Process of Work Disability: From Determinants of Sickness Absence Trajectories to Disability Retirement in A Long-Term Follow-Up of Municipal Employees
| Autor: | Jorma Seitsamo, Subas Neupane, Clas-Håkan Nygård, Päivi Leino-Arjas, K. C. Prakash |
|---|---|
| Přispěvatelé: | Tampere University, Health Sciences, Tays Research Services |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Gerontology
Adult Male lifestyle Health Toxicology and Mutagenesis Psychological intervention lcsh:Medicine Overweight Article survival analysis 03 medical and health sciences Pensions 0302 clinical medicine Medicine Humans Disabled Persons 030212 general & internal medicine registers Survival analysis Finland Multinomial logistic regression Retirement Work disability business.industry working conditions lcsh:R Public Health Environmental and Occupational Health health Middle Aged medicine.disease Disability pension 030210 environmental & occupational health Obesity 3142 Public health care science environmental and occupational health 3141 Health care science Trajectory analysis Female trajectory analysis medicine.symptom Sick Leave Erratum business Follow-Up Studies |
| Zdroj: | International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, Vol 18, Iss 2614, p 2614 (2021) Volume 18 Issue 5 |
| ISSN: | 1660-4601 1661-7827 |
| Popis: | Work disability may originate early during work history and involve sickness absences (SA) and eventually permanent disability. We studied this process over 15 years. Questionnaire data collected in 1981 on health, working conditions, and lifestyle of Finnish municipal employees aged 44–58 years (n = 6257) were linked with registers on SA (≥10 workdays), disability pension, and death from the period 1986–1995. Trajectory analysis was used to assess development in SA (days/year) over 5 years (1981–1985). We analyzed determinants of the trajectories with multinomial regression, while trajectory membership was used as a predictor of disability pension (DP) during the subsequent 10 years in survival analysis. Three SA trajectories emerged: increasing (women: 6.8% men: 10.2%), moderate (21.2% 22.7%), and low. In a mutually adjusted model, the increasing trajectory in women was associated with baseline musculoskeletal (MSD), mental and respiratory disorders, injuries, obesity, sleep problems, and low exercise (effect sizes OR > 2), and in men with MSD, sleep problems, smoking, low exercise, and non-satisfaction with management. The moderate trajectory associated with MSD, ‘other somatic disorders’, sleep problems, and awkward work postures in both genders in women, also overweight, cardiovascular and respiratory morbidity, and (inversely) knowledge-intensive work, and in men, smoking and mental disorders were thus associated. Ten-year risks of DP contrasting increasing vs. low SA were more than 10-fold in both genders and contrasting moderate vs. low SA 3-fold in women and 2-fold in men. These findings emphasize the need for early identification of workers with short-term problems of work ability and interventions regarding lifestyle, health, and working conditions, to help prevent permanent disability. |
| Databáze: | OpenAIRE |
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