O-002 the Influence of Cognitive Function (Decline) on Employment Status in Ageing Workers, and the Moderating Effects of Psychosocial Work Conditions - A Longitudinal Cohort Study

Abstract Introduction The ageing workforce is associated with a growing incidence of age-related health issues, particularly cognitive impairment. This elevates the risk of premature exit from paid employment. Encouraging continued employment may safeguard workers’ health and well-being and sustain social security systems. This study aims to provide insight into the relation between cognitive function (CF) and early exit from paid employment, and to what extent psychosocial working conditions moderate this outcome. Methods Data from the population representative Survey of Health, Ageing, and Retirement in Europe were utilized. Early exit from paid employment was defined as exiting employment before the national retirement age. Cox regression analyses were performed to define the impact of (changes in) CF on early exit from paid employment (N=6198). Additionally, the influence of (un)favorable working conditions was assessed for various subgroups. Results/ Discussion Individuals with low baseline CF had a significantly higher probability of early exit from paid employment (HR 1.46, 95% CI 1.32-.160). In isolation, a decline in CF was associated with an elevated hazard of early exit from paid employment (HR 1.08, 95% CI.97-1.20). The association was significantly stronger among individuals with lower baseline CF (HR1.26, 95% CI 1.02 – 1.57). Psychosocial working conditions did not significantly moderate these outcomes. Conclusion This study highlights that individuals with low baseline CF are at a higher risk of early exit from paid employment, emphasizing the importance of cognitive health in workforce sustainability. These findings underscore the need for interventions promoting cognitive well-being among ageing workers to enhance work longevity and well-being.