Abstract

Considering the demographic shift towards an ageing population, the financial threats that arise after retirement and the ongoing debates about extending working life, it is crucial to thoroughly understand the impact of retirement on the health of older individuals. This article presents a systematic review conducted according to the standards established by PRISMA statement CINAHL and APA PsycArticles databases by EBSCOhost, Pubmed, Scopus and Web of Science, for longitudinal studies published between 2013 and 2023. The aim of the review was to synthesise evidence of the effects of retirement on health, for example physical functioning, morbidity or mortality. From 1,757 records, 19 papers were included. Twelve longitudinal studies consistently linked retirement to declining physical function, increased disease prevalence and higher all-cause mortality risk. The evidence did not show a clear conclusion on biomarkers as health outcomes. The article identifies five explanatory mechanisms behind the retirement-health relationship: working conditions, retirement types, financial security, lifestyle changes and social participation. Retirement can have some adverse effects on health; however, the health consequences of withdrawal are likely to vary by pre-retirement factors. These findings carry implications for the current debate of extending working life and the social security system for older people.