatrics and Welfare Research, National Health Research Institutes, Zhunan, Taiwan., Wang SH; National Center for Geriatrics and Welfare Research, National Health Research Institutes, Zhunan, Taiwan.; Department of Medical Research, China Medical University Hospital, China Medical University, Taichung, Taiwan., Huang WL; Department of Psychiatry, National Taiwan University Hospital, Yunlin Branch, Yunlin, Taiwan.; Department of Psychiatry, College of Medicine, National Taiwan University, Taipei, Taiwan., Tzeng YL; School of Nursing, China Medical University, Taichung, Taiwan., Hsu CC; National Center for Geriatrics and Welfare Research, National Health Research Institutes, Zhunan, Taiwan.; Institute of Population Health Sciences, National Health Research Institutes, Zhunan, Taiwan., Chen WJ; Center for Neuropsychiatric Research, National Health Research Institutes, Miaoli, Taiwan.; Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan., Wu CS; National Center for Geriatrics and Welfare Research, National Health Research Institutes, Zhunan, Taiwan.; Department of Psychiatry, National Taiwan University Hospital, Yunlin Branch, Yunlin, Taiwan. |
| Πηγή: | Journal of mental health (Abingdon, England) [J Ment Health] 2026 Aug; Vol. 35 (4), pp. 512-522. Date of Electronic Publication: 2026 Mar 26. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 9212352 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1360-0567 (Electronic) Linking ISSN: 09638237 NLM ISO Abbreviation: J Ment Health Subsets: MEDLINE |
| Imprint Name(s): | Publication: London : Informa Healthcare Original Publication: Abingdon, Oxfordshire, UK : Carfax Pub. Co., [1992- |
| Ιατρικοί όροι (MeSH): | Mental Disorders*/epidemiology , Retirement*/psychology , Retirement*/statistics & numerical data , Employment*/statistics & numerical data, Taiwan/epidemiology ; Sleep Wake Disorders/epidemiology ; Anxiety Disorders/epidemiology ; Humans ; Female ; Male ; Middle Aged ; Cohort Studies ; Incidence |
| Περίληψη: | Background: Early labor market exit is common in Taiwan, yet its long-term mental health consequences are not well understood. Aims: This study examined the association between early labor market exit and the incidence of mental disorders, and explored the moderating effects of sociodemographic and physical health factors. Methods: Using Taiwan's National Health Insurance Research Database (2011-2021), we identified 1,195,611 individuals aged 45-64 who exited the labor market early and 1,227,084 continuously employed counterparts. Incidence rates of dementia, depressive disorders, anxiety disorders, sleep disorders, and alcohol use disorders were assessed. Lag-time exclusions of one, three, and five years were applied to minimize reverse causation. Results: Early labor market exit was associated with higher risks of dementia (adjusted hazard ratio [aHR] = 1.04, 95% CI = 1.01-1.07) and alcohol use disorders (aHR = 1.16, 95% CI = 1.11-1.22). Associations with depressive, anxiety, and sleep disorders were weak or nonsignificant. The strength of associations varied by sex, occupation, and physical health status. Conclusions: Early labor market exit increases the risk of dementia and alcohol use disorder. Preventive strategies promoting cognitive engagement, social participation, and healthy lifestyles may help reduce mental health risks among individuals leaving the workforce prematurely. |
| Contributed Indexing: | Keywords: Retirement; alcoholism; anxiety; dementia; depression; labor market exit; sleep disorder |
| Entry Date(s): | Date Created: 20260326 Date Completed: 20260729 Latest Revision: 20260729 |
| Update Code: | 20260730 |
| DOI: | 10.1080/09638237.2026.2645540 |
| PMID: | 41885755 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1360-0567 |
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| DOI: | 10.1080/09638237.2026.2645540 |