Associations of job demands and job control with long-term sickness absence and disability pension

2018 ◽  
Vol 28 (suppl_4) ◽  
Author(s):  
K Farrants ◽  
J Norberg ◽  
A Sondén ◽  
R Rugulies ◽  
E Framke ◽  
...  
Keyword(s):  
Sickness Absence ◽  
Disability Pension ◽  
Job Demands ◽  
Job Control

Associations of job demands and job control with long-term sickness absence and disability pension

2018 ◽  
Vol 28 (suppl_4) ◽  
Author(s):  
K Farrants ◽  
J Norberg ◽  
A Sondén ◽  
R Rugulies ◽  
E Framke ◽  
...  
Keyword(s):  
Sickness Absence ◽  
Disability Pension ◽  
Job Demands ◽  
Job Control

Job demands and control and sickness absence, disability pension and unemployment among 2,194,692 individuals in Sweden

2019 ◽  
Vol 48 (2) ◽  
pp. 125-133 ◽  
Author(s):  
Jan Norberg ◽  
Kristina Alexanderson ◽  
Elisabeth Framke ◽  
Reiner Rugulies ◽  
Kristin Farrants
Keyword(s):  
Sickness Absence ◽  
Disability Pension ◽  
Multinomial Logistic Regression ◽  
Job Demands ◽  
Job Control ◽  
Paid Work ◽  
Job Exposure Matrix ◽  
High Control ◽  
And Control

Background: Knowledge is needed on associations between job demands and job control and long-term sickness absence (SA) and unemployment. We explored associations of job demands and job control with SA/disability pension (DP) and unemployment among women and men in paid work. Methods: We included all 2,194,694 individuals living in Sweden in 2001, aged 30–54 years, and in paid work. The Swedish Job Exposure Matrix (JEM) was used to ascertain levels of job demands and job control. Individuals were categorized into nine groups based on combinations of high, medium, or low values on both demands and control. Using multinomial logistic regression, we estimated odds ratios (OR) with 95% confidence intervals (CI) for the association of job demands and job control with risk of long-term SA/DP (>183 net days) and long-term unemployment (>183 days). Results: Regarding SA/DP, among women the risk was highest for those in occupations with low demands and low control (OR=1.32; 95% CI: 1.28–1.36), whereas among men the risk was highest among those in occupations with high demands and low control (OR=1.22; 1.11–1.34). Regarding unemployment, among women the risk was highest among those in occupations with low demands and medium control (OR=1.30; 1.24–1.37), whereas among men the risk was highest for those in occupations with low demands and high control (OR=1.54; 1.46–1.62). Conclusions: Using a JEM among all in a population rather than for specific occupations gives a more comprehensive view of the associations between job demands/job control and long-term SA/DP and unemployment, respectively.

Combinations of Job Demands and Job Control and Future Trajectories of Sickness Absence and Disability Pension

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Kristina Alexanderson ◽  
Reiner Rugulies ◽  
Elisabeth Framke ◽  
Mikko Niemelä ◽  
Laura Salonen ◽  
...  
Keyword(s):  
Sickness Absence ◽  
Disability Pension ◽  
Job Demands ◽  
Job Control

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 Health behaviours and psychosocial working conditions as predictors of disability pension due to different diagnoses: a population-based study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Annina Ropponen ◽  
Jurgita Narusyte ◽  
Karri Silventoinen ◽  
Pia Svedberg
Keyword(s):  
Social Support ◽  
Musculoskeletal Disorders ◽  
Working Conditions ◽  
Disability Pension ◽  
Job Demands ◽  
Health Behaviours ◽  
Population Based ◽  
Job Control ◽  
Psychosocial Working Conditions ◽  
Unit Increase

Abstract Background To investigate whether the clustering of different health behaviours (i.e. physical activity, tobacco use and alcohol consumption) influences the associations between psychosocial working conditions and disability pension due to different diagnoses. Methods A population-based sample of 24,987 Swedish twins born before 1958 were followed from national registers for disability pension until 2013. Baseline survey data in 1998–2003 were used to assess health behaviours and psychosocial Job Exposure Matrix for job control, job demands and social support. Cox proportional hazards models were used to calculate hazard ratios (HR) with 95% confidence intervals (CI). Results During follow-up, 1252 disability pensions due to musculoskeletal disorders (5%), 601 due to mental diagnoses (2%) and 1162 due to other diagnoses (5%) occurred. In the models controlling for covariates, each one-unit increase in job demands was associated with higher (HR 1.16, 95%CI 1.01–1.33) and in job control with lower (HR 0.87, 95%CI 0.80–0.94) risk of disability pension due to musculoskeletal disorders among those with unhealthy behaviours. Among those with healthy behaviours, one-unit increase of social support was associated with a higher risk of disability pension due to mental and due to other diagnoses (HRs 1.29–1.30, 95%CI 1.04–1.63). Conclusions Job control and job demands were associated with the risk of disability pension due to musculoskeletal disorders only among those with unhealthy behaviours. Social support was a risk factor for disability pension due to mental or other diagnoses among those with healthy behaviours. Workplaces and occupational health care should acknowledge these simultaneous circumstances in order to prevent disability pension.

scholarly journals Sleep disturbance and work-related mental strain: A national prospective cohort study of the prediction of subsequent long-term sickness absence, disability pension and mortality

2020 ◽  
Vol 48 (8) ◽  
pp. 888-895
Author(s):  
Torbjörn Åkerstedt ◽  
Ellenor Mittendorfer-Rutz ◽  
Syed Rahman
Keyword(s):  
Sleep Disturbance ◽  
Sickness Absence ◽  
Work Disability ◽  
Disability Pension ◽  
Sleep Disturbances ◽  
Workplace Stress ◽  
Mental Strain ◽  
Work Related ◽  
Synergy Effects

Aims: Sleep disturbances and work-related mental strain are linked to increased sickness absence and disability pension (DP), but we have no information on synergy effects. The aim of this study was to examine the combined (and separate) association of the two predictors with subsequent long-term work disability and mortality. Methods: A total of 45,498 participants aged 16–64 years were interviewed in the Swedish Surveys of Living Conditions between 1997 and 2013, and were followed up on long-term sickness absence (LTSA; >90 days/year), DP and mortality via national registers until 2016. Crude and multivariable Cox analyses were used to estimate hazard ratios (HR) and 95% confidence intervals (CI). Results: For LTSA, the HRs for sleep disturbances and work-related mental strain were 1.6 (95% CI 1.5–1.7) and 1.3 (95% CI 1.2–1.4), respectively. For DP, the HRs were 2.0 (95% CI 1.8–2.2) and 1.4 (95% CI 1.2–1.5). Mortality was only predicted by sleep disturbances (HR=1.2, 95% CI 1.1–1.4). No synergy effect was seen. Conclusions: Work-related mental strain and, in particular, sleep disturbances were associated with a higher risk of subsequent LTSA and DP, but without synergy effects. Sleep disturbances were also associated with mortality. Exposure to interventions tackling sleep disturbance and prevention of workplace stress may reduce work disability.

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.

scholarly journals Psychosocial working conditions and future sick leave and disability pension trajectories in Sweden

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
L Salonen ◽  
K Alexanderson ◽  
R Rugulies ◽  
E Framke ◽  
M Niemelä ◽  
...  
Keyword(s):  
Working Conditions ◽  
Disability Pension ◽  
Job Demands ◽  
Well Being ◽  
Job Control ◽  
Multinomial Regression ◽  
Job Exposure Matrix ◽  
Psychosocial Working Conditions ◽  
And Control ◽  
Group Memberships

Abstract Background Psychosocial working conditions such as job demands and job control have been found to be associated with employee health and well-being, but studies on the associations with sickness absence (SA) and disability pension (DP) are scarce. We examined 11-year SA/DP trajectories and the association between psychosocial working conditions and subsequent SA/DP trajectories in the Swedish workforce. Methods Using a prospective cohort study with microdata we explored SA/DP trajectories among female and male employees, respectively, aged 30-53 years in 2001 in Sweden (1,076,042 women; 1,102,721 men). Group-based trajectory analysis was used to model annual mean SA/DP net days trajectories in 2002-2012. Based on a Swedish Job Exposure Matrix (JEM), individuals were assigned an age-, sex- and occupation-specific mean score for demands and control, respectively. Mean scores were categorized into tertiles and categorised into 3x3 combinations of exposure categories. Using multinomial regression we predicted trajectory group memberships for the JEM. Results The highest rate of women were in occupations with low demands and control (24.8%), while the highest rate of men (22.9%) was in occupations with high demands and control. We found three SA/DP trajectories for women (low, medium, high increasing) and two for men (low, high increasing). In fully adjusted models, those in occupations with low demands and low control were at higher risk of belonging to the high increasing SA/DP trajectory compared to those in occupations with high job demands and control in both women (OR 3.86; 95% CI: 3.75-3.97) and men (OR 3.0; 2.99-3.16). Conclusions Low job demands and low job control were associated with more high increasing future SA/DP trajectories compared to high job demands and job control in both women and men. Key messages In Sweden, women are more often in occupations characterized by low job demands and low job control and men are more often in occupations with high job demands and high job control. Occupations with low job demands and low job control were associated with more adverse SA/SP trajectories compared to occupations with high job demands and high job control in both women and men.

Sign in / Sign up

Export Citation Format

Share Document