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Health status, retirement plans, and retirement. The Kaiser Permanente retirement study.

The purpose of this study was to assess the stability of short-term plans to retire and to evaluate the role of self-reported health status in predicting both plans to retire and actual retirement from a sample of 1,165 older members of a prepayment, group practice model, health maintenance organization. The study sample was derived from a random sample of members 60 to 66 years of age. Mailed questionnaires were completed that obtained data on the following variables: self-reported health status, work status, demographic variables, and plans to retire in the next year. Telephone interviews were conducted throughout the study period to determine dates of retirement from both those who planned to retire and those who had not. Results indicated that retirement plans were relatively stable for this population. Logistic regression analyses revealed that poorer health status was related to both retirement plans and actual retirement for women but not for men.

Data Collection↗

Retirement reason versus retirement process: examining the reasons for retirement typology.

Studies have often used reason for retirement as an indicator of the pathway leading to retirement. We discuss the conceptual basis for the retirement-reason typology and evaluate the distinctiveness of various reasons for labor force exit by predicting them in a standard model-based analysis. Data are from the 1982 Social Security New Beneficiary Study, and the analysis is limited to men. A number of factors in the model-based analysis have distinctive effects on exit for particular retirement reasons, but health limits increase the likelihood of all types of retirement. We conclude that reasons for retirement only partially capture distinctive retirement processes.

Aged↗

The evolution of retirement: results of the 1999 Retirement Confidence Survey.

The ninth annual Retirement Confidence Survey (RCS) shows continued evidence of progress in the drive for retirement income security for American workers. However, there are still hurdles to overcome. The RCS tracks Americans' retirement planning and saving behavior and their confidence regarding various aspects of their retirement. It also categorizes workers and retirees into distinct groups based on their individual views on retirement, retirement planning, and saving. The retirement envisioned by today's workers looks different in many respects from that now experienced by current retirees. Today's workers expect to work longer than current retirees actually worked before retiring--and many say they plan to work for pay after they retire. Twenty-four percent of workers reported that they are very confident they will have enough money to live comfortably in retirement, and 45 percent reported that they are somewhat confident. However, there are indications that many may be falsely confident. The good news is that 70 percent of Americans are saving for retirement, and a growing percentage (49 percent) are going further and determining how much they need to save to fund their retirement. The bad news is that 30 percent of Americans have not begun to save for their retirement, and 51 percent have never tried to determine how much they need to save. Employers play a major role in ensuring adequate retirement preparation. Forty percent of all workers said they expect that money provided by their employer will be a major source of retirement income. Forty-six percent expect the money they put into a retirement plan at work to be a major source of income. The availability of a retirement plan at work is credited by 48 percent of savers as motivation to save. While worker education is a point of emphasis among both employers and policymakers, more remains to be done. For example, 59 percent of workers expect to be eligible for full Social Security benefits sooner than they actually will be, and an additional 19 percent admit they do not know when they will be eligible. There is evidence that education can have an impact on individual behavior. Forty percent of workers receiving educational material at work in the last year said that information caused them to begin saving (19 percent) or resume saving (21 percent) for retirement, while 40 percent said they changed the amount they were contributing to a retirement savings plan and 41 percent changed the allocation of their money in a retirement savings plan.

Attitude↗

Retirement outcomes in the Health and Retirement Study.

This article examines retirement outcomes in the first four waves of the 1992-1998 Health and Retirement Study (HRS). Measured retirement is seen to differ, sometimes substantially, with the definition of retirement used and among various groups analyzed. Moreover, those differences vary with the wave of the survey as respondents age. Retirement comprises a complex set of flows among states representing nonretirement, partial retirement, and complete retirement. Using the self-reported definition of retirement, 77 percent of transitions continue in the same or equivalent states between adjoining waves of the HRS, 17 percent involve a move from greater to lesser labor force participation, and 6 percent involve a move from lesser to greater labor force participation. Twenty-two percent of the sample report they were partially retired at some time in the first four waves, and by age 65, over a fifth of the population is partially retired. Altogether, 17 percent of the sample experienced a reversal in the course of the survey, moving from a state of less work to a state of more work. A comparison of retirement flows for men between the HRS and the 1969-1979 Retirement History Study (RHS) shows that the large spike in the population leaving nonretirement at age 65 observed in the 1969-1979 RHS has fallen from 18 to 11 percentage points in the HRS and that the share leaving nonretirement at 62 has increased from 13 to 20 percentage points over time. The results presented here should help researchers improve their understanding of the structure of the dependent variable in retirement studies. Incorrect or arbitrary measurement of the retirement variable may lead to a misunderstanding of how Social Security and related policies affect retirement outcomes. Thus, the improved understanding of retirement gained from this research will be helpful to those designing retirement policies as they attempt to understand the effects of those policies.

Black or African American↗

The transition to retirement: stages and factors that influence retirement adjustment.

A set of older workers from the Raleigh-Durham-Chapel Hill, North Carolina metropolitan area were followed from pre-retirement to 24 months post-retirement in order to explore stages in retirement and the impact of social psychological, social background, and gender factors on the retirement adjustment. First, we found general support for Atchley's model of retirement adjustment (1976). Second, the factors that influence retirement adjustment in the data analysis revealed that: 1) pre-retirement self-esteem and friend identity meanings, as well as pension eligibility, increased positive attitudes toward retirement at six months, 12 months, and 24 months post-retirement; 2) retirement planning and voluntary retirement increased positive attitudes toward retirement earlier, but not later, in the first two years of retirement; 3) poor health decreased positive attitudes toward retirement later rather than earlier in the first two years of retirement; and 4) there were only limited gender effects.

Adaptation, Psychological↗

Health care utilisation before and after retirement due to illness. A 13-year population-based follow-up study of prematurely retired men and referents from the general population.

OBJECTIVE: To test the hypothesis that prematurely retired men have long-term unspecifically increased health care utilisation, indicating broader health deterioration than reflected by the retirement diagnosis. DESIGN: A two-cohort study. SETTING: The City of Eskilstuna, Sweden. SUBJECTS: 215 men aged 30-54 years who retired early due to illness and a random sample of 620 referents of the same age from the general population. MAIN OUTCOME MEASURES: Health care utilisation from 5 years before retirement until 13 years after retirement. RESULTS: The retired men had 7.2 times higher utilisation of primary health care during the baseline year and 2-3 times higher rates of hospital admissions than the referents during the 13-year follow-up. The panorama of main hospital discharge diagnoses was the same among retired men and referents irrespective of the retirement diagnoses of the former. Over time, health care utilisation among the retired men decreased, but was constant among the referents. After 13 years, the retired men still had twice the rate of the referents. CONCLUSION: Prematurely retired men had high health care utilisation also after retirement. They appear to have broader health deterioration than reflected by the retirement diagnosis.

Adult↗

Social support, early retirement, and a retirement preference: a study of 10,489 Finnish adults.

The aim of the study was to examine associations of social support with early retirement and reported retirement preference. Logistic regression analyses of early retirement (retired before the age of 55) were based on a cohort of 10,489 respondents (5960 female, 4529 male) aged 40-55 years. Analyses of retirement preference (planning of early retirement) were based on a sub-cohort of 7759 full-time employees (4233 female, 3526 male). The measures for social support were the social network size (number of close personal relationships) and social network heterogeneity (number of different roles as sources of social support). Among women, early retirement was associated with small social networks (OR 5.1, 95% CI = 2.8-9.2) and low social network heterogeneity (OR 9.1, 95% CI = 3.2-25.9). Among men, the corresponding associations were somewhat smaller (1.5; 0.9-2.6 and 8.0; 1.8-35.7, respectively). Adjustments for age, occupational training, and spouse at home did not considerably affect these associations. Among men, the association between social network heterogeneity and early retirement was not statistically significant after additional adjustments had been made for marital status and perceived health status. The characteristics of the social network were not associated with a retirement preference among employed men. Among women, the lack of social relations was associated with low retirement preference. Our findings suggested that social support is not independently associated with a retirement preference among men. Socially isolated women prefer retirement less often than other women do. Being retired before the age of 55 years may be predicted by limited social support or it may restrain one's possibilities to establish and maintain social relationships.

Adult↗

Retirement Confidence Survey 2000 including results from the RCS Minority Survey and the Small Employer Retirement Survey.

The year 2000 represents the 10th anniversary of the Retirement Confidence Survey (RCS), and the third year for the Minority RCS and Small Employer Retirement Survey (SERS). Key RCS findings over the past 10 years include: The fraction of workers saving for retirement has trended upward, and today 80 percent of households report that they have begun to save. The fraction of workers who have attempted to calculate how much they need to save for retirement has risen noticeably over the past several years. Today, 56 percent of households report that they have attempted the calculation. One-half of workers who have attempted such a calculation report that it has changed their behavior, such as saving more and/or changing where they invest their retirement savings. Workers who have done the calculation appear to be in better shape regarding their retirement finances. Worker confidence in the ability of Social Security to maintain benefit levels bottomed out in 1994 and 1995. Workers today are just as confident as they were in 1992, although the majority remain not confident in Social Security. Regarding overall retirement confidence, Hispanic-Americans tend to be the least confident among the surveyed minority groups that they will have enough money to live comfortably throughout their retirement years. Key SERS findings include: While cost and administrative issues do matter to small employers, they are not the primary reasons for low plan sponsorship rates. Employee-related reasons are most often cited as the most important factor for not offering a retirement plan. Business-related reasons, such as profitability, are also a main decision-driver. It is important to note what small employers without plans do not know about plan sponsorship. Small employers that do sponsor a retirement plan report that offering a plan has a positive impact on both their ability to attract and retain quality employees and the attitude and performance of their employees. The survey results indicate that many small company nonsponsors may not be aware of such potential business benefits from plan sponsorship. In addition, many nonsponsors are unaware of the plan options available to them, in particular the ones created specifically for small employers, such as SIMPLE and SEP retirement plans. Therefore, some small employers may be making a premature decision not to sponsor a plan based on incomplete information.

Aged↗

Retirement differences among the respondents to the retirement history survey.

Recent studies have simulated the effect of changes in the Social Security system on the retirement age of married White men. The retirement decision for single people, Blacks, and women, however, may differ from those of married White men. This study used data for respondents to the Retirement History Survey and found that estimated retirement equations for married Black men and single White women are significantly different from the retirement equation estimated for married White men. Blacks and single White women have substantially lower retirement wealth than married White men, and their Social Security wealth makes up a larger portion of their total wealth. As a consequence, their retirement responses to the changes in the Social Security system are also likely to differ from those of married White men. We found that, relative to married White men, the wealth and substitution responses to the increase in the normal retirement age for Social Security benefit acceptance are larger for single White men, single Black men, and single White women. The results suggest that estimates of the retirement responses of married men to changes in Social Security or pensions are not necessarily representative of the retirement responses of the population as a whole.

Black or African American↗

The effect of retirement on health services utilization: the Kaiser Permanente Retirement Study.

The relationship of retirement and use of medical services was investigated among members of the Kaiser Permanente Medical Care Program in Northern California. A mailed survey of a 10 percent random sample of members 60-66 years old (N = 10,202) was followed by a telephone interview of (a) all respondents who had planned to retire in the next year, and (b) a random sample of respondents who had not planned to retire: 253 had retired (Retired group) and 238 were still working 20 hours a week or more (Not Retired group). Medical charts were reviewed for one year before and after the retirement date for the Retired group and for one year before and after a randomly assigned anchor date for the Not Retired group. With the exception of urgent care and emergency visits, no significant difference was found between the two groups in overall use of outpatient and inpatient services following retirement.

Aged↗

The impact of early retirement on perceptions of life at work and at home: qualitative analyses of British civil servants participating in the Whitehall II Retirement Study.

This study examined pathways to retirement and the role of circumstances at work and at home (including the introduction of financially-enhanced early retirement schemes) on retirement-related decision-making. In-depth qualitative interviews were conducted within 2 years of retirement with 59 British civil servants participating in the Whitehall II Study. Focusing on the experiences of 33 interviewees who spontaneously discussed "early retirement" we identified three pathways to retirement (non-applicants, successful applicants, and unsuccessful applicants for early retirement) each influenced by a range of complementary positive and negative factors at work and at home. The early retirement schemes influenced the balance between these factors in three ways: by encouraging participants to reflect on (and reconsider) existing retirement plans; by offering financial incentives to retire early; and because they were part of the ongoing process of restructuring and downsizing within the Civil Service which was accompanied by a perceived deterioration in conditions at work.

Adult↗

Preferred retirement timing and retirement satisfaction in women.

Previous research on retirement relied heavily on samples of male retirees; it also emphasized objective predictors of retirement adjustment, such as occupational position, income, or age. Some recent studies, however, indicate that retirement signifies a major life event for women. Furthermore, as the literature on role transitions suggests, it is a combination of objective and subjective retirement circumstances that impinge on adaptation to this life event. This study explores retirement conditions affecting women's preferred retirement timing and retirement satisfaction. It is based on the assumption that sex differences in the retirement experience render retirement adjustment processes different for men and women, and it aims at identifying retirement conditions that are of primary importance to women.

Aged↗

Health insurance and retirement behavior: evidence from the health and retirement survey.

This paper studies the role of health insurance in the retirement decisions of older workers. As policymakers consider mechanisms for how to increase access to affordable health insurance for the near elderly, considerations of the potential labor force implications of such policies will be important to consider--potentially inducing retirements just at a time when the labor force is shrinking. Using data from the 1992 and 1996 waves of the Health and Retirement Survey, this study demonstrates that access to post-retirement health insurance has a large effect on retirement. Among older male workers, those with retiree health benefit offers are 68% more likely to retire (and those with non-employment based insurance are 44% more likely to retire) than their counterparts who would lose employment-based health insurance upon retirement. In addition, the study demonstrated that in retirement models, when retiree health benefits are controlled for, the effects of pension coverage are reduced, suggesting that these effects may have been overestimated in the prior literature.

Aged↗

The effect of retirement on mental health and health behaviors: the Kaiser Permanente Retirement Study.

To assess the short-term effect of retirement on mental health and health behaviors of members of a health maintenance organization aged 60-66, questionnaires were completed in 1985 and 1987 by employed members planning to retire during the study period and those not planning to retire. Mental health and health behaviors of members who actually retired (n = 320) were compared with those members who did not retire (n = 275). Using logistic regression controlling for age, gender, marital status, and education, we found that retired members were more likely to have lower stress levels and to engage in regular exercise more often as compared to those who did not retire during the study period. Retired women were more likely to report no alcohol problems as compared to nonretired women. There were no differences between the groups on self-reported mental health status, coping, depression, smoking, alcohol consumption, and frequency of drunkenness. These findings underscore the importance of assessing positive benefits associated with retirement and call for further evaluation of whether these benefits persist over time.

Aged↗

Retirement choice and retirement satisfaction.

Retirees from major corporations who reported they retired voluntarily were compared with nonvoluntary retirees to determine the individual factors that led to a voluntary or nonvoluntary decision to retire and the impact of that voluntary/nonvoluntary decision on retirement attitudes and satisfaction. Seven firms provided mailing lists of recent retirees, and 1486 respondents completed questionnaires. Voluntary retirees tended to be persons with higher income, occupation, and health status, who had more positive feelings about retirement and more family support for their decision to retire, compared with nonvoluntary retirees. Voluntary retirees were significantly more likely to have positive attitudes and higher satisfaction in retirement than nonvoluntary retirees. However, health status and preretirement feelings about retirement were more significant predictors of retirement attitudes and satisfaction than the voluntary/nonvoluntary decision. Implications of these findings for preretirement counseling and retirement policies are discussed.

Aged↗

Retirement style and retirement satisfaction: retirees aren't all alike.

Postretirement patterns of work--employment for pay, voluntary activities, or no work-like activities--were examined for 1511 recent retirees from major corporations. A related typology of retirement style--reorganizer, rocking chair, holding on, and dissatisfied patterns--was also used. These patterns were examined in terms of preretirement characteristics of the respondents, postretirement attitudes about retirement, and retirement satisfaction. Multivariate analyses comparing the salience of retirement style with health, income, occupation, and preretirement feelings about retiring for predicting retirement satisfaction indicated that retirement style was a significant predictor of overall retirement satisfaction, and the subscales of satisfaction with activities and satisfaction with finances. Implications of these findings for preretirement counseling and retirement policies are discussed.

Aged↗