The Impact of Retirement on Blood Pressure: Evidence from a Nationwide Survey in China

Overview

Journal BMC Public Health

Publisher Biomed Central

Specialty Public Health

Date 2024 Jun 11

PMID 38862990

Authors

Jiarun Mi

Xueyan Han

Man Cao

Hanchao Cheng

Zhaoyang Pan

Jian Guo

Wei Sun

Yuanli Liu

Congyi Zheng

Xin Wang

Xue Cao

Zhen Hu

Yixin Tian

Zengwu Wang

Tianjia Guan

Affiliations

Soon will be listed here.

Abstract

Introduction: The health impact of retirement is controversial. Most previous studies have been based on self-reported health indicators or the endpoints of some chronic diseases (e.g., morbidity or mortality), but objective physiological indicators (e.g., blood pressure) have rarely been used. The objective of this study is to elucidate the health effects of retirement on blood pressure, thereby offering empirical evidence to facilitate the health of retirees and to optimize retirement policies.

Methods: From 2012 to 2015, 84,696 participants of the Chinese Hypertension Survey (CHS) were included in this study. We applied the fuzzy regression discontinuity design (FRDD) to identify retirement's causal effect on systolic blood pressure (SBP), diastolic blood pressure (DBP) and pulse pressure. We also explored the heterogeneity in the effects of retirement across different sex and education level groups.

Results: Based on the fully adjusted model, we estimated that retirement increased SBP by 5.047 mm Hg (95% CI: -2.628-12.723, P value: 0.197), DBP by 0.614 mm Hg (95% CI: -3.879-5.108, P value: 0.789) and pulse pressure by 4.433 mm Hg (95% CI: -0.985-9.851, P value: 0.109). We found that retirement led to a significant increase in male participants' SBP and pulse pressure as well as a possible decrease in female participants' blood pressure. Additionally, the blood pressure levels of low-educated participants were more vulnerable to the shock of retirement.

Conclusion: Retirement is associated with an increase in blood pressure level. There is a causal relationship between the increase in blood pressure levels of men and retirement. Policy-makers should pay extra attention to the health status of men and less educated people when adjusting retirement policies in the future.

References

Lv Y, Gao X, Yin Z, Chen H, Luo J, Brasher M . Revisiting the association of blood pressure with mortality in oldest old people in China: community based, longitudinal prospective study. BMJ. 2018; 361:k2158. PMC: 5987177. DOI: 10.1136/bmj.k2158. View

Yu W, Yang Y, Liu X, Gao X, Lv Y, Zhou L . Heterogeneous effects of retirement on the biomedical risk factors for cardiovascular and metabolic diseases: New evidence based on the physical examination database in Shanghai, China. SSM Popul Health. 2023; 21:101333. PMC: 9860358. DOI: 10.1016/j.ssmph.2022.101333. View

Yan Z, Xiang N, Meng J, Liang H, Yue Z . Understanding the effect of retirement on health behaviors in China: Causality, heterogeneity and time-varying effect. Front Public Health. 2022; 10:952072. PMC: 9421064. DOI: 10.3389/fpubh.2022.952072. View

Yuan B, Liu W, Cui Y . The impact of retirement on body mass index in China: An empirical study based on regression discontinuity design. SSM Popul Health. 2023; 23:101434. PMC: 10492159. DOI: 10.1016/j.ssmph.2023.101434. View

Son M, Heo Y, Hyun H, Kwak H . Effects of Marital Status and Income on Hypertension: The Korean Genome and Epidemiology Study (KoGES). J Prev Med Public Health. 2022; 55(6):506-519. PMC: 9742404. DOI: 10.3961/jpmph.22.264. View

Yang H, Tao Y, Cheng S, Tang X, Cao J, Shen D . The effect of retirement on obesity in women: Evidence from China. SSM Popul Health. 2023; 22:101379. PMC: 10034638. DOI: 10.1016/j.ssmph.2023.101379. View

Celidoni M, Dal Bianco C, Rebba V, Weber G . Retirement and Healthy Eating. Fisc Stud. 2020; 41(1):199-219. PMC: 7317561. DOI: 10.1111/1475-5890.12196. View

Muller T, Shaikh M . Your retirement and my health behavior: Evidence on retirement externalities from a fuzzy regression discontinuity design. J Health Econ. 2017; 57:45-59. DOI: 10.1016/j.jhealeco.2017.10.005. View

James G, Pickering T . The influence of behavioral factors on the daily variation of blood pressure. Am J Hypertens. 1993; 6(6 Pt 2):170S-173S. DOI: 10.1093/ajh/6.6.170s. View

10.

Li Y, Yang L, Wang L, Zhang M, Huang Z, Deng Q . Burden of hypertension in China: A nationally representative survey of 174,621 adults. Int J Cardiol. 2016; 227:516-523. DOI: 10.1016/j.ijcard.2016.10.110. View

11.

Hu Z, Chen L, Wang X, Zhang L, Chen Z, Zheng C . Reproductive lifespan in association with risk of hypertension among Chinese postmenopausal women: Results from a large representative nationwide population. Front Cardiovasc Med. 2022; 9:898608. PMC: 9393301. DOI: 10.3389/fcvm.2022.898608. View

12.

Gilbert-Ouimet M, Brisson C, Milot A, Vezina M . Double Exposure to Adverse Psychosocial Work Factors and High Family Responsibilities as Related to Ambulatory Blood Pressure at Work: A 5-Year Prospective Study in Women With White-Collar Jobs. Psychosom Med. 2017; 79(5):593-602. DOI: 10.1097/PSY.0000000000000450. View

13.

Karpansalo M, Manninen P, Kauhanen J, Lakka T, Salonen J . Perceived health as a predictor of early retirement. Scand J Work Environ Health. 2004; 30(4):287-92. DOI: 10.5271/sjweh.796. View

14.

Hess M, Naegele L, Becker L, Macken J, De Tavernier W . Planned Retirement Timing in Europe: Are Europeans Adapting to the Policy of Extending Working Lives. Front Sociol. 2021; 6:691066. PMC: 8374892. DOI: 10.3389/fsoc.2021.691066. View

15.

Wang Q . Changes in blood pressure during the transition of retirement: the role of physical activity in China. J Hum Hypertens. 2019; 34(7):536-543. DOI: 10.1038/s41371-019-0277-9. View

16.

Abramowska-Kmon A, Latkowski W . The Impact of Retirement on Happiness and Loneliness in Poland-Evidence from Panel Data. Int J Environ Res Public Health. 2021; 18(18). PMC: 8465952. DOI: 10.3390/ijerph18189875. View

17.

Feng J, Li Q, Smith J . Retirement Effect on Health Status and Health Behaviors in Urban China. World Dev. 2020; 126. PMC: 7451255. DOI: 10.1016/j.worlddev.2019.104702. View

18.

Behncke S . Does retirement trigger ill health?. Health Econ. 2011; 21(3):282-300. DOI: 10.1002/hec.1712. View

19.

Cohen A, Pieper C, Brown A, Bastian L . Number of children and risk of metabolic syndrome in women. J Womens Health (Larchmt). 2006; 15(6):763-73. DOI: 10.1089/jwh.2006.15.763. View

20.

Jonas B, Franks P, Ingram D . Are symptoms of anxiety and depression risk factors for hypertension? Longitudinal evidence from the National Health and Nutrition Examination Survey I Epidemiologic Follow-up Study. Arch Fam Med. 1997; 6(1):43-9. DOI: 10.1001/archfami.6.1.43. View