{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T05:01:13Z","timestamp":1777179673045,"version":"3.51.4"},"reference-count":24,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,12,15]],"date-time":"2023-12-15T00:00:00Z","timestamp":1702598400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Certain occupational characteristics have been linked with poor health and reduced longevity. However, the association between occupational characteristics and survival free of disability in a post-retirement age group has not been investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We investigated outcomes in 12,215 healthy older Australian adults in the Aspirin in Reducing Events in the Elderly (ASPREE) and ASPREE Longitudinal Study of Older Persons (ALSOP) sub-study. The ISCO-88 major occupational groups, settings, and activity levels were assigned based on free-text job descriptions. The Finnish Job Exposure Matrix was used to assign occupational characteristics to the three longest-held jobs. The primary endpoint, disability-free survival, was defined as a composite measure of death, dementia, or persistent physical disability. The endpoint of all-cause mortality was analyzed separately. Because of multiple exploratory analyses, only those associations with a two-sided value of p less than 0.005 were considered statistically significant. Cox proportional hazard models were used to calculate adjusted hazard ratios.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Having worked in an \u2018elementary\u2019 occupation was associated with a reduction in disability-free survival. A specific impact on disability-free survival was observed among those whose work had involved high accident risk and adverse social climate. No significant relationship was identified with those previously exposed to sedentary work, vigorous physical activity, work primarily outdoors, or a range of other occupational characteristics. All-cause mortality was not increased among any of the occupational groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This exploratory study found a reduction in disability-free survival among people who worked in \u2018elementary\u2019 occupations, with specific risks associated with occupations involving high accident risks and adverse social climate.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2023.1191343","type":"journal-article","created":{"date-parts":[[2023,12,15]],"date-time":"2023-12-15T10:58:41Z","timestamp":1702637921000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Occupational characteristics and disability-free survival after retirement age: an exploratory analysis from the ASPREE study"],"prefix":"10.3389","volume":"11","author":[{"given":"Sheikh M.","family":"Alif","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geza P.","family":"Benke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathlyn J.","family":"Ronaldson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Walker-Bone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robyn L.","family":"Woods","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cammie","family":"Tran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lawrence J.","family":"Beilin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew M.","family":"Tonkin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alice J.","family":"Owen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John J.","family":"McNeil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,12,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"355","DOI":"10.2307\/2648058","article-title":"The impact of specific occupation on mortality in the US National Longitudinal Mortality Study","volume":"36","author":"Johnson","year":"1999","journal-title":"Demography"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1387","DOI":"10.1016\/0140-6736(91)93068-K","article-title":"Health inequalities among British civil servants: the Whitehall II study","volume":"337","author":"Marmot","year":"1991","journal-title":"Lancet"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1275","DOI":"10.1093\/aje\/kwr461","article-title":"Socioeconomic status, structural and functional measures of social support, and mortality: the British Whitehall II cohort study, 1985-2009","volume":"175","author":"Stringhini","year":"2012","journal-title":"Am J Epidemiol"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1177\/07487304221092103","article-title":"Shift and night work and all-cause and cause-specific mortality: prospective results from the STRESSJEM study","volume":"37","author":"Niedhammer","year":"2022","journal-title":"J Biol Rhythm"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1097\/PSY.0000000000000878","article-title":"Psychosocial work factors of the job strain model and all-cause mortality: the STRESSJEM prospective cohort study","volume":"83","author":"Niedhammer","year":"2021","journal-title":"Psychosom Med"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"758","DOI":"10.1177\/2047487318810020","article-title":"Association between physical activity, occupational sitting time and mortality in a general population: an 18-year prospective survey in Tanushimaru","volume":"27","author":"Sakaue","year":"2020","journal-title":"Jpn Eur J Prev Cardiol"},{"key":"ref7","first-page":"97","article-title":"Occupational factors and mortality in the Japan collaborative cohort study for evaluation of Cancer (JACC)","volume":"8","author":"Fujino","year":"2007","journal-title":"Asian Pac J Cancer Prev"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"e000279","DOI":"10.1136\/bmjopen-2011-000279","article-title":"Risk factors for ischaemic heart disease mortality among men with different occupational physical demands. 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