scholarly journals Work Resumption after a Fixed-Term Disability Pension: Changes over Time during a Period of Decreasing Incidence of Disability Retirement

2021 ◽  
Vol 18 (9) ◽  
pp. 4618
Author(s):  
Mikko Laaksonen
Keyword(s):  
Return To Work ◽  
Disability Pension ◽  
Age Groups ◽  
Drop Out ◽  
Permanent Disability ◽  
Disability Retirement ◽  
Occupational Characteristics ◽  
Somatic Diseases ◽  
Changes Over Time ◽  
Work Resumption

The incidence of disability retirement in Finland has sharply decreased over the last ten years. At the same time, the share of fixed-term pensions has increased to cover more than half of all new disability pensions. This study examined the efficiency of fixed-term disability pensions under these changing circumstances with the aim of addressing the following research questions: are fixed-term disability pensions more often converted to permanent pensions, and how have the changes affected return to work? The study was based on register data of Finnish residents aged 25–62 whose fixed-term disability pension started in 2006 (n = 10,177) or 2015 (n = 7918). Of the fixed-term disability pensions starting in 2006, 58 percent were converted to a permanent disability pension within the next four years. In 2015, the corresponding figure was 41 percent. Return to work increased from 24 to 30 percent. In addition, ending up in some other state (most often unemployment) increased, and, more often, fixed-term disability pensions continued for more than four years. Transferring to a permanent disability pension decreased more among the younger, those with a lower education, and those suffering from mental disorders. The results were not notably affected by changes in the characteristics of fixed-term disability pension recipients (e.g., demographic and occupational characteristics and rehabilitation) or the selection of applicants into a fixed-term or a permanent pension. Return to work increased more among men, the older age groups, those with a fixed-term disability pension due to somatic diseases, and those who had received vocational rehabilitation. Adjusting for the composition of fixed-term disability pensioners increased the differences between the study years, and controlling for the selection into a fixed-term pension further widened the differences. In conclusion, a decreasing proportion of fixed-term disability pensions are converted to permanent pensions, but this is only partly reflected in increased return to work. Further efforts are needed to support work resumption after a fixed-term disability pension to avoid the situation where people drop out from disability pension but are resting on unemployment and other benefits.

scholarly journals Factors associated with returning to work after long term absence due to mental disorders

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Päivi Rissanen ◽  
Reija Autio ◽  
Turkka Näppilä ◽  
Sari Fröjd ◽  
Sami Pirkola
Keyword(s):  
Mental Disorder ◽  
Return To Work ◽  
Disability Pension ◽  
Lower Grade ◽  
Related Factors ◽  
Permanent Disability ◽  
Factors Associated ◽  
Study Population ◽  
Returning To Work ◽  
First Time

AbstractIf there is a chance for a person’s ability to work to be restored through treatment or rehabilitation, a temporary disability pension may be granted in Finland. We examined the personal, socio-economic and healthcare-related factors associated with return to work (RTW) after the receipt of temporary disability pension. The study material contains comprehensive register data of individuals who were granted a temporary disability pension due to a mental disorder (ICD10: F10–F69, F80–F99) for the first time between 2010 and 2012 (N = 8615). We applied clustering analysis in order to reveal different patterns of returning to work after receipt of temporary disability pension and utilized multinominal regression analysis to examine gender-specific determinants for RTW and partial RTW in a controlled setting. Being a lower-grade employee remarkably promoted RTW for women (OR 7.85 95% CI 5.35–11.51), as did being a manual worker for men (OR 5.47 95% CI 3.48–8.78). Moreover, both active male (OR 3.51 95% CI 2.19–5.61) and female manual workers (OR 2.44 95% CI 1.66–3.59) had a higher probability of partial RTW compared to people who were initially unemployed. In addition, psychotherapy and vocational rehabilitation were associated with an increased probability of RTW. After 3 years from the initial temporary pensioning, almost two-thirds of the study population (69% of men and 64% of women) still had a temporary or by then a permanent disability pension due to a mental disorder. This and further research could improve the ability to recognize those subjects more likely to return to work than others.

scholarly journals Process of Work Disability: From Determinants of Sickness Absence Trajectories to Disability Retirement in A Long-Term Follow-Up of Municipal Employees

2021 ◽  
Vol 18 (5) ◽  
pp. 2614
Author(s):  
Päivi Leino-Arjas ◽  
Jorma Seitsamo ◽  
Clas-Håkan Nygård ◽  
Prakash K.C. ◽  
Subas Neupane
Keyword(s):  
Working Conditions ◽  
Work Disability ◽  
Disability Pension ◽  
Sleep Problems ◽  
Respiratory Morbidity ◽  
Multinomial Regression ◽  
Permanent Disability ◽  
Municipal Employees ◽  
Exercise Effect ◽  
Knowledge Intensive

Work disability may originate early during work history and involve sickness absences (SA) and eventually permanent disability. We studied this process over 15 years. Questionnaire data collected in 1981 on health, working conditions, and lifestyle of Finnish municipal employees aged 44–58 years (n = 6257) were linked with registers on SA (≥10 workdays), disability pension, and death from the period 1986–1995. Trajectory analysis was used to assess development in SA (days/year) over 5 years (1981–1985). We analyzed determinants of the trajectories with multinomial regression, while trajectory membership was used as a predictor of disability pension (DP) during the subsequent 10 years in survival analysis. Three SA trajectories emerged: increasing (women: 6.8%; men: 10.2%), moderate (21.2%; 22.7%), and low. In a mutually adjusted model, the increasing trajectory in women was associated with baseline musculoskeletal (MSD), mental and respiratory disorders, injuries, obesity, sleep problems, and low exercise (effect sizes OR > 2), and in men with MSD, sleep problems, smoking, low exercise, and non-satisfaction with management. The moderate trajectory associated with MSD, ‘other somatic disorders’, sleep problems, and awkward work postures in both genders; in women, also overweight, cardiovascular and respiratory morbidity, and (inversely) knowledge-intensive work, and in men, smoking and mental disorders were thus associated. Ten-year risks of DP contrasting increasing vs. low SA were more than 10-fold in both genders and contrasting moderate vs. low SA 3-fold in women and 2-fold in men. These findings emphasize the need for early identification of workers with short-term problems of work ability and interventions regarding lifestyle, health, and working conditions, to help prevent permanent disability.

scholarly journals Sickness absence and disability pension after carpal tunnel syndrome diagnosis: A register-based study of patients and matched references in Sweden

2021 ◽  
pp. 140349482110027
Author(s):  
Tea Lallukka ◽  
Rahman Shiri ◽  
Kristina Alexanderson ◽  
Jenni Ervasti ◽  
Ellenor Mittendorfer-Rutz ◽  
...  
Keyword(s):  
Health Care ◽  
Carpal Tunnel Syndrome ◽  
Sickness Absence ◽  
Carpal Tunnel ◽  
Disability Pension ◽  
Negative Binomial ◽  
Age Groups ◽  
Negative Binomial Regression ◽  
Sociodemographic Factors ◽  
Tunnel Syndrome

Aims: The aim of this study was to examine sickness absence and disability pension (SA/DP) during working lifespan among individuals diagnosed with carpal tunnel syndrome (CTS) and their matched references, accounting for sociodemographic factors. Methods: We used a register cohort of 78,040 individuals aged 19–60 years when diagnosed with CTS in secondary health care (hospitals and outpatient specialist health care) and their 390,199 matched references from the general population in 2001–2010. Sociodemographic factors and SA/DP net days during a three-year follow-up were included. Negative binomial regression was used. Results: For those not on DP at inclusion, the average number of SA/DP days per person-year was 58 days (95% confidence interval (CI) 56–60 days) among individuals with CTS and 20 days (95% CI 19–21 days) among the matched references. Among both groups, these numbers increased with age and were higher among women than among men. The rate ratio (RR) of SA/DP days was threefold higher among people with CTS than among the matched references (adjusted RR=3.00, 95% CI 2.91–3.10) Moreover, compared to the matched references, the RR for SA/DP was higher among men with CTS (RR=3.86, 95% CI 3.61–4.13) than among women with CTS (RR=2.69, 95% CI 2.59–2.78). The association between CTS and the number of SA/DP days was smaller among older age groups. Sociodemographic factors were similarly associated with SA/DP among people with and without CTS. Conclusions: Numbers of SA/DP days were higher among people with CTS than their matched references in all age groups, particularly among individuals in their early work careers, highlighting public-health relevance of the findings.

scholarly journals Depression and depressive symptoms as risk factors of labour deactivation and early or disability retirement in economically active adults in different age groups

2018 ◽  
Vol 27 (1) ◽  
pp. 59-63
Author(s):  
Magdalena Konopko ◽  
Anna Antosik-Wójcińska ◽  
Łukasz Święcicki ◽  
Marcin Wojnar ◽  
Przemysław Bieńkowski ◽  
...  
Keyword(s):  
Risk Factors ◽  
Depressive Symptoms ◽  
Age Groups ◽  
Disability Retirement ◽  
Active Adults

FC13-06 - The analysis of the reasons of suicide behaviour owing to family-sexual disharmonies

2011 ◽  
Vol 26 (S2) ◽  
pp. 1887-1887
Author(s):  
T. Butkova ◽  
N. Kibrik
Keyword(s):  
Suicide Attempts ◽  
Age Groups ◽  
Personal Characteristics ◽  
List Type ◽  
Age Group ◽  
Suicide Behaviour ◽  
Group A ◽  
Intimate Relations ◽  
Age Features ◽  
Somatic Diseases

ObjectiveFamily-sexual disharmonies - are the frequent reasons of suicide behaviour. Design: Complex inspection of 62 patients, in the age from 18 years has been performed. In the anamnesis patients had suicide behaviour owing to family-sexual disharmonies.Results1.Age when suicide attempts have been accomplished. Middle age has made 31 ± 8,8 years; 20–29 years - 43% (27 person); 30-39 years - 39% (24 person). The other 11 person-were included into the age groups of 40–49, 50–59 years.2.The reasons of autoaggressive behaviour: Suicide attempts owing to divorce, ideas of matrimonial incorrectness - 52% (32 person).Owing to the unfair attitude from the nearest environment or a dissatisfaction with behaviour and personal qualities of significant another - 48% (30 person). Age features: For young age - unavailability of young spouses to home life, absence of tolerance and respect to each other. Average age group - a dissatisfaction with behaviour of the partner. The senior age group - somatic diseases, loneliness, loss of relatives 3. In 66% of cases (41 person) suicide had no in the anamnesis of mental diseases at relatives.ConclusionsThe primary goal at rendering the psychotherapeutic help - revealing and correction of non adaptive installations of the person. Formation of confidential and empathic attitudes in family. It has been confirmed correlation analysis between partners′ satisfaction attitudes, personal characteristics suicident. It is necessary to raise availability of the information on various aspects of sexual health, psychohygiene of intimate relations.

scholarly journals Girls and Young Women in Community Sport: A South Australian Perspective

2022 ◽  
Vol 3 ◽  
Author(s):  
Murray Drummond ◽  
Claire Drummond ◽  
Sam Elliott ◽  
Ivanka Prichard ◽  
Jamie-Lee Pennesi ◽  
...  
Keyword(s):  
Physical Activity ◽  
High School ◽  
High School Students ◽  
Young Women ◽  
Age Groups ◽  
Dropout Rate ◽  
Drop Out ◽  
School Students ◽  
Community Sport ◽  
Engagement And Disengagement

Girls' and young women's engagement and disengagement in physical activity has been well documented in Western culture. Sport plays a pivotal role in the development of behaviours that promote physical activity, particularly through commitment to team and individual goal attainment, socialisation, and feelings of belonging and self-identity. Community sport in Australia is the dominant pathway into state, national, and elite international competition. The importance of community sport in the lives of girls and young women cannot be overstated, irrespective of individual long-term sporting goals. Indeed, the dropout rate of girls in sports, like many other western cultures is significant and is certainly disproportionate to the numbers of boys who drop out. The present study aims to examine the intrapersonal, interpersonal, and environmental influences on community sporting pathways for girls and young women. Using a mixed-methods design, we include survey data from 2,189 high-school students (aged 12–18 years) and focus group and individual interview data from a subset of 37 high-school students, parents, and teachers, across metropolitan Adelaide, South Australia. The study included an examination of sporting practises and insights of male sport participants from the same age groups to juxtapose the findings and provide a more comprehensive understanding of girls' and young women's community sporting involvement. Parents and teachers were also included within the participant cohort to provide a comprehensive perspective. The results highlight the challenges that girls face with respect to engagement and disengagement in sport and particular points throughout their adolescent years. Recommendations are provided to help mitigate potential attrition of girls in sport in the future.

scholarly journals Formulating a return-to-work decision for employees with major depressive disorders: occupational therapists’ experiences

2016 ◽  
Vol 8 (2) ◽  
Author(s):  
Enos Ramano ◽  
Tania Buys ◽  
Marianne De Beer
Keyword(s):  
Mental Health ◽  
Return To Work ◽  
Vocational Rehabilitation ◽  
Depressive Disorders ◽  
Work Productivity ◽  
Occupational Therapists ◽  
Point Of View ◽  
Major Depressive ◽  
Permanent Disability ◽  
Postgraduate Qualification

Background: Major depressive disorder (MDD) is worldwide one of the most concerning health problems as it is associated with reduced work productivity and permanent disability. Occupational therapists are often called upon to make a return-to-work decision on employees with MDD in order to facilitate continued employment. Sustaining employment is in alignment with achieving the Millennium Development Goal 1: Eradicating extreme poverty, as it is known that people suffering from mental health disorders are frequently denied employment opportunities leading to reduced financial resources and therefore possible poverty.Aim: This study described occupational therapists’ experiences of formulating a return-to workdecision on employees with MDD. It formed part of a larger study.Setting: Occupational therapists working in vocational rehabilitation or mental health in South Africa with a postgraduate qualification in vocational rehabilitation or mental health participated in the study.Method: A qualitative research design was used. Two separate focus groups explored 11 occupational therapists’ experiences of formulating a return-to-work decision on employees with MDD. Ethics clearance number: S34/2007.Results: Seven themes emerged, which were, (1) the biographical profile of the employee, (2) point of view of employer, (3) point of view of employee, (4) point of view of occupational therapist, (5) declaring the employee as temporary incapacitated, (6) declaring the employee as permanently incapacitated and (7) employee’s level of motivation.Conclusion: Occupational therapists ought to have sound knowledge, skill, experience and the ability to collaborate with employees and employers in formulating a return-to-work decision.

Trends in the Incidence of Legal Problems and in the Use of Lawyers

1978 ◽  
Vol 3 (2) ◽  
pp. 289-313 ◽  
Author(s):  
Yakov Avichai
Keyword(s):  
Mathematical Model ◽  
Age Groups ◽  
Strong Increase ◽  
Government Regulations ◽  
Legal Problems ◽  
Socioeconomic Changes ◽  
Age Dependent ◽  
Changes Over Time ◽  
Near Future ◽  
Over Time

Changes in the law, government regulations, socioeconomic changes, increased consumerism, the public's level of awareness—all these and other factors influence the population's demand over time for lawyers' services. This article analyzes the changes over time in the two elements that determine the demand for lawyers: the number of legal problems encountered by the population and the rate of use of lawyers in solving these problems. After showing that sequential occurrences of legal problems are not independent of each other and are age dependent, the author develops a mathematical model that explains the variability in the present number of problems encountered by different age groups. The number of problems is found to result from a relatively mild accumulation with age of legal problems, coupled with a strong increase in the number of problems from generation to generation. The analysis of individual legal problems reveals a variety of patterns from problem to problem in both the level of occurrence and the rate of use of lawyers for such problems. The author concludes that the combined effect of occurrence and utilization will operate toward a continuing increase in the demand for lawyers'services at least for the very near future.

scholarly journals How often do partial disability pensioners end up on a full disability pension?

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Polvinen ◽  
M Laaksonen
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Disability Pension ◽  
Mental Health Problems ◽  
Musculoskeletal Diseases ◽  
Disability Retirement ◽  
Working Lives ◽  
Low Education ◽  
History Of

Abstract Background Extending working lives and deferring retirement have been important topics of discussion in recent years. Full disability pensioners seldom work, but most partial disability pensioners continuing working while receiving a pension. However, very little is known about how often partial disability pensioners end up on a full disability pension. The aims of this study were to investigate to what degree partial disability pensions become full disability pensions, and how age, gender, marital status, education, unemployment or a disability diagnosis are associated with that. Methods The register data included 2,969 Finns who were aged 18-59 years and whose partial disability retirement started in 2010. The follow-up period ranged from 2010 to the end of 2015. Cox models were used to estimate hazard ratios for full disability retirement. Results Approximately 40 per cent of the partial disability pensioners ended up on a full disability pension during the follow-up period. Partial disability pensioners who were older, had a lower educational level or a history of unemployment, or who suffered from mental disorders ended up on a full disability pension more often than others. The risk of full disability retirement was 1.5-fold among those with mental disorders compared to those with musculoskeletal diseases. Conclusions Partial disability pensioners with a low education, a history of unemployment or who suffer from mental disorders experience a higher risk of ending up on a full disability pension. More focus should be paid to improving education, preventing mental health problems and unemployment in order to help the disabled work longer. Key messages Preventing partial disability pensioners from ending up on a full disability pension can extend their working lives. Partial disability pensioners with a low education, a history of unemployment or poor mental health more often stop working altogether. More focus should be paid to improving these issues.

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

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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