02260nas a2200349   4500000000100000008004100001653001000042653001100052653001100063653000900074653001600083653002400099653001400123653001800137653001800155653002000173653001500193100001300208700001400221700001400235700001300249700001000262700001400272700001500286245011800301250001500419300000900434490000700443050001600450520139300466020005101859       2016                            d10aAdult10aFemale10aHumans10aMale10aMiddle Aged10aProspective Studies10aAustralia10aHealth Status10aMental health10aGender Identity10aRetirement1 aBanks E.1 aBauman A.1 aThomas L.1 aByles J.1 aVo K.1 aForder P.1 aRodgers B.00aGender, mental health, physical health and retirement: A prospective study of 21,608 Australians aged 55-69 years  a2016/03/26  a40-80 v87  a[IF]: 2.9423 a<p>
OBJECTIVES: We examined retirement transitions by gender, and different associations between retirement, physical function and mental health. METHODS: Data for 21,608 participants aged 55-69 from the 45 and Up Study were used. Generalised estimating equations were used to investigate longitudinal associations between retirement with psychological distress (Kessler score, K10) and physical dysfunction across two time points, by gender separately. RESULTS: Retirement in men was associated with a 25% relative increase in mean physical dysfunction score (p&lt;0.001) and a 2% relative increase in mean K10 score (p=0.004), although men with high physical dysfunction score had a 6% increase in mean K10 score (p=0.005) if retired. For women, retirement was associated with a 17% increase in mean physical dysfunction score (p&lt;0.001), with no association observed with the K10 score. Results were adjusted for demographic and health covariates. CONCLUSION: Retirement is associated with physical dysfunction over time. Retirement is not associated with psychological distress among women, but retirement is associated with psychological distress among men who have a high level of physical dysfunction. The findings point to the importance of attending to the physical and mental health needs, around the retirement period, particularly for men with poor physical health.
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