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[{"key": "dc.contributor.advisor", "value": "Nikander, Riku", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Tuunanen, Mervi", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2014-12-15T10:29:38Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2014-12-15T10:29:38Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2014", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1453888", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/44880", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Mervi Tuunanen (2014). Keski-i\u00e4n ty\u00f6kyvyn yhteys mielenterveyteen vanhuudessa. Terveys-tieteiden laitos, Jyv\u00e4skyl\u00e4n yliopisto, Gerontologia ja kansanterveys, pro gradu \u2013 tutkielma, 52 s.\n\nKeski-i\u00e4n ty\u00f6kyvyn on todettu olevan yhteydess\u00e4 el\u00e4kei\u00e4n terveyteen ja toimintakykyyn, mut-ta aihetta on toistaiseksi tutkittu hyvin v\u00e4h\u00e4n. T\u00e4m\u00e4n ty\u00f6n tarkoituksena oli selvitt\u00e4\u00e4 keski-i\u00e4n ty\u00f6kyvyn yhteytt\u00e4 el\u00e4kei\u00e4ss\u00e4 havaittuihin mielenterveysongelmiin. \n \nT\u00e4m\u00e4 tutkimus on osa vuosien 1981\u20132009 v\u00e4lill\u00e4 kunta-alan ty\u00f6ntekij\u00f6ille toteutetusta tutki-muksesta. Alkututkimuksessa oli mukana 6 257 keski-ik\u00e4ist\u00e4 henkil\u00f6\u00e4 eri ammateista eri puolil-ta Suomea. Viimeiseen postikyselyyn vuonna 2009 osallistui 3 092 tutkittavaa, joista 2 578 keski-i\u00e4n ty\u00f6kyky\u00e4 ja vanhuuden mielenterveytt\u00e4 koskeviin kysymyksiin vastannutta on mu-kana t\u00e4ss\u00e4 tutkimuksessa. Tutkimuksessa osallistujilta kysyttiin heid\u00e4n ty\u00f6kyky\u00e4\u00e4n koskevia kysymyksi\u00e4. Vastausten perusteella tutkittaville laskettiin ty\u00f6kykyindeksit ja heid\u00e4t ryhmitel-tiin pistem\u00e4\u00e4r\u00e4n perusteella erinomaisen, hyv\u00e4n, kohtalaisen ja heikon ty\u00f6kyvyn omaaviin. Analyyseissa huomioitiin sekoittavina tekij\u00f6in\u00e4 ik\u00e4, sukupuoli, sosioekonomiset tekij\u00e4t ja elin-tavat. Keski-i\u00e4n ty\u00f6kyvyn yhteytt\u00e4 verrattiin vuoden 2009 kyselyss\u00e4 raportoituihin lieviin ja vakaviin mielenterveyden ongelmiin sek\u00e4 masennukseen, ja tulokset analysoitiin SPSS Statis-tics 20.0 ohjelmalla k\u00e4ytt\u00e4en logistista regressionanalyysia. \n \nTy\u00f6kykyindeksin mukaan keski-i\u00e4ss\u00e4 huonon ty\u00f6kyvyn omaavalla henkil\u00f6ll\u00e4 oli vakioinnin j\u00e4lkeen 3.1-kertainen (95 % luottamusv\u00e4li [CI] 1.8\u20135.4) riski k\u00e4rsi\u00e4 mielenterveysongelmista vanhuudessa erinomaisen ty\u00f6kyvyn omaavaan henkil\u00f6\u00f6n verrattuna, kohtalaisen keski-i\u00e4n ty\u00f6-kyvyn omaavilla vastaava riski oli 1.8-kertainen (95 % CI 1.1\u20132.9). Lievien ja vakavien mie-lenterveysongelmien erillisess\u00e4 tarkastelussa keski-i\u00e4ss\u00e4 huonon ty\u00f6kyvyn omaavilla oli 2.8-kertainen (95 % CI 1.6\u20135.0) riski k\u00e4rsi\u00e4 lievist\u00e4 mielenterveyden ongelmista el\u00e4kei\u00e4ss\u00e4 verrat-tuna erinomaisen ty\u00f6kyvyn omaaviin ihmisiin. Kohtalaisen ty\u00f6kyvyn omaavilla vastaava riski oli 1.8-kertainen (95 % CI 1.1\u20132.9). Vakavien mielenterveysongelmien osalta riski ei ollut ti-lastollisesti merkitsev\u00e4. Ty\u00f6kyvyn ja masennuksen riski\u00e4 tarkasteltaessa todettiin, ett\u00e4 huonon ja kohtalaisen keski-i\u00e4n ty\u00f6kyvyn omaavilla riski k\u00e4rsi\u00e4 masennuksesta oli 2.1-kertainen (95 % CI 1.4\u20133.3 / CI 1.6\u20132.8) ja hyv\u00e4n ty\u00f6kyvyn omaavilla 1.6-kertainen (95 % CI 1.3\u20132.1) verrat-tuna keski-i\u00e4ss\u00e4 erinomaisen ty\u00f6kyvyn omaaviin ihmisiin. \n\nJohtop\u00e4\u00e4t\u00f6ksen\u00e4 totean, ett\u00e4 keski-i\u00e4ss\u00e4 huonon ty\u00f6kyvyn omaavilla kunta-alan ty\u00f6ntekij\u00f6ill\u00e4 on jopa kolminkertainen riski k\u00e4rsi\u00e4 vanhuusi\u00e4ss\u00e4 psyykkiseen hyvinvointiin vaikuttavista on-gelmista, kun heit\u00e4 verrataan keski-i\u00e4ss\u00e4 erinomaisen ty\u00f6kyvyn omaaviin ty\u00f6ntekij\u00f6ihin.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Association of local government employees ability to work in middle-age and their mental health in retiring age. \nMervi Tuunanen (2014), Gerontology and Public Health. Department of Health Sciences, University of Jyv\u00e4skyl\u00e4, Master\u2019s Thesis of Gerontology and Public Health, 52 p. \n\nExcellent ability to work in middle-age is associated with better health and functional ability after retirement, but the topic has been little studied so far. The objective of this study was to investigate whether the local government employees ability to work in middle-age is associat-ed with their mental health in retiring age.\n\nThis study is part of an earlier study undertaken for local government employees between the years 1981 and 2009. The initial study involved 6 257 middle-aged people representing dif-ferent professions from all over Finland. 3 092 employees took part in the latest mail survey in 2009. 2 578 employees who answered questions on the working ability in their middle age and mental health issues in their retiring age took part in the present study. In the initial study the participants were asked questions related to their ability to work, on the basis of which the work ability index was calculated, which was then divided into excellent, good, moderate and poor work ability on the basis of points scored. Potential confounding factors such as age, gender, socio-economic factors and lifestyle were taken into account in the analyses. The as-sociation between working ability in middle age and minor or severe mental health disorders and depression reported in retiring age were analyzed with the SPSS Statistics 20.0 software using a logistic regression analysis.\n \nWith regard to the work ability index, middle aged people with poor work ability had 3.1 (95% confidence interval [CI ], 1.8 to 5.4) times greater risk to suffer from mental health is-sues in old age compared to people who had excellent work ability when age, gender, socio-economic factors and lifestyle were taken into account. Accordingly, the risk was 1.8-fold (95% CI 1.1 to 2.9) when middle aged people with poor work ability were compared to mid-dle-aged people with moderate work ability. When mild and severe mental health issues were separated from each other, middle-aged employees with poor work ability had a 2.8 times greater (95% CI 1.6 to 5.0) risk to suffer from mild mental health problems in old age com-pared to those with excellent working ability. The corresponding risk of those with moderate work ability was 1.8 times greater risk (95% CI 1.1-2.9). With regard to serious mental health problems, the risk was not statistically significant. When considering work ability and the risk of depression, it was found that those middle aged people, who had either poor or moderate work ability, had 2.1 times greater risk (95% CI 1.4 to 3.3 / CI 1.6 to 2.8) of suffer from de-pression. Similarly, those with good work ability had 1.6 times greater risk (95% CI 1.3 to 2.1) compared to employees with excellent work ability. \n\nPoor work ability of local government employees in middle age is associated with up to three times greater risk to suffer from mental health issues compared to employees having excellent work ability.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Mervi Tuunanen (mepahatu) on 2014-12-15 10:29:38.463355. Form: Pro gradu -lomake (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake). JyX data: [jyx_publishing-allowed (fi) =True]", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by jyx lomake-julkaisija (jyx-julkaisija@noreply.fi) on 2014-12-15T10:29:38Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201412153501.pdf: 891687 bytes, checksum: 000795d570830dacb2ebe35d9b71eaa3 (MD5)\nlicense.html: 4815 bytes, checksum: 8a9e2bb4d692150d17cbccef814baed3 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2014-12-15T10:29:38Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201412153501.pdf: 891687 bytes, checksum: 000795d570830dacb2ebe35d9b71eaa3 (MD5)\nlicense.html: 4815 bytes, checksum: 8a9e2bb4d692150d17cbccef814baed3 (MD5)\n Previous issue date: 2014", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (52 sivua)", "language": null, "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.format.mimetype", "value": "application/pdf", "language": null, "element": "format", "qualifier": "mimetype", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": "en", "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "mielenterveysongelmat", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": 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