Temporal changes in health within 5 years before and after disability pension–the HUNT Study

Abstract Background The aims were to elucidate if trajectories of labour market marginalization (LMM), measured as sickness absence (SA)/disability pension (DP) or unemployment, differed between young immigrants and natives before and after an incident diagnosis of a common mental disorder (CMD), and to investigate if educational level, psychiatric comorbidity and duration of residence in Sweden (in immigrants) had different associations with subsequent LMM in natives compared with immigrants. Methods A total of 28 971 young adults (19–30 years), with an incident CMD (inpatient or specialized outpatient healthcare due to CMDs or dispensed prescribed antidepressants during 2007) were included. Group-based trajectory models were utilized to identify trajectories of annual months of LMM 3 years before and 6 years after the diagnosis. The associations of risk factors with different trajectories were investigated by multinomial logistic regression, χ2-test and Nagelkerke R2 to measure the associations’ strength. Immigrants were categorized into Western and non-Western immigrants. Results Young natives and immigrants showed similar trajectories of SA/DP. A higher proportion of non-Western immigrants (20.5%) followed trajectories of high levels of unemployment (>2 annual months) compared with Western immigrants (15%) and natives (16.5%). Educational level and duration of residence in Sweden (in immigrants) discriminated trajectories of both SA/DP and unemployment, whereas psychiatric comorbidity only discriminated trajectories of SA/DP. Conclusions Differences in trajectories of unemployment between young natives and immigrants with an incident CMD were found. Educational level and psychiatric comorbidity provided information on differences between natives and immigrants and duration of residence gave information for subgroups of immigrants.

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Healthcare use before and after changing disability pension policy: a regional Danish cohort study

European Journal of Public Health ◽

10.1093/eurpub/ckz107 ◽

2019 ◽

Vol 29 (6) ◽

pp. 1068-1073 ◽

Cited By ~ 1

Author(s):

Line J Borup ◽

Nanna Ø Weye ◽

Vibeke Jensen ◽

Kirsten Fonager

Keyword(s):

Policy Change ◽

Disability Pension ◽

Security Policy ◽

Pension Policy ◽

Healthcare Use ◽

The North ◽

Increased Risk ◽

Significant Difference ◽

Before And After ◽

Eligibility Requirements

Abstract Background The social security policy for disability pension (DP) was changed in Denmark in 2013 and eligibility requirements were tightened. We describe and compare the use of healthcare among individuals with incident DP before and after the policy change. Methods This was a follow-up study based on data from nationwide databases. The study included individuals with incident DP aged 18–64 years and living in The North Denmark Region. We included individuals with incident DP before (2010–12, n = 6286) and after (2014–15, n = 1042) the 2013 policy change. Poisson regression was used to examine group differences in (i) contact to healthcare and (ii) hospitalization. For this purpose, we used incidence rate ratios stratified on type of contact before being awarded DP. Results We found a change of diagnoses for healthcare use towards higher proportions of cardiovascular, pulmonary, neurological and cancer diseases and lower proportion with musculoskeletal disorder in the populations being granted DP after policy changes. For individuals with psychiatric contact before being granted DP, we found no significant differences between periods in psychiatric healthcare after DP was awarded. For individuals with somatic contact before being granted DP, we found an increased risk of contact to somatic healthcare and hospitalization after DP requirements were tightened. Conclusion The study demonstrated that individuals who were granted DP after the eligibility requirements had been tightened suffered from more medical conditions and had an ongoing need for healthcare. In contrast, no significant difference in risk of psychiatric contact or hospitalization after DP was demonstrated.

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Sickness absence and disability pension in relation to first childbirth: three cohorts in Sweden

European Journal of Public Health ◽

10.1093/eurpub/ckz186.158 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

C Bjorkenstam ◽

C Orellana ◽

K Laszlo ◽

P Svedberg ◽

M Voss ◽

...

Keyword(s):

Pregnant Women ◽

Sickness Absence ◽

Young Women ◽

Disability Pension ◽

Age Groups ◽

Population Based ◽

Multiple Births ◽

First Birth ◽

Period Effects ◽

Before And After

Abstract Background Childbirth is suggested to be associated with elevated levels of sickness absence (SA) and disability pension (DP). However, knowledge about patterns of SA/DP before and after childbirth as compared to patterns among women who remain nulliparous is limited. We aimed to compare SA/DP across several periods among women with different childbirth status. Methods We analysed three population-based cohorts of all women aged 18-39 years who had not previously given birth and who lived in Sweden on 31 December 1994, 1999, or 2004, respectively. We compared crude and standardized annual mean SA and DP net days during three years preceding to three years after the date of first childbirth, among women having (1) their first and only birth during the subsequent three years, (2) their first birth and at least another delivery, and (3) no childbirths before, nor during the study period. Results Despite an increase in SA in the year preceding the first childbirth, women who gave birth, and especially women with multiple births, tended to have lower levels of SA/DP days throughout the years than women without childbirths. SA/DP days varied across age groups; young women (aged 18-24 years) without childbirths had fewer SA days, but more DP days than their same-aged counterparts who gave birth, regardless of year. These results did not differ across the three cohorts, suggesting that the results were not affected by period effects. Conclusions Women with more than one childbirth had fewer days of SA and DP, as compared to women with one childbirth and to women having no births. Thus, childbirth does not seem to be associated with higher levels of SA and DP. Some of these results can be due to a health selection into giving birth, especially having more births. Key messages Except for the year before delivery, i.e., when pregnant, women giving birth had fewer SA and DP days than women with no births. Thus, childbirth does not seem to be associated with higher SA and DP. Women who had more than one childbirth had less SA/DP days than those with one childbirth.

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Temporal changes in CT perfusion values before and after cranioplasty in patients without symptoms related to external decompression: a pilot study

Neuroradiology ◽

10.1007/s00234-014-1318-2 ◽

2014 ◽

Vol 56 (3) ◽

pp. 237-243 ◽

Cited By ~ 7

Author(s):

Silvio Sarubbo ◽

Francesco Latini ◽

Stefano Ceruti ◽

Arturo Chieregato ◽

Christopher d’Esterre ◽

...

Keyword(s):

Pilot Study ◽

Ct Perfusion ◽

Temporal Changes ◽

Before And After

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Sick leave and disability pension before and after diagnosis of multiple sclerosis

Multiple Sclerosis Journal ◽

10.1177/1352458516667567 ◽

2016 ◽

Vol 22 (14) ◽

pp. 1859-1866 ◽

Cited By ~ 15

Author(s):

Erik Landfeldt ◽

Anna Castelo-Branco ◽

Axel Svedbom ◽

Emil Löfroth ◽

Andrius Kavaliunas ◽

...

Keyword(s):

Multiple Sclerosis ◽

Sick Leave ◽

Disability Pension ◽

Disease Diagnosis ◽

First Year ◽

Final Sample ◽

Before And After ◽

Considerable Morbidity ◽

Long Term Impact

Background: Multiple sclerosis (MS) is associated with considerable morbidity and serious disability, but little is known of the long-term impact of the disease on work ability. Objectives: To assess sick leave (short-term absence) and disability pension (long-term absence) before and after diagnosis of MS. Methods: Patients with MS in Sweden were identified in a nationwide disease-specific register and matched with general population controls. Sick leave and disability pension were measured before and after index (i.e. the MS diagnosis date). Results: The final sample comprised 6092 patients and 60,345 controls (mean age 39 years; 70% female). The mean annual prevalence of sick leave ranged from 12% the first year after index to 23% after 11 years among patients and from 13% to 13% among controls. Corresponding estimates for disability pension were 12% and 55% for patients and 7% and 9% for controls. Significant differences in sick leave were observed up to 15 years before index and 3 years for disability pension. Conclusion: Patients with MS in Sweden have elevated levels of sick leave and disability pension up to 15 years before disease diagnosis. Our results highlight the burden of disease on affected patients and society and underscore the substantial unmet medical need.

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Hearing loss and the risk of disability pension in Norway: The Hunt Study

Scandinavian Journal of Public Health ◽

10.1177/1403494813498004 ◽

2013 ◽

Vol 41 (8) ◽

pp. 818-824 ◽

Cited By ~ 6

Author(s):

Anne-Sofie Helvik ◽

Steinar Krokstad ◽

Kristian Tambs

Keyword(s):

Hearing Loss ◽

Disability Pension ◽

Hunt Study

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