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The Associations Between Retirement and Cardiovascular Disease Risk Factors in China: A 20-Year Prospective Study

Xue, B; Head, J; McMunn, A; (2017) The Associations Between Retirement and Cardiovascular Disease Risk Factors in China: A 20-Year Prospective Study. American Journal of Epidemiology , 185 (8) pp. 688-696. 10.1093/aje/kww166. Green open access

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Abstract

Despite China's being the largest and most rapidly aging country in the world, there have been no longitudinal studies investigating the relationship between retirement and cardiovascular disease risk factors in China. In this study, we assessed the associations between retirement and systolic blood pressure, diastolic blood pressure, waist circumference, body mass index, smoking status, and alcohol consumption over a 17-year period both before and after retirement among 1,084 people (41.3% women) who participated in the China Health and Nutrition Survey (1991-2011) at least once prior to the year in which they retired and at least once afterward. Piecewise models centered at the year of retirement were applied. Retirement was accompanied by a reduction in diastolic blood pressure, a slowdown in the increase of both systolic blood pressure and waist circumference, and a reduction in the probability of being a heavy alcohol drinker. The association between retirement and blood pressure was stronger for men and for urban dwellers. No significant associations with body mass index or smoking were found. This study suggests that retirement may be beneficial for blood pressure, waist circumference, and alcohol consumption in the Chinese context. Understanding the potential health influence of retirement is essential, given plans to raise the retirement age in China.

Type: Article
Title: The Associations Between Retirement and Cardiovascular Disease Risk Factors in China: A 20-Year Prospective Study
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/aje/kww166
Publisher version: https://doi.org/10.1093/aje/kww166
Language: English
Additional information: © The Author 2017. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: China, cardiovascular disease, longitudinal studies, piecewise regression, retirement, risk factors, Adult, Alcohol Drinking, Blood Pressure, Body Mass Index, Cardiovascular Diseases, China, Female, Humans, Male, Middle Aged, Prospective Studies, Retirement, Risk Factors, Smoking, Waist Circumference
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery.ucl.ac.uk/id/eprint/1550452
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