Predicting long-term sickness absence and early retirement pension from self-reported work ability

2009 ◽  
Vol 82 (9) ◽  
pp. 1133-1138 ◽  
Author(s):  
Lea Sell
Keyword(s):  
Sickness Absence ◽  
Work Ability ◽  
Early Retirement ◽  
Retirement Pension

scholarly journals Predicting long-term sickness absence and early retirement pension from self-reported work ability

2009 ◽  
Vol 82 (9) ◽  
pp. 1139-1139 ◽  
Author(s):  
Lea Sell ◽  
Ute Bültmann ◽  
Reiner Rugulies ◽  
Ebbe Villadsen ◽  
Anne Faber ◽  
...  
Keyword(s):  
Sickness Absence ◽  
Work Ability ◽  
Early Retirement ◽  
Retirement Pension

scholarly journals Work ability score and future work ability as predictors of register-based disability pension and long-term sickness absence: A three-year follow-up study

2017 ◽  
Vol 46 (3) ◽  
pp. 321-330 ◽  
Author(s):  
Ulla Kinnunen ◽  
Jouko Nätti
Keyword(s):  
Sickness Absence ◽  
Work Ability ◽  
Disability Pension ◽  
Negative Binomial ◽  
Work Ability Index ◽  
Rate Ratios ◽  
Future Work ◽  
Work Ability Score

Aims: We investigated two single items of the Work Ability Index – work ability score, and future work ability – as predictors of register-based disability pension and long-term sickness absence over a three-year follow-up. Methods: Survey responses of 11,131 Finnish employees were linked to pension and long-term (more than 10 days) sickness absence register data by Statistics Finland. Work ability score was divided into poor (0–5), moderate (6–7) and good/excellent (8–10) and future work ability into poor (1–2) and good (3) work ability at baseline. Cox proportional hazard regressions were used in the analysis of disability pension, and a negative binomial model in the analysis of long-term sickness absence. The results were adjusted for several background, work- and health-related covariates. Results: Compared with those with good/excellent work ability scores, the hazard ratios of disability pension after adjusting for all covariates were 9.84 (95% CI 6.68–14.49) for poor and 2.25 (CI 95% 1.51–3.35) for moderate work ability score. For future work ability, the hazard ratio was 8.19 (95% CI 4.71–14.23) among those with poor future work ability. The incidence rate ratios of accumulated long-term sickness absence days were 3.08 (95% CI 2.19–4.32) and 1.59 (95% CI 1.32–1.92) for poor and moderate work ability scores, and 1.51 (95% CI 0.97–2.36) for poor future work ability. Conclusions: The single items of work ability score and future work ability predicted register-based disability pension equally well, but work ability score was a better predictor of register-based long-term sickness absence days than future work ability in a three-year follow-up. Both items seem to be of use especially when examining the risk of poor work ability for disability but also for long sick leave.

scholarly journals Effects of sickness absence on disability pension risk: Finnish register study of two native groups

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
K Reini ◽  
J Klein ◽  
J Saarela
Keyword(s):  
Sickness Absence ◽  
Work Ability ◽  
Disability Pension ◽  
Medical Certificate ◽  
Language Groups ◽  
Random Samples ◽  
The Individual ◽  
First Time ◽  
Risk Pattern

Abstract Background Sickness absence and disability pension have a close connection and both describe the health of working-aged populations. The aim of this paper was to study if Swedish and Finnish speakers differ in the risk of disability pension after first-time sickness absence. This may reveal new aspects how to support health and work ability promotion activities. Methods The longitudinal register data used come from Statistics Finland. They consist of random samples of 5 % of all Finnish speakers and 20 % of all Swedish speakers, observed throughout the period 1989-2010. The analyses concerned non-retired individuals aged 16-60 years who were under risk of first-time sickness absence that extended 10 days. Discrete-time hazard models were estimated to both language groups to evaluate how first-time sickness absence, time since absence, length of absence, and various socio-economic control variables affected the disability pension risk. Results The disability pension risk was extremely high immediately after the sickness absence receipt and remained elevated thereafter approximately 20 times higher as compared to non-recipients. A strong interrelation between first-time sickness absence and the risk of subsequent disability pension was found for both language groups and the risk was persistent in the very long term. The risk pattern looked similar to both Swedish and Finnish speakers and we did not observe any differences between women and men. Conclusions Paid sickness absence is illustrative of strong health selection and a notable risk for reduced work ability even in the more distant future. The currently implemented policies in Finland, which require statements about rehabilitation plans soon after individuals have entered a sickness spell, can be considered beneficial for both the individual and society. Comparison of the language groups shows that the disability pension process after sickness absence is operating similarly to both groups. Key messages Sickness absence requiring medical certificate is an indicator of possible long-term work disability. Timing of rehabilitation process during the sickness absence is critical.

Poor work ability increases sickness absence over 10 years

2019 ◽  
Vol 69 (5) ◽  
pp. 359-365
Author(s):  
L Palmlöf ◽  
E Skillgate ◽  
M Talbäck ◽  
M Josephson ◽  
E Vingård ◽  
...  
Keyword(s):  
Sickness Absence ◽  
Work Ability ◽  
Age Groups ◽  
Physical Work ◽  
Age Group ◽  
Mental Work ◽  
The Public ◽  
Increased Risk ◽  
Physical Work Ability

AbstractBackgroundLittle is known about the predictive value of single items from the work ability index (WAI) on the risk of sickness absence over several years, and whether such risk varies across age groups.AimsThe aim of the study was to investigate whether poor self-perceived physical and mental work ability among employees in the public sector are associated with long-term sickness absence over a 10-year period.MethodsThe study was based on a prospective cohort of employees within the public sector in Sweden reporting ‘good health for working’. Baseline information was collected with questionnaires from 2000 to 2003. Poor physical and mental work ability in relation to work demands were assessed with two items from the WAI. The outcome was the number of years of long-term sickness absence between 2003 and 2012. Long-term sickness absence was defined as ≥28 days of sickness and this information was retrieved from Swedish National Registers. Crude and adjusted incidence rate ratios were calculated with analyses stratified by age.ResultsCompared with those reporting very good physical work ability, employees reporting any lower grade of physical work ability had a higher risk of long-term sickness absence across all age strata, with higher risk estimates in the highest age groups and 6-fold increased risk in the oldest age group. Similar results were found for mental work ability with an almost 4-fold increased risk in the highest age group.ConclusionsSelf-reported physical and mental poor work ability are associated with long-term sickness absence during the subsequent 10 years. The risk increases with age.

scholarly journals Distress, Work Satisfaction, and Work Ability are Mediators of the Relation Between Psychosocial Working Conditions and Mental Health-Related Long-Term Sickness Absence

2020 ◽  
Author(s):  
Marieke F. A. van Hoffen ◽  
Judith J. M. Rijnhart ◽  
Giny Norder ◽  
Lisanne J. E. Labuschagne ◽  
Jos W. R. Twisk
Keyword(s):  
Mental Health ◽  
Sickness Absence ◽  
Working Conditions ◽  
Work Ability ◽  
Work Satisfaction ◽  
Mediation Analyses ◽  
Psychosocial Working Conditions ◽  
Health Related ◽  
Emotional Demands

Abstract Purpose This study investigated the effects of psychosocial working conditions on mental health-related long-term sickness absence and whether distress, work satisfaction, burnout, engagement, and work ability mediated the associations between psychosocial working conditions and mental health-related long-term sickness absence. Methods This cohort study included 53,833 non-sick listed workers who participated in occupational health surveys between 2010 and 2013. The effects of the individual psychosocial working conditions on mental long-term sickness absence were analyzed using univariable and multivariable logistic regression analyses. Mediation analyses were performed to examine the mediating role of distress, burnout, work satisfaction, engagement, and work ability between psychosocial working conditions and mental long-term sickness absence. The mediation analyses were performed using structural equation modeling. Results Role clarity, cognitive demands, emotional demands, work variety, learning opportunities, and co-worker support were related to mental health-related long-term sickness absence after adjustment for other working conditions. The relationship between emotional demands and mental health-related long-term sickness absence was the strongest, OR 1.304 (p < 0.001, 95% CI 1.135 to 1.498). The relation between psychosocial working conditions and mental health-related long-term sickness absence was mediated by distress, burnout, work satisfaction, engagement, and work ability. Distress was the most important mediator between psychosocial working conditions and mental health-related long-term sickness absence. Conclusions Psychosocial working conditions are related to mental health-related long-term sickness absence. After correction for other working conditions, the association between emotional demands and mental health-related long-term sickness absence was the strongest. Psychosocial working conditions are indirectly related to mental health-related long-term sickness absence through mediation by distress, work satisfaction, and work ability.

scholarly journals Impact of depressive symptoms on worklife expectancy: a longitudinal study on Danish employees

2019 ◽  
Vol 76 (11) ◽  
pp. 838-844 ◽  
Author(s):  
Jacob Pedersen ◽  
Sannie Vester Thorsen ◽  
Malene Friis Andersen ◽  
Therese N Hanvold ◽  
Vivi Schlünssen ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Sickness Absence ◽  
Early Retirement ◽  
Pension Scheme ◽  
Retirement Pension ◽  
Transfer Payments ◽  
Inverse Probability Weights ◽  
Expected Time ◽  
Major Depression Inventory ◽  
The Impact

ObjectiveDepressive symptoms are associated with sickness absence, work disability and unemployment, but little is known about worklife expectancy (WLE). This study investigates the impact of depressive symptoms on the WLE of a large sample of Danish employees.MethodsWe used occupational health survey data of 11 967 Danish employees from 2010 and linked them with register data on salary and transfer payments from 2010 to 2015. Depressive symptoms were self-reported using the Major Depression Inventory. We used multistate data and a life table approach with Cox proportional hazard modelling to estimate the WLE of employees, expressed by time in work, unemployment and sickness absence. Separate analyses were conducted for sex and employees with a voluntary early retirement pension scheme. Using age as time axis, we used inverse probability weights to account for differences in educational level, sector, body mass index, smoking habits and loss of employment during sickness absence.ResultsThe WLE of employees reporting depressive symptoms was shorter compared with those not reporting depressive symptoms; that is, the expected time in unemployment and sickness absence was longer, while the expected time in work was shorter. The shorter WLE was most pronounced in women; for example, a 40-year-old woman with depressive symptoms can expect 3.3 years less in work, 0.8 years more in unemployment and 0.7 years more in sickness absence. Employees with a voluntary early retirement pension scheme showed an even lower WLE.ConclusionsOur study showed a meaningful impact of depressive symptoms on the WLE of Danish employees using a multistate framework.

scholarly journals Interrelated Factors for Return to Work of Sick-Listed Employees in Sweden

2021 ◽  
Vol 15 ◽  
Author(s):  
John Selander ◽  
Jing Sun ◽  
Asa Tjulin ◽  
Nicholas Buys
Keyword(s):  
Decision Tree ◽  
Return To Work ◽  
Sickness Absence ◽  
Work Ability ◽  
Economic Cost ◽  
Supervisor Support ◽  
National Sample ◽  
Decision Tree Analysis ◽  
Tree Analysis

Abstract Purpose: Long-term sickness absence is a significant human and economic cost in many countries, including Sweden making research on factors which impact on return to work (RTW) relevant. This study has two aims: (1) provide an overview of factors that impact RTW expectations in a national sample of Swedish workers on long-term sickness absence; and (2) gain an understanding of the interrelationships among these factors using a socioecological framework and decision tree analysis. Method: A survey, designed to capture information about demographic variables, health and work ability, workplace contact, supervisor support and expectations of return to work, was mailed to 1,112 randomly selected sick-listed people in Sweden and completed by 534, representing a response rate of 48%. Results: The most important factors affecting RTW expectations were work ability and burnout. Employees reporting high levels of work ability were more likely to expect to RTW compared to those reporting low levels, and this was dependent on their relative burnout score. Those with a high burnout score were less likely to expect to RTW, while for those with a low burnout score RTW expectations were dependent on age, country of birth, and supervisor support. For young employees reporting low work ability and low burnout score, RTW expectations were lower. Conclusions: Our results suggest a more nuanced approach to delivery of RTW services is required, whereby practitioners need to understand the socioecology of the range of factors that impact RTW expectations. The use of decision tree analysis facilitates this understanding by describing the interrelationships between these factors.

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