Occurrence of sickness absence and disability pension in relation to childbirth: A 16-year follow-up study of 6323 Swedish twins

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.

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Asthma, COPD and the risk of disability pension - 11 year register-based follow-up study

10.1183/13993003.congress-2015.pa356 ◽

2015 ◽

Author(s):

Irmeli Lindström ◽

Ritva Luukkonen ◽

Tuula Vasankari ◽

Merja Kanervisto ◽

Markku Heliövaara ◽

...

Keyword(s):

Disability Pension ◽

Follow Up Study

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The contribution of the psychosocial work environment to sickness absence in human service workers: Results of a 3-year follow-up study

Work & Stress ◽

10.1080/02678370701747549 ◽

2007 ◽

Vol 21 (4) ◽

pp. 293-311 ◽

Cited By ~ 83

Author(s):

Reiner Rugulies ◽

Karl B. Christensen ◽

Marianne Borritz ◽

Ebbe Villadsen ◽

Ute Bültmann ◽

...

Keyword(s):

Work Environment ◽

Sickness Absence ◽

Human Service ◽

Psychosocial Work Environment ◽

Psychosocial Work ◽

Service Workers ◽

Human Service Workers ◽

Follow Up Study

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Gender segregation of occupations and sustainable employment: A prospective population-based cohort study

Scandinavian Journal of Public Health ◽

10.1177/1403494818785255 ◽

2018 ◽

Vol 47 (3) ◽

pp. 348-356 ◽

Cited By ~ 3

Author(s):

Lena Gonäs ◽

Anders Wikman ◽

Marjan Vaez ◽

Kristina Alexanderson ◽

Klas Gustafsson

Keyword(s):

Cohort Study ◽

Labour Market ◽

Sickness Absence ◽

Disability Pension ◽

Population Based ◽

Gender Segregation ◽

Labour Market Situation ◽

Market Situation ◽

Male Dominated

Background: Although the labour market is characterized by a strong numerical gender segregation of occupations, there is little knowledge about the associations of this with the future labour market situation for an individual person. Objectives: This study aimed to elucidate whether working in a gender-segregated or gender-integrated occupation is associated with future labour market attachment and sickness absence or disability pensions among women and men. Methods: We used a population-based prospective cohort study with univariate and multiple logistic regression analyses stratified by gender, including all people living in Sweden aged 20–56 years and in paid work in 2003 ( n=3,239,989). They were followed up eight years later with regard to employment status, sickness absence and disability pension. Results: Women and men employed in extremely female-dominated occupations in 2003 had the highest employment levels and the lowest unemployment levels at follow up in 2011. When adjusting for age, level of education and sector of employment, the highest odds ratios (ORs) for not being employed in 2011 were found for women working in extremely male-dominated occupations in 2003 (OR 1.27; 95% CI 1.21–1.33) and for men in female-dominated occupations (OR 1.42; 95% CI 1.39–1.45) relative to those in gender-integrated occupations. Women in extremely male-dominated occupations had the highest ORs for sickness absence or the receipt of a disability pension at follow up (OR 1.26; 95% CI 1.17–1.36) and men in female-dominated occupations had the highest OR 1.15 (95% CI 1.11–1.20). Conclusions: For both women and men, the gender composition of the occupation they work in seems to be of importance for their future labour market attachment and sickness absence or receipt of a disability pension.

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Five-year follow-up study of disability pension rates in first-onset schizophrenia with special focus on regional differences and mortality

General Hospital Psychiatry ◽

10.1016/j.genhosppsych.2011.05.017 ◽

2011 ◽

Vol 33 (5) ◽

pp. 509-517 ◽

Cited By ~ 8

Author(s):

Marjo Kiviniemi ◽

Jaana Suvisaari ◽

Sami Pirkola ◽

Kristian Läksy ◽

Unto Häkkinen ◽

...

Keyword(s):

Disability Pension ◽

Regional Differences ◽

Special Focus ◽

Follow Up Study ◽

First Onset

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Severe depressive symptoms as predictor of disability pension: a 10-year follow-up study in Denmark

European Journal of Public Health ◽

10.1093/eurpub/ckm132 ◽

2008 ◽

Vol 18 (3) ◽

pp. 232-234 ◽

Cited By ~ 59

Author(s):

U. Bultmann ◽

K. B. Christensen ◽

H. Burr ◽

T. Lund ◽

R. Rugulies

Keyword(s):

Depressive Symptoms ◽

Disability Pension ◽

Follow Up Study

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Sickness absence and disability pension before and after first childbirth and in nulliparous women: longitudinal analyses of three cohorts in Sweden

BMJ Open ◽

10.1136/bmjopen-2019-031593 ◽

2019 ◽

Vol 9 (9) ◽

pp. e031593 ◽

Cited By ~ 2

Author(s):

Charlotte Björkenstam ◽

Cecilia Orellana ◽

Krisztina D László ◽

Pia Svedberg ◽

Margaretha Voss ◽

...

Keyword(s):

Sickness Absence ◽

Disability Pension ◽

Population Based ◽

Secondary Outcome ◽

Detailed Knowledge ◽

Longitudinal Analyses ◽

Nulliparous Women ◽

Before And After ◽

The Mean

ObjectiveChildbirth is suggested to be associated with elevated levels of sickness absence (SA) and disability pension (DP). However, detailed knowledge about SA/DP patterns around childbirth is lacking. We aimed to compare SA/DP across different time periods among women according to their childbirth status.DesignRegister-based longitudinal cohort study.SettingSweden.ParticipantsThree population-based cohorts of nulliparous women aged 18–39 years, living in Sweden 31 December 1994, 1999 or 2004 (nearly 500 000/cohort).Primary and secondary outcome measuresSum of SA >14 and DP net days/year.MethodsWe compared crude and standardised mean SA and DP days/year during the 3 years preceding and the 3 years after first childbirth date (Y−3to Y+3), among women having (1) their first and only birth during the subsequent 3 years (B1), (2) their first birth and at least another delivery (B1+), and (3) no childbirths during follow-up (B0).ResultsDespite an increase in SA in the year preceding the first childbirth, women in the B1 group, and especially in B1+, tended to have fewer SA/DP days throughout the years than women in the B0 group. For cohort 2005, the mean SA/DP days/year (95% CIs) in the B0, B1 and B1+ groups were for Y−3: 25.3 (24.9–25.7), 14.5 (13.6–15.5) and 8.5 (7.9–9.2); Y−2: 27.5 (27.1–27.9), 16.6 (15.5–17.6) and 9.6 (8.9–10.4); Y−1: 29.2 (28.8–29.6), 31.4 (30.2–32.6) and 22.0 (21.2–22.9); Y+1: 30.2 (29.8–30.7), 11.2 (10.4–12.1) and 5.5 (5.0–6.1); Y+2: 31.7 (31.3–32.1), 15.3 (14.2–16.3) and 10.9 (10.3–11.6); Y+3: 32.3 (31.9–32.7), 18.1 (17.0–19.3) and 12.4 (11.7–13.0), respectively. These patterns were the same in all three cohorts.ConclusionsWomen with more than one childbirth had fewer SA/DP days/year compared with women with one childbirth or with no births. Women who did not give birth had markedly more DP days than those giving birth, suggesting a health selection into childbirth.

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