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.

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

scholarly journals Job demands & control among employees in Sweden aged 55-64 and labour market status 11 years later

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
K Farrants ◽  
K Alexanderson
Keyword(s):  
Labour Market ◽  
Old Age ◽  
Multinomial Logistic Regression ◽  
Job Demands ◽  
Job Control ◽  
Paid Work ◽  
Market Status ◽  
High Control ◽  
Labour Market Status

Abstract Background As discussions about extending working lives are ongoing, more knowledge is warranted on how psychosocial working conditions are associated with labour market status in older age. Aim Among employees aged 55-64 years, explore associations between job demands/control with their labour market status 11 years later, using a job exposure matrix (JEM). Methods A population-based prospective cohort study using nationwide register data. All 616,818 individuals in Sweden who in 2001 were in paid work and aged 55-64, were categorized using JEM into 9 groups, based on tertiles. They were followed up in 2012 regarding their labour market status (main income from: paid work, old-age pension, marginalised (no income/social assistance), sickness absence >183 net days, emigrated, dead) using multinomial logistic regression for odds ratios (OR) and 95% confidence intervals (CI), controlling for labour market status and sociodemographics in 2001. Analyses were stratified by sex. Results The majority (women: 84.9%, men: 80.3%) had main income from old-age pension at the 11-year follow-up; 4.7% from paid work (women: 3.9%, men: 5.6%). Those initially in jobs with high demands were less likely to be marginalised at follow-up (OR women high demands/medium control 0.51, CI 0.38-0.68, high demands/high control 0.68, CI 0.50-0.92; OR men high demands/medium control 0.55, CI 0.31-0.96, high demands/high control 0.47, CI 0.30-0.73). Those in occupations with low demands were less likely to be in paid work (OR women low demands/low control 0.56, CI 0.51-0.62, low demands/medium control 0.63, CI 0.58-0.69; OR men low demands/low control 0.56, CI 0.51-0.63, low demands/medium control 0.63, CI 0.58-0.69). Conclusions High job demands with high job control among people aged 55-64 in 2001 were associated with higher rate and OR of having main income from paid work in 2012, and high job demands regardless of level of job control were associated with less marginalisation. Key messages Levels of job demands when aged 55-64 were associated with labour market status 11 years later for women and men, while levels of job control were less so. High job demands were associated with a higher likelihood of being in paid work and lower likelihood of being marginalised at the end of follow-up.

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

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.

scholarly journals Associations between combinations of job demands and job control among 6,16,818 people aged 55–64 in paid work with their labour market status 11 years later: a prospective cohort study

2021 ◽  
Author(s):  
Kristin Farrants ◽  
J. Head ◽  
E. Framke ◽  
R. Rugulies ◽  
K. Alexanderson
Keyword(s):  
Labour Market ◽  
Disability Pension ◽  
Social Assistance ◽  
Job Demands ◽  
Job Control ◽  
Paid Work ◽  
Market Status ◽  
High Control ◽  
Labour Market Status

Abstract Background Given current discussions about extending working lives, more knowledge is needed on working conditions associated with labour market status in older age. Objective To explore associations between combinations of job demands and job control among workers aged 55–64 years and their labour market status 11 years later. Methods A population-based prospective cohort study using nationwide register data. The 616,818 individuals in Sweden aged 55–64 who in 2001 were in paid work were categorised using a job exposure matrix based on tertiles (reference = medium control/medium demands). Participants were followed up in 2012 regarding their main labour market status (paid work, old-age pension, no income/social assistance, sickness absence/disability pension, emigrated, dead; reference = old-age pension) using multinomial logistic regression for odds ratios (OR) and 95% confidence intervals (CI). The fully adjusted analyses included adjustment for sociodemographic factors and unemployment or sickness absence/disability pension for more than half the year in 2001. Results Those in occupations with low job control at baseline were less likely to be in paid work at follow-up (OR low demands/low control 0.74, CI 0.71–0.78; high demands/low control 0.81, CI 0.75–0.87). Those in occupations with baseline high demands were less likely to have no income/social assistance at follow-up (OR high demands/low control 0.71, CI 0.52–0.96; high demands/high control 0.59, CI 0.47–0.75). Conclusion Job demands and control when aged 55–64 were associated with labour market status 11 years later: high control was associated with greater chance of being in paid work, and high demands were associated with lower risk of no income/social assistance.

Job demands/control among people in paid work age 55-64 and their labour market status 11 years later

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
K Farrants ◽  
J Head ◽  
E Framke ◽  
R Rugulies ◽  
K Alexanderson
Keyword(s):  
Labour Market ◽  
Old Age ◽  
Job Demands ◽  
Job Control ◽  
Paid Work ◽  
Job Exposure Matrix ◽  
Market Status ◽  
High Control ◽  
Labour Market Status

Abstract Background As discussions about extending working lives are ongoing, more knowledge is warranted on working conditions that are associated with labour market status in older age. Aim Among employees aged 55-64 years, associations between job demands/job control with their labour market status 11 years later were explored. Methods A population-based prospective cohort study using a job exposure matrix (JEM) and nationwide register data. All 616,818 individuals in Sweden who in 2001 were in paid work and aged 55-64, were assigned JEM values for job demands/control that were categorized into tertiles resulting in nine combinations of job demands/control (reference=medium control/medium demands). Follow-up was in 2012 regarding labour market status (paid work, old-age pension, low/no income, sickness absence emigrated, dead). Odds ratios (OR) and 95% confidence intervals (CI) were calculated using multinomial logistic regression (reference category=old-age pension) with adjustment for educational level, age, birth country, family situation and type of living area. Results Women in occupations with high control (OR low demands/high control 1.21, CI 1.06-1.39, medium demands/high control 1.32, CI 1.20-1.46, high demands/high control 1.29, CI 1.20-1.37); and men in occupations with high demands/high control (OR 1.11, CI 1.02-1.21) were more likely to be in paid work. Those in occupations with high demands at baseline were less likely to have low/no income at follow-up (OR women high demands/medium control 0.51, CI 0.37-0.68, high demands/high control 0.68, CI 0.50-0.92; men high demands/medium control 0.55, CI 0.31-0.96, high demands/high control 0.47, CI 0.32-0.74. Conclusions High job control combined with any level of demands for women and high demands for men aged 55-64 in 2001 were associated with higher OR of having main income from paid work in 2012, and high job demands combined with any level of job control were associated with lower OR of low/no income. Key messages Combinations of job demands and job control among workers aged 55-64 years in 2001 were associated with labour market situations in 2012. Using a job exposure matrix divided into tertiles allows for greater detail in measuring high, medium, and low demands and control than methods used in previous studies.

scholarly journals Sequence analysis of sickness absence and disability pension in the year before and the three years following a bicycle crash; a nationwide longitudinal cohort study of 6353 injured individuals

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Linnea Kjeldgård ◽  
Helena Stigson ◽  
Kristina Alexanderson ◽  
Emilie Friberg
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Sequence Analysis ◽  
Sickness Absence ◽  
Disability Pension ◽  
Brain Injuries ◽  
Multinomial Logistic Regression ◽  
Road User ◽  
Full Time

Abstract Background Bicyclists are the road user group with the highest number of severe injuries in the EU, yet little is known about sickness absence (SA) and disability pension (DP) following such injuries. Aims To explore long-term patterns of SA and DP among injured bicyclists, and to identify characteristics associated with the specific patterns. Methods A longitudinal register-based study was conducted, including all 6353 individuals aged 18–59 years and living in Sweden in 2009, who in 2010 had incident in-patient or specialized out-patient healthcare after a bicycle crash. Information about sociodemographic factors, the injury, SA (SA spells > 14 days), and DP was obtained from nationwide registers. Weekly SA/DP states over 1 year before through 3 years after the crash date were used in sequence and cluster analyses. Multinomial logistic regression was used to estimate odds ratios (OR) and 95% confidence intervals (CI) for factors associated with each identified sequence cluster. Results Seven clusters were identified: “No SA or DP” (58.2% of the cohort), “Low SA or DP” (7.4%), “Immediate SA” (20.3%), “Episodic SA” (5.9%), “Long-term SA” (1.7%), “Ongoing part-time DP” (1.7%), and “Ongoing full-time DP” (4.8%). Compared to the cluster “No SA or DP”, all other clusters had higher ORs for women, and higher age. All clusters but “Low SA and DP” had higher ORs for inpatient healthcare. The cluster “Immediate SA” had a higher OR for: fractures (OR 4.3; CI 3.5–5.2), dislocation (2.8; 2.0–3.9), sprains and strains (2.0; 1.5–2.7), and internal injuries (3.0; 1.3–6.7) compared with external injuries. The cluster “Episodic SA” had higher ORs for: traumatic brain injury, not concussion (4.2; 1.1–16.1), spine and back (4.5; 2.2–9.5), torso (2.5; 1.4–4.3), upper extremities (2.9; 1.9–4.5), and lower extremities (3.5; 2.2–5.5) compared with injuries to the head, face, and neck (not traumatic brain injuries). The cluster “Long-term SA” had higher ORs for collisions with motor vehicles (1.9;1.1–3.2) and traumatic brain injury, not concussion (18.4;2.2–155.2). Conclusion Sequence analysis enabled exploration of the large heterogeneity of SA and DP following a bicycle crash. More knowledge is needed on how to prevent bicycle crashes and especially those crashes/injuries leading to long-term consequences.

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 Job demands, job control, psychological climate, and job satisfaction

2017 ◽  
Vol 4 (3) ◽  
pp. 238-255 ◽  
Author(s):  
Maria Karanika-Murray ◽  
George Michaelides ◽  
Stephen J. Wood
Keyword(s):  
Job Satisfaction ◽  
Organizational Context ◽  
Job Demands ◽  
Job Design ◽  
Job Control ◽  
Psychological Climate ◽  
Employee Outcomes ◽  
Content Type ◽  
Dissonance Theory ◽  
And Control

Purpose Research into job design and employee outcomes has tended to examine job design in isolation of the wider organizational context, leading to calls to attend to the context in which work is embedded. The purpose of this paper is to examine the effects of the interaction between job design and psychological climate on job satisfaction. Design/methodology/approach Cognitive dissonance theory was used to explore the nature of this relationship and its effect on job satisfaction. The authors hypothesized that psychological climate (autonomy, competence, relatedness dimensions) augments favorable perceptions of job demands and control when there is consistency between them (augmentation effect) and compensates for unfavorable perceptions when they are inconsistent (compensation effect). Findings Analysis of data from 3,587 individuals partially supported the hypotheses. Compensation effects were observed for job demands under a high autonomy and competence climate and for job control under a low competence climate. Augmentation effects were observed for job demands under a high relatedness climate. Practical implications When designing jobs managers should take into account the effects of psychological climate on employee outcomes. Originality/value This study has offered a way to bridge the job design and psychological climate fields and demonstrated that the call for more attention to the context in which jobs are embedded is worth heeding.

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