Psychotropic medication before and after disability retirement by pre-retirement perceived work-related stress
| Autor: | Sari Stenholm, Hugo Westerlund, Mikko Laaksonen, Tea Lallukka, Jaana Pentti, Mika Kivimäki, Marianna Virtanen, Jussi Vahtera, Minna Mänty, Tarani Chandola, Taina Leinonen, Jaana I. Halonen, Martin Hyde, Ville Aalto, Tuula Oksanen |
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| Rok vydání: | 2019 |
| Předmět: |
Gerontology
medication use disability retirement perceived workrelated stress Rate ratio Occupational safety and health Occupational Stress 03 medical and health sciences 0302 clinical medicine Humans Medicine Disabled Persons 030212 general & internal medicine Finland Psychotropic Drugs Retirement business.industry Stressor Public Health Environmental and Occupational Health Repeated measures design 030210 environmental & occupational health Mental health Confidence interval 3. Good health Cohort Occupational stress business mental health |
| Zdroj: | Halonen, J I, Chandola, T, Hyde, M, Leinonen, T, Westerlund, H, Aalto, V, Pentti, J, Laaksonen, M, Stenholm, S, Mänty, M, Vahtera, J, Oksanen, T, Kivimäki, M, Virtanen, M & Lallukka, T 2019, ' Psychotropic medication before and after disability retirement by pre-retirement perceived work-related stress ', European Journal of Public Health . https://doi.org/10.1093/eurpub/ckz131, https://doi.org/10.1093/eurpub/ckz131 |
| ISSN: | 1464-360X 1101-1262 |
| DOI: | 10.1093/eurpub/ckz131 |
| Popis: | Background Retirement has been associated with improved mental health, but it is unclear how much this is due to the removal of work-related stressors. We examined rates of psychotropic medication use before and after the transition to disability retirement due to mental, musculoskeletal and other causes by pre-retirement levels of perceived work stress (effort-reward imbalance, ERI). Methods Register-based date and diagnosis of disability retirement of 2766 participants of the Finnish Public Sector study cohort were linked to survey data on ERI, social- and health-related covariates, and to national records on prescribed reimbursed psychotropic medication, measured as defined daily doses (DDDs). Follow-up for DDDs was 2–5 years before and after disability retirement. We assessed differences in the levels of DDDs before and after retirement among those with high vs. low level of pre-retirement ERI with repeated measures regression. Results Those with high (vs. low) levels of ERI used slightly more psychotropic medication before disability retirement due to mental disorders [rate ratio (RR) 1.14, 95% confidence intervals (CI) 0.94–1.37], but after retirement this difference attenuated (RR 0.94, 95% CI 0.80–1.10, P for interaction 0.02). Such a change was not observed for the other causes of disability retirement. Conclusions The level of psychotropic medication use over the transition to disability retirement due to mental, but not musculoskeletal or other, causes was modified by pre-retirement perceived work-related stress. This suggests that among people retiring due to mental disorders those who had stressful jobs benefit from retirement more than those with low levels of work-related stress. |
| Databáze: | OpenAIRE |
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