Association of short poor work ability measure with increased mortality risk : a prospective multicohort study
| Autor: | Marko Elovainio, Mikko Laaksonen, Kainulainen Sakari, Anna-Mari Aalto, Tuija Jääskeläinen, Harri Rissanen, Seppo Koskinen |
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| Přispěvatelé: | Department of Psychology and Logopedics, University of Helsinki, Faculty Common Matters (Faculty of Social Sciences), Psychosocial factors and health |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Male
OCCUPATIONAL & INDUSTRIAL MEDICINE Health Status Work Capacity Evaluation General Medicine 3142 Public health care science environmental and occupational health Cohort Studies Surveys and Questionnaires Humans EPIDEMIOLOGY Female Prospective Studies Mortality PUBLIC HEALTH Proportional Hazards Models |
| Popis: | ObjectivesTo examine whether a single-item measure of self-rated work ability predicts all-cause mortality in three large population-based samples collected in 1978–1980, 2000 and 2017.SettingA representative sample of the population of Finland.ParticipantsThe study population comprised 17 178 participants aged 18 to 65 from the population-based Mini-Finland, Health 2000 and FinHealth 2017 cohort studies, pooled together. In all cohorts, self-rated work ability was assessed at baseline (1978–80, 2000–2001 and 2017) using three response alternatives: completely fit (good work ability), partially disabled (limited work ability) and completely disabled (poor work ability) for work.Primary and secondary outcome measuresAll-cause mortality from national registers. Cox proportional hazards models were adjusted for socioeconomic characteristics, lifestyle factors, self-rated health and mental health problems.ResultsOf the participants, 2219 (13%) were classified as having limited and 991 (5.8%) poor work ability and 246 individuals died during the 4 year follow-up. The age- and sex-adjusted HR for mortality risk was 7.20 (95% CI 5.15 to 10.08) for participants with poor vs good work ability and 3.22 (95% CI 2.30 to 4.43) for participants with limited vs good work ability. The excess risk associated with poor work ability was seen in both genders, all age groups, across different educational levels, self-rated health levels and in those with and without mental health problems. The associations were robust to further adjustment for education, health behaviours, self-rated health and mental health problems. In the multivariable analyses, the HR for mortality among those with poor vs good work ability was 5.75 (95% CI 3.59 to 9.20).ConclusionsOne-item poor self-rated work ability -measure is a strong predictor of increased risk of all-cause mortality and may be a useful survey-measure in predicting severe health outcomes in community-based surveys. |
| Databáze: | OpenAIRE |
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