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Health and Safety Needs of Older Workers (2004)
Board on Behavioral, Cognitive, and Sensory Sciences and Education (BCSSE)

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291
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Health and Safety Needs of Older Workers

Index

A

Absenteeism, 188–189.

See also Lost workdays

Accommodation, workplace, 9, 16, 176–177

concept of disability and, 16, 214–215

cost, 216

current implementation, 216, 226

effectiveness, 216–217, 226

goals, 175, 216

hierarchy of controls concept, 175–176

legal basis, 159–163, 215

public policy conceptualization, 215

reasonable, 215

relief of obligation to provide, 161–163, 164–165

research needs, 225, 226

See also Job design/redesign

Administrative support occupations, 50, 147

Age Discrimination in Employment Act, 156, 157, 158, 224, 225

Age-related changes, 2–3, 95

acute stress response and, 101

assessment considerations, 100–101

bone anatomy and function, 104–105

cognitive functioning, 113–115

conceptual models, 97–100

future trends, 99–100

hearing loss, 103, 179–180

homeostasis concept of, 98

immune function, 106

implications for work performance, 2, 116–118

individual differences, 99

life course perspective, 18–19, 96

metabolic functions, 105–106

mitigation of cognitive decrements, 118–120, 187

musculoskeletal system, 102

positive changes, 95, 118

productivity, 187–188

psychological, 112–113, 116

pulmonary function, 103–104

respiratory capacity, 181

scope of workplace interventions for, 8–9

skin conditions, 105

stress response, 108

thermoregulation, 106–107

visual function, 102–103, 177–178

Agriculture, 17, 180

injury and illness patterns, 146

older worker employment, 49, 51, 52

Alcohol use, 3–4

assessment, 213

controlled drinking, 112

extent of problems related to, 111–112

See also Substance abuse

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291

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Health and Safety Needs of Older Workers Index A Absenteeism, 188–189. See also Lost workdays Accommodation, workplace, 9, 16, 176–177 concept of disability and, 16, 214–215 cost, 216 current implementation, 216, 226 effectiveness, 216–217, 226 goals, 175, 216 hierarchy of controls concept, 175–176 legal basis, 159–163, 215 public policy conceptualization, 215 reasonable, 215 relief of obligation to provide, 161–163, 164–165 research needs, 225, 226 See also Job design/redesign Administrative support occupations, 50, 147 Age Discrimination in Employment Act, 156, 157, 158, 224, 225 Age-related changes, 2–3, 95 acute stress response and, 101 assessment considerations, 100–101 bone anatomy and function, 104–105 cognitive functioning, 113–115 conceptual models, 97–100 future trends, 99–100 hearing loss, 103, 179–180 homeostasis concept of, 98 immune function, 106 implications for work performance, 2, 116–118 individual differences, 99 life course perspective, 18–19, 96 metabolic functions, 105–106 mitigation of cognitive decrements, 118–120, 187 musculoskeletal system, 102 positive changes, 95, 118 productivity, 187–188 psychological, 112–113, 116 pulmonary function, 103–104 respiratory capacity, 181 scope of workplace interventions for, 8–9 skin conditions, 105 stress response, 108 thermoregulation, 106–107 visual function, 102–103, 177–178 Agriculture, 17, 180 injury and illness patterns, 146 older worker employment, 49, 51, 52 Alcohol use, 3–4 assessment, 213 controlled drinking, 112 extent of problems related to, 111–112 See also Substance abuse

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Health and Safety Needs of Older Workers Americans with Disabilities Act, 158–164, 172, 176, 215 effectiveness, 224, 225 Anthropometric data, 181 Arthritis, 181 Assessment age-related changes, 100–101 cardiovascular health screening, 205–206 depression, 110 disease screening in health promotion programs, 205 in employee assistance programs, 207 on-the-job blood pressure monitoring, 140 substance abuse, 213 Auto service industry, 49, 50 Automobile operation, 118, 178–179, 189–190 Autonomy and job control, 139, 144 job demands-control model, 142, 145 in lean production, 68 life course, 92 as protective factor, 66, 142, 185 trends, 63–66 B Baby boom generation, 1, 13, 20–21, 26, 27 Back pain/strain, 54–55, 84, 126, 127, 136 Biomechanical exposure, 6 depression and, 109 high-risk jobs, 146 research needs, 11, 223–224 Blood pressure. See Hypertension Blue-collar workers, 140–141 employment exit rate patterns, 43 Bone, 104–105, 131–132 Bureau of Labor Statistics, recommendations for, 10, 11, 221, 222, 227 Business cycle effects, 37, 46 C Cardiovascular disease, 186 conditions of work and, 66, 138–139, 140–142, 143–144 cost of, 138 health promotion intervention, 205–206 incidence trends, 141–142 mortality, 141 Caregiving roles, 93 employee assistance program assistance, 210–211 training for, 202 Caregiving stress socioeconomic context and, 93 stress, work-related and, 210 Carpal tunnel syndrome, 184 Cellular manufacturing, 5, 67 Census of Fatal Occupational Injuries, 127–128n2 Chemical exposure, 11, 223–224, 229–230 Chronic fatigue syndrome, 111 Cognitive functioning age-related changes, 113–115 increased experience and expertise, 118–120, 187 mitigation of age-related decrements in, 118–120, 187 perceived control and, 142 training effectiveness, 191 warning recognition, 182–183 work stress effects, 142 See also Mental health Cohort effects, 20–21, 81 Collective bargaining, 151–152 Communications industry, 49 Comorbidity, 99 research needs, 99 Computer use, 178 Conditions of work, 91–92 collective bargaining, 151–152 gender differences, 84 health effects of, 136–145, 198–199 hours worked, 5, 62–63, 136–137, 140 monitoring, 71–72 psychosocial stress, 63–67, 142–143, 184–185 research needs, 137, 222 work organization systems, 61–62, 67–72, 139 See also Job design/redesign; Stress, work-related Contract workers, 16, 136 labor market trends, 57–60 Control. See Autonomy and job control Current Population Survey, 227

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Health and Safety Needs of Older Workers D Demographics current age distribution, 1, 13, 27 ethnic minorities, 87–88 labor force participation trends, 32–37 life expectancy trends, 26–27 older worker distribution by industry, 47–49 past trends, 27–31 projected trends, 32 recommendations for research, 226–227 See also Population aging Department of Labor, 11, 230 Depression occupational injury and, 109 prevalence, 108–109 related costs, 109 research challenges, 110 in retirement, 109–110 as stress response, 109 workplace issues, 3, 195–196 Diet, 202–204 Disability. See Impairments/disabilities, workers with Disability insurance, 8, 166, 172. See also Workers’ compensation Discrimination, 7–8 against immigrant workers, 60 health outcomes, 90, 91 legal protections against, 15, 154–163 manifestations of, 90 minority worker experience, 89, 91 multiple forms of, 90 political economy perspective, 90–91 research needs, 89 worker concerns, 90 E Earned income tax credit, 170 Education system, 21 Educational attainment disability effects and, 165 employment exit rate patterns and, 43 employment trends, 81 job security and, 81–82 minority elderly, 88 morbidity/mortality and, 77–78 Educational services industry older worker employment, 48, 49 projected employment trends, 49, 50 Elder care, 93, 202, 210–211 Electromagnetic field exposure, 109 Employee assistance programs, 10, 207–214, 225–226, 227–228 Employee Retirement Income Security Act, 169, 171–172 Employment-at-will doctrine, 150–151 Employment exit rate patterns service economy, 43 socioeconomic context and, 43, 46 Employment rate, 37, 53 exit rate trends, 37–43 international comparison, 83 in nonstandard forms of employment, 57–60 projected trends, 49–50, 52 variation by industry, 41–43, 47–50 Equal Employment Opportunity Commission, 157, 161 Ergonomic design, 183–184, 226 Executive/administrative/managerial occupations, 50, 51 Exercise, 204 Exposures in workplace bone disorders related to, 104 gender differences, 84 hearing loss related to, 103, 180 high-risk jobs, 146 immune response, 106 intracohort differences in work experience, 22–23 legal standards for worker protection, 154–156 life course perspective, 18–19, 96 mental functioning outcomes, 121–122 outcome determinants, 96–97 outcomes, 123–128 pulmonary problems related to, 103–104 research needs, 10, 11, 222, 223–224, 229 risk for minorities, 90 skin health and, 105 vulnerabilities of older workers, 15–16, 96–100

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Health and Safety Needs of Older Workers F Falls, 104, 181, 189. See also Occupational illness or injury Families and couples retirement planning, 21 role stress in, 92–93 Family and Medical Leave Act, 164, 224, 225 Farming/forestry/fishing occupations, 51, 52, 147, 180. See also Agriculture; Forestry/fishing/trapping Fatalities. See Mortality Fatigue, 181 Fertility, 1, 13, 26 Financial services industry employment exit rate patterns, 43 older worker employment, 48 Forestry/fishing/trapping injury and illness patterns, 146 older worker employment, 49 projected employment trends, 49 See also Farming/forestry/fishing occupations G Gender distribution by industry, 48, 49 distribution by occupation, 50–52 employment exit rate trends, 37–40 future of work, 86–87 hazardous exposure risk, 84 hours worked, 62, 63 income differences, 85 intracohort differences in work experience, 22 labor force participation trends, 32, 35–37, 46, 83, 84–85 life expectancy patterns, 27 older worker employment rate, 53 physical capacity, 181 population aging patterns, 1, 27, 30–31 projected employment trends, 50, 83 research needs, 87 social gradient and morbidity/mortality, 77 in work–health relationship, 83–87 workplace issues, 4 See also Women General duty clause, 155 H Health and Retirement Study, 10, 46, 53, 219, 220, 221 Health care industry, 70–71, 110, 136, 186 injury and illness patterns, 146 Health insurance, 8 access and participation, 8, 55, 57, 170–171, 172–173 post-retirement coverage, 170–173 private, 173 regulation, 171–172 social security system benefits, 39 sources, 172–173 Health Insurance Portability and Accountability Act, 172 Health promotion, 9 cardiovascular intervention, 205–206 caregiver training, 202 challenges to implementation, 202 current program implementation, 199, 200–201 dietary and nutritional interventions, 202–203 disease screening, 205 effectiveness, 200, 225, 227–228 in employee benefit structure, 199 exercise programs, 204 goals, 199 obstacles to research, 200–201 rationale, 201–202 research needs, 225, 227–228 targets, 199, 200, 202 therapy management, 204, 228 work environment and, 198–199 Hearing loss aging-related, 103, 179 causes, 180 job design to accommodate, 179–181 prevention, 180 High-performance work organizations, 5, 67, 69 High-risk jobs, 6, 146–147, 205–206 Hiring practices antidiscrimination law, 156–157 disadvantages of older workers, 15 employment-at-will doctrine, 150–151 HIV-positive workers, 159 Homeostasis, 98 Hours worked gender differences, 62, 63 international comparison, 62

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Health and Safety Needs of Older Workers patterns for older workers, 62–63 risk of injury and, 136–137, 140 trends, 62–63 work week length, 5 Housework, 86–87, 92–93 Human factors design, 186 Hypertension, 138, 139–140, 141, 143, 185–186, 205–206 I Illegal workers. See Undocumented workers Immigration, 60 Immune function, 106 Impairments/disabilities, workers with antidiscrimination and accommodation law, 158–164 chronic illness, 162 conceptual model of, 214–215 current status, 53, 54–55 defined, 16, 158–159, 162–163, 215 demographic trends, 36 income replacement programs, 165–173 life expectancy, 99 public policy approach, 215 return-to-work programs, 9–10, 163–165 types of workplace interventions, 9 unemployment risk, 82 See also Accommodation, workplace; Occupational illness or injury Income gender differences, 85 health linkages, 61 intracohort differences in work experience, 22–23 life course patterns, 188 morbidity/mortality and, 76–77, 78, 79 racial/ethnic differences, 89 societal distribution, 60 trends, 5, 56, 60 Income replacement programs adequacy, 167 earned income tax credit, 170 health insurance coverage, 170–173 private pension programs, 169–170 rationale, 165 Social Security Disability Insurance, 166 Social Security Old Age program, 168–169 Supplemental Security Income, 167–168 types of, 165–166 workers’ compensation programs, 166–167 Independent contractors, 8 labor market trends, 57–60 Industry type employment exit rate patterns, 41–43 high-risk jobs, 146 injury and illness distribution, 124–127 mortality patterns, 127–128 older worker distribution, 47–50 projected employment patterns, 49–50 See also specific industry Insurance. See Disability insurance; Health insurance; Workers’ compensation Interventions, workplace Americans with Disabilities Act requirements, 176 blood pressure monitoring, 140 conceptual basis, 175–176 effectiveness, 12, 224–227 employee assistance programs, 207–214, 225–226, 227–228 goals, 174–175 hierarchy of controls approach, 175–176, 177 research needs, 10, 11–12, 224–227 scope of, 8–10, 24–25, 177 worker education, 174 See also Accommodation, workplace; Health promotion; Job design/redesign; Training interventions J Job design/redesign, 8, 177 to accommodate hearing loss, 179–181 to accommodate physical changes, 181–182 to accommodate vision decrements, 177–179 anthropometric data for, 181 case studies, 182 effectiveness, 185–186, 225 ergonomic, 183–184 psychological factors, 184–185 research needs, 225 warning systems, 182–183

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Health and Safety Needs of Older Workers L Labor force business cycle effects, 37, 46 exit rate trends, 37–43 future supply challenges, 23 gender distribution, 32, 35–37, 46, 62, 83, 84–85 measurement, 32 nonstandard forms of employment, 57–60 participation trends, 32–36, 83 pension arrangements as factor in participation, 83 population aging patterns, 1, 13, 83 racial/ethnic distribution, 89–90 recent economic trends and, 56–61 research needs, 46–47 structure of work organizations, 61–62 trade union membership, 60 Lean production, 5, 67, 68–69, 137 Leaves of absence, 164–165 Legally mandated interventions. See Regulation Life course perspective cohort effects in, 20–21 conceptual basis, 96 focus of research, 19 intracohort differences in, 18, 20, 22–23 limitations of, 19–20 social relationship effects in, 20, 21–22 traditional model of work life, 17 Life expectancy, 1, 13, 26–27 of adults with disability, 99 Liver, 105–106 Lost workdays, 124, 126 distribution by industry and occupation, 126, 131 distribution by worker characteristics, 131, 188–189, 217–218 duration of injury-related absence, 131–132, 134–135, 217–218 trends, 6 See also Absenteeism M Manufacturing sector, 3 injury and illness patterns, 6, 125–126, 146 older worker employment, 48 trends, 5, 57 work organization systems, 67–70 Matthew effect, 22 Medicaid, 172 Medicare, 172 Membership assistance programs, 207 Mental health age-related changes, 112–113, 116 aging effects on job performance, 116–118 benefits of multiple social roles, 93–94 complications of psychosocial dysfunction, 98 effects of work on, 120–122, 138, 139, 142–143, 195–196 employment and self-concept, 79, 109–110 job design to enhance, 184–185 preretirement planning and, 212–213 research needs, 223 retirement and, 109–110 scope of work-related issues, 3, 107 sleep problems, 110–111 unemployment and, 82 work status and, 79–81 See also Cognitive functioning; Stress, work-related Metabolic function, 105–106 Mine Safety and Health Act (1977), 154, 164 Mining industry, 43, 49, 146 Minorities course of work life, 18 discrimination effects, 91 educational attainment patterns, 88 health issues of older workers, 87–89 immigrant workers, 60 intracohort differences in work experience, 22 population aging patterns, 1, 27, 87–88 research needs, 89–90 See also Race/ethnicity Modular manufacturing, 5, 67, 69–70 Mortality, 6, 189 epidemiology, 127–128, 135–136, 147 seasonal patterns, 106 social gradient and, 75–76, 77–78, 141 unemployment and, 82 Motor functions, 54 Musculoskeletal disorders age-related changes, 102, 181 causes, 195

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Health and Safety Needs of Older Workers cost, 127 definition, 127 epidemiology, 127, 132–134 gender differences, 84, 195 high-risk jobs, 146 job design to accommodate, 181–182 job design to prevent, 183–184 training to prevent, 196–198 work conditions as risk factor for, 137–138, 145 workplace regulation to minimize, 155–156 See also Back pain/strain; Bone N National Center for Health Statistics, 11, 229–230 National Health and Nutrition Examination Survey, 229–230 National Health Interview Survey, 229 National Institute for Occupational Safety and Health recommendations for, 10, 11, 221, 222, 223, 229–230 work conditions monitoring, 71, 72 Night shift work, 195 Nonstandard workers, 16, 57–60, 136 Nursing profession, 70. See also Health care industry Nutrition, 202–204 O Occupation types employment exit rate patterns and, 43 high-risk jobs, 6, 146–147 injury and illness distribution, 126–127 morbidity/mortality distribution, 75–76, 78, 79–82 older worker distribution, 47, 50–52 sex segregation, 84 sleep problems and, 110 trends, 52, 57, 81 See also Industry type; specific occupation Occupational illness or injury age-mediated outcomes, 134–136 age-related patterns, 6, 131–134 age-related risk, 95, 134 conceptualizations of health and disability, 16 current prevalence, 54–55 data sources, 7, 123, 132 depression related to, 109 duration of work absence due to, 131–132, 135, 217–218 early work experiences as cause of, 15–16, 96–97 economic burden, 5, 147–148, 217, 229 epidemiology, 123–131, 147 gender differences, 84 high-risk jobs, 6, 146–147, 205–206 job characteristics and, 6–7 job strain effects, 66, 67 job transfer to prevent, 164 life course perspective, 18–19 outcome factors, 217–218 research needs, 10, 11, 221–222 risk for newer employees, 182, 189 trends, 5–6, 131 underreporting of, 10, 128–131, 221, 222–223 See also Impairments/disabilities, workers with, falls Occupational Information Network (O*NET) database, 3, 11, 228–229 Occupational Safety and Health Act (1970), 15, 154–156, 175–176, 225 Occupational Safety and Health Administration, 221, 227 Office environment, 179 Older Workers Benefit Protection Act (1990), 156 O*NET. See Occupational Information Network database Organization of work. See Work organization systems Outplacement, 214 P Panel Study of Income Dynamics, 10, 220, 221 Part-time work, 84–85 Patient-focused care, 67, 70–71 Pension plans, 21 coverage trends, 57, 169 defined-benefit plans, 169–170 defined-contribution plans, 169

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Health and Safety Needs of Older Workers pension arrangements as factor in labor force participation, 83 regulation, 169 retirement trends, 32–33, 34 Personal services employment, 49, 50 Pesticide exposure, 109 Pharmacotherapy, 203, 204, 213 Physical health accommodating age-related changes, 181–182 age-related changes, 2 current status of older workers, 53, 54–55 data sources, 53 fitness training, 196–198 gender differences in work–health relationship, 83–87 income and, 61 life course perspective, 18–19 occupational injury patterns, 6 social gradient and, 74–79 socioeconomic linkages, 73–74, 94 unemployment and, 82–83 work-related factors in, 74–75, 78, 79–82, 195–196 See also Occupational illness or injury; specific disorder Piece-work, 69 Political economy theory, 90–91 Population aging causes, 1, 13, 26 disability/impairment trends, 36 employment trends, 32–37, 49–50, 83 implications for public pension system, 34–35 near-term retirement patterns, 26 See also Demographics Poverty demographic trends, 33–34 labor participation patterns and, 33–34 race/ethnicity and risk of, 88–89 Presbycusis, 103 Private household services industry, 52, 147 Production/craft/repair occupations, 50–51, 147 Productivity, 187–189 Professional specialty occupations, 50, 51, 52 Protective services employment, 52, 147 Public opinion and knowledge about older workers, 14–15 cohort effects, 20–21 course of work life, 17 of retirement options, 20–21 Public policy conceptual model of disability, 215 conceptual model of occupational life course, 17 incentives to hire older workers, 15 issues for older workers, 7–8, 13–14, 23–24 labor market exit protections, 165–173 research needs, 11–12, 14, 224–226 retirement issues, 24, 34–35 See also Regulation Public sector employment, 49, 154 Pulmonary function, 103–104 Q Quality circles, 68 Quality of Employment Survey, 71, 230 R Race/ethnicity, 4 demographic trends in disability/impairment, 36 discrimination effects, 89, 91 educational attainment patterns, 88 employment exit rate patterns, 43 hazardous exposure risk and, 90 income differences, 89 intracohort differences in work experience, 22 population aging patterns, 1, 27, 87–88 poverty risk and, 85, 88–89 social gradient and morbidity/mortality, 77 See also Minorities Radiation exposure, 146 Reengineering, 5, 67 Regulation, 149–150 antidiscrimination laws, 154–163 collective bargaining rights, 151–152 conceptualization of private sector employment relationships, 150–151 effectiveness, 8, 150, 156, 157, 158, 163, 224 enforcement, 153, 155 excluded workers and work settings, 8, 16–17, 152–153

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Health and Safety Needs of Older Workers health insurance, 171–172 jurisdictional variation, 8, 16, 152–153 legal definition of “older,” 15 private pension plans, 169 public policy issues, 7–8 to reduce job stress, 186 research needs, 224–225 safety and health laws, 154–156 trends, 57 See also Age Discrimination in Employment Act; Americans with Disabilities Act; Employee Retirement Income Security Act; Family and Medical Leave Act; General duty clause; Health insurance; Income replacement programs; Medicaid; Medicare; Mine Safety and Health Act; Social Security Systems; Workers’ compensation Research needs, 1–2, 14 comorbidity, 99 conditions of work and health outcomes, 137, 141–142, 222–223 cost of occupational illness and injury, 229 data systems, 10–11, 219–223, 227 educational and training interventions, 198 effectiveness of interventions, 10, 224–227 exposures in workplace, 10, 11, 222, 223–224 gender differences, 87 health–work experiences of minorities, 89–90 labor participation trends, 46–47 occupational illness or injury assessments, 7, 221–222 recommendations, 10–12, 219–230 return-to-work studies, 9–10 Respiratory capacity, 181 Retail sector employment, 48 Retirement, 8 antidiscrimination laws, 156 conceptual models, 17 counseling in employee assistance programs, 209, 212–213 determinants of subsequent health, 78–79 gender differences, 85, 86 health insurance coverage after, 170–173 incentives/disincentives, 168, 169–170, 171, 172, 173 labor force participation trends, 32–35, 46–47 mandatory, 156 mental health complications in, 109–110 near-term demographic trends, 26 public beliefs and knowledge of options, 20–21 public policy issues, 24, 34–35, 46 research needs, 219 social context, 21–22 Social Security program, 168–169 stock market investment and, 169 transition to, 17, 24 trends in individual resources for, 32–34 typical age, 32–34, 86 Retirement History Survey, 219 Return-to-work programs, 9–10, 163–164, 217–218, 225 Road signs, 178–179 S Sales occupations, 50 Satisfaction. See Work satisfaction Screening, 205 Self-employment, 8, 17, 37, 53 occupational injury risk, 136 See also Independent contractors Seniority systems, 151, 152 Service economy, 3, 56 current labor market, 57 employment exit rate patterns, 43 older worker employment, 49, 51, 52 projected employment trends, 50, 57 worker mental health and, 107 Skills for work physical demands, 54, 55 trends, 5, 57, 81 Skin, 105 Sleep problems, 110–111 Small businesses, 17, 190 Smoking, 81 Social relationships benefits of multiple social roles, 93–94 life course perspective, 20, 21–22 work status and health linkages, 81 Social Security System, 8 benefits for women, 85

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Health and Safety Needs of Older Workers disability insurance, 166, 172 disincentives to early retirement, 168, 169 employment exit rate trends and, 38, 39, 43 flexible benefit designs in, 21 minority participation, 89 Old Age program, 168–169 pressures of population aging, 34, 35 recent reforms, 34–35, 39 retirement trends, 32–33, 34 Supplemental Security Income, 167–168 Social services employment, 50 Socioeconomic context caregiving stress, 93 community support for older workers, 16 employment exit rate patterns and, 43, 46 gender differences in retirement experience, 86 health linkages, 73–74, 94, 96–97, 140–142, 185 intracohort differences, 22–23, 74 job strain, 66 mortality patterns, 141 political economy theory of aging, 90–91 research needs, 220–221, 226–227 role of work-related factors in health, 79–82 social gradient and health, 74–79 trends in individual retirement resources, 32–34 work experiences and health of minority workers, 87, 88–89 workplace issues, 4–5 See also Income; Poverty Strength, 182 Stress, work-related, 3 acute response to, 101 age-mediated health outcomes related to, 143–145 aging and, 101, 108 caregiver stress and, 210 effects, 66, 67 job demands-control model, 142, 145 job design to reduce, 185–186 mental health outcomes, 107–108, 142–143 occupational injury risk and, 137, 139, 140–142 protective factors, 66, 68, 93–94 trends, 63–67 unpaid work roles and, 92–93 work organization systems and, 67–68 Substance abuse, 3, 111 employee assistance programs for, 207, 213 research needs, 112 See also Alcohol use Suicide, 109 Supervisory style, 145 Supplemental Security Income, 167–168 Supplements, dietary, 203 Survey of Occupational Injuries and Illnesses, 123n1 T Tax system, 21, 83 earned income tax credit, 170 Team concept work organizations, 5, 67 Telecommunications industry, 70 Temperature regulation, 106–107 Temporary employment, 136 labor market trends, 57–60 Textile/garment industry, 69–70 Total quality management, 5, 67 Trade unions, 60, 70, 151–152 Training interventions, 9, 174 amount of, 193–194 benefits of, 194–195 breadth of programs, 191 challenges in designing, 186 effectiveness, 189, 191, 197–198 to enhance caregiving skills, 202 to enhance safety, 189–190 health outcomes, 195–196 to improve physical fitness, 196–198 motivational barriers, 194 pacing, 192–193 productivity-focused, 187–189 rationale, 186, 187, 188 research needs, 198, 225 for small companies, 190 successful, 190 team training, 190–191 transfer effects, 191 types of, 192 Transportation and material moving occupations, 51, 52, 110, 118, 140, 178–179, 206 injury and illness patterns, 146, 147

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Health and Safety Needs of Older Workers U Undocumented workers, 16–17 Unemployment and job displacement health linkages, 82 ill health as cause of, 82 mental health outcomes, 138, 184–185 occupational injuries related to, 136, 137 outplacement programs, 214 risk factors, 81–82 Unions. See Trade unions Unpaid work, 92–94 Utilities industry injury and illness patterns, 146 older worker employment, 49 V Vision problems, 102–103, 159–160 disease-related, 178 job design/redesign to accommodate, 177–179 Volunteer work, 92 W Warning systems, 182–183 White-collar workers, 43 Women labor force participation, 4, 32, 35–37, 62 part-time workers, 84–85 population aging patterns, 1, 27, 30–31, 32 poverty risk, 85 retirement experience, 85, 86 retirement planning issues, 21–22 Social Security benefits, 85, 166 special challenges for older workers, 17 substance use among, 111, 112 unpaid work roles, 92–93 widows, 85–86 See also Gender Work ability index, 144–145 Work capacity concept, 144–145 Work conditions. See Conditions of work Work organization systems, 61–62, 67–72, 139 Work satisfaction, 7, 54, 185 work organization systems and, 69, 70 Work week length, 5 Workers’ compensation, 166–167 accommodation requirements and, 165 underreporting of injury and illness, 130 Wound healing, 105

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Representative terms from entire chapter:

gender differences