The proportion of workers with chronic health conditions (CHCs) will increase over the years as pension reform is increasing the age of retirement in many European countries. This will increase the percentage of older adults with CHCs performing highly demanding work. This study sought to examine the association between common CHCs [cardiovascular disease (CVD), diabetes, arthritis, respiratory and sleep disorders] and three domains of work stress in older Dutch workers. This study used data from the first wave of the NIDI Pension Panel Study for working adults aged 60–65 years (n = 6793). Logistic regression models examined the strength of association between CHCs and (1) general work stress, (2) emotional, and (3) physical demands. All five CHC were independently associated with one or more domains of stress. After including all CHCs in the model, CVD, sleep disorders, and arthritis were significantly associated with general stress. Respiratory disorders, sleep disorders, and arthritis were significantly associated with physical demands. Diabetes (1.25, 95% CI 1.01–1.53), sleep disorders (1.99, 95% CI 1.72–2.31), and arthritis (1.18, 95% CI 1.06–1.31) were significantly associated with emotional demands. Our findings demonstrate that work stress is associated with prevalent CHCs, and these conditions are differentially associated with several domains of work stress in adults approaching retirement. More research is needed to understand the causal relationship between CHCs and work stress. Such research may provide insights for effective workplace and public health interventions to ensure that older workers remain physically and mentally healthy, and productive through their working years.

中文翻译：

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参加荷兰劳动力大军的老年人的慢性健康状况和与工作相关的压力

随着养老金改革增加许多欧洲国家的退休年龄，多年来患有慢性疾病的工人的比例将增加。这将增加拥有社区卫生中心从事高要求工作的老年人的比例。这项研究试图检查荷兰老年工人常见的CHC（心血管疾病（CVD），糖尿病，关节炎，呼吸和睡眠障碍）与工作压力的三个方面之间的关系。这项研究使用了第一批NIDI养老金研究小组的数据，研究对象为60-65岁的成年人（n = 6793）。Logistic回归模型检查了CHC与（1）一般工作压力，（2）情绪和（3）身体需求之间的关联强度。所有五个CHC独立地与一个或多个压力域相关。在模型中包括所有CHC之后，CVD，睡眠障碍和关节炎与一般压力显着相关。呼吸系统疾病，睡眠障碍和关节炎与身体需求显着相关。糖尿病（1.25，95％CI 1.01–1.53），睡眠障碍（1.99，95％CI 1.72–2.31）和关节炎（1.18，95％CI 1.06–1.31）与情绪需求显着相关。我们的研究结果表明，工作压力与普遍的慢性丙型肝炎有关，而这些状况与即将退休的成年人的工作压力的几个方面有差异。需要更多的研究来了解CHC与工作压力之间的因果关系。此类研究可以为有效的工作场所和公共卫生干预提供见解，以确保年长的工人在整个工作年中保持身心健康，并保持生产力。