Sustainable Working Life Patterns in a Swedish Twin Cohort: Age-Related Sequences of Sickness Absence, Disability Pension, Unemployment, and Premature Death during Working Life.

Autor:	Ropponen A; Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 17177 Stockholm, Sweden.; Finnish Institute of Occupational Health, 00032 Työterveyslaitos, Finland., Josefsson P; Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 17177 Stockholm, Sweden., Böckerman P; IZA Institute of Labor Economics, 53113 Bonn, Germany.; School of Business and Economics, University of Jyväskylä, 40014 Jyväskylä, Finland.; Labour Institute for Economic Research LABORE, 00100 Helsinki, Finland., Silventoinen K; Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 17177 Stockholm, Sweden.; Population Research Unit, Faculty of Social Sciences, University of Helsinki, 00014 Helsinki, Finland., Narusyte J; Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 17177 Stockholm, Sweden.; Center of Epidemiology and Community Medicine, Stockholm County Council, 104 31 Stockholm, Sweden., Wang M; Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 17177 Stockholm, Sweden., Svedberg P; Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 17177 Stockholm, Sweden.
Jazyk:	angličtina
Zdroj:	International journal of environmental research and public health [Int J Environ Res Public Health] 2022 Aug 24; Vol. 19 (17). Date of Electronic Publication: 2022 Aug 24.
DOI:	10.3390/ijerph191710549
Abstrakt:	We aimed to investigate sustainable working life via age-related sequences of sickness absence (SA), disability pension (DP), unemployment (UE), premature death, and the influence of individual characteristics, accounting for familial confounding. The sample included monozygotic (MZ) and dizygotic (DZ) same-sexed twin pairs with register data ( n = 47,450) that were followed for 10 years in four age cohorts: 26-35 ( n = 9892), 36-45 ( n = 10,620), 46-55 ( n = 12,964) and 56-65 ( n = 13,974). A sequence analysis was done in a 7-element state space: 1. "Sustainable working life": SA/DP 0-30 days and UE 0-90 days; 2. "Unemployment >90 days": SA/DP 0-30 days and UE > 90 days; 3. "Moderate SA/DP": SA/DP 30-180 days; 4. "Almost full year of SA/DP": SA/DP 180-365 days; 5. "Full year of SA/DP": SA/DP ≥ 365 days; 6. Death; 7. Old-age pension. The largest cluster had a sustainable working life and never experienced states 2-6 (34-59%). Higher education and being married predicted a lower likelihood of experiencing states 2-6. The MZ twin pairs (vs. DZ) were more often in the same cluster suggesting the role of genetic factors. To conclude, the sustainable working life was the largest cluster group. Few individuals had prolonged periods of interruptions of sustainable working life meriting actions, especially in early adulthood for interventions to support workability. Competing Interests: The authors declare no conflict of interest.
Databáze:	MEDLINE
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