Sick leave patterns as predictors of disability pension or long-term sick leave: a 6.75-year follow-up study in municipal eldercare workers

Stapelfeldt, Christina Malmose; Nielsen, Claus Vinther; Andersen, Niels Trolle; Krane, Line; Borg, Vilhelm; Fleten, Nils; Jensen, Chris

doi:10.1136/bmjopen-2013-003941

Cited by 17 publications

(16 citation statements)

References 27 publications

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“…Subsequently, our results augment the evidence on the positive association between unemployment and DP in the general population in Sweden [17, 43] and in Germany [21]; and in middle-aged Finnish male workers [20]. Long-term sickness absence spells have been shown to be associated with DP in Finland [52] and in Sweden [6, 53]; and there is evidence that the replacement rate of mandatory sickness absence insurance is a key determinant of duration of sickness absence spells [54]. Subsequently, within young adults with long-term activity limitations, those with past employment experience but long-term sickness absence spells may be at risk of future DP.…”

Section: Discussionsupporting

confidence: 79%

Disability pension receipt in young adults: an analysis of the Swiss Social protection and labour market (SESAM) data

Altwicker-Hámori¹,

Dratva

2019

BMC Public Health

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Background There has been an overall decreasing trend in the inflow into disability pension in Switzerland since 2003 with the exception of young adults. Disablement in young adulthood reflects a particularly critical phenomenon given the potentially far-reaching long-term social, economic and health consequences. The aim of this study was therefore to identify factors for disability pension in young adults aged 18–39, living in Switzerland. Methods We used the 2010–2015 cross-sections of the Social protection and labour market; a unique dataset linking microdata from the Swiss Labour Force Survey, the Swiss Central Compensation Office Register, and the Unemployment Insurance Register. Multiple logistic regression was employed to explore the association between demographic, socioeconomic, and health factors and disability pension in young adults living in Switzerland with long-term activity limitation ( N = 5306). Alternative specifications of the benchmark model were estimated as robustness checks; and subsample analyses were conducted excluding (i) those aged 18–24 and (ii) those with partial disability pension. Results Our regression results showed that those living without a working partner (OR 2.11; 95% CI 1.51–2.94) and without a child aged 0–14 (OR 2.15; 95% CI 1.48–3.12), born in Switzerland (OR 2.68; 95% CI 1.87–3.84), of higher age (OR 1.16; 95% CI 1.12–1.19), having completed at most lower secondary school (OR 3.26; 95% CI 2.24–4.76), lacking income throughout the four-year period prior to interview (OR 3.94; 95% CI 2.70–5.75), suffering from chronic illness (OR 4.52; 95% CI 2.83–7.19), and severe long-term activity limitation (OR 4.52; 95% CI 2.83–7.19) had higher odds of DP. Our findings were robust to alternative specifications and subsamples; and the alternative specifications revealed differences by learnt occupation, with highest odds for those without an occupational qualification (OR 5.93; 95% CI 3.72–9.46; p -value 0.000) and for those in ‘Manufacturing’ (OR 3.59; 95% CI 1.91–6.71) relative to ‘Health, education, culture, and science’. Conclusions Most importantly, our results showed that educational and employment factors are of high relevance, as well as chronic morbidity and severe long-term activity limitation. From a policy perspective, early intervention should thus focus on the attainment of vocational and academic qualifications beyond the lower secondary level, facilitating school-to-work transition and labour market integration.

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Section: Discussionsupporting

confidence: 79%

Disability pension receipt in young adults: an analysis of the Swiss Social protection and labour market (SESAM) data

Altwicker-Hámori¹,

Dratva

2019

BMC Public Health

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“…Individuals with poor health have an increased risk of being granted DP 3–5. Long-term sickness absence (LTSA) from work is in many cases followed by DP 6–8…”

Section: Introductionmentioning

confidence: 99%

Physical work environment factors affecting risk for disability pension due to mental or musculoskeletal diagnoses among nursing professionals, care assistants and other occupations: a prospective, population-based cohort study

et al. 2019

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ObjectiveTo study the influence of physical work factors on the risks of future disability pension (DP) due to mental or musculoskeletal diagnoses among nursing professionals, care assistants and all other occupations in the general working population in Sweden.MethodsThe prospective population study was based on representative samples of working individuals (n=79 004) aged 16–64, interviewed in the Swedish Work Environment Survey between 1993 and 2013. Information on diagnosed DP in 1994–2014 was gathered from the Social Insurance Agency’s database. The focus was on nursing professionals (registered nurses and midwives) and care assistants, for example, assistant nurses and hospital ward assistants. The outcome was DP, classified into two diagnostic groups. Associations between physical work factors and risk of DP were calculated using Cox regression with HR and 95% CI.ResultsPhysical work factors were associated with future DP after adjusting for sociodemographic conditions and psychosocial work factors among care assistants (n=10 175) and among all other occupations (n=66 253), but not among nursing professionals (n=2576). The increased risk among care assistants (n=197) exposed to heavy physical work was 66% (HR 1.66, 95% CI 1.39 to 1.97), and for those exposed to strenuous work postures (n=420) it was 56% (HR 1.56, 95% CI 1.35 to 1.80). Physical work indicators were mainly associated with musculoskeletal DP diagnoses among care assistants, but two indicators were significant also for mental diagnoses. An increased risk of DP was found among nursing professionals (n=102) exposed to detergents or disinfectants (HR 1.48, 95% CI 1.06 to 2.05), but not among care assistants.ConclusionsHeavy physical work and strenuous postures are predictors of future DP, particularly among care assistants and in the general working population. In order to reduce early exit from the workforce, efforts should be made to improve physical and ergonomic working conditions.

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“…Excessive sick leave was reported as a problem in home care [39]. As previously shown [9,11,12,65], home health aides also have the highest probability of being granted a disability pension [9]. According to the JD-R model, these organisational aspects of the job can be considered high job demands and increase the risk for burnout and exhaustion among home health aides [64].…”

Section: Organisational Aspects Of Home Care Workmentioning

confidence: 88%

“…In addition, the lack of respect for their professional expertise, lack of appreciation, lack of positive feedback and insufficient support from agency supervisors [26,30,34,[43][44][45] were also described as stressors [30]. Research has shown that a poor psychosocial working environment by itself does not permanently reduce workability, but it may lead to health conditions that will result in a disability pension [9].…”

Section: Psychological and Social Aspects In Work Environmentmentioning

confidence: 99%

“…While there is an increasing need for home health aides, sickness absence in home care services is high; in Norway, it is 11.61% [8]. Further, home care employees have one of the highest probabilities of being granted a disability pension [9]. In the 1990s, research described neck/shoulder pain and low back pain as major health problems associated with high sickness absence and disability pensions in the western world.…”

Section: Introductionmentioning

confidence: 99%

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Home health aides’ experiences of their occupational health: a qualitative meta-synthesis

Grasmo

Liaset

Redzovic

2020

Preprint

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Objective: The need for home care services is rapidly growing due to an increasing elderly population, earlier discharge from hospital and clients’ preference of being treated at home. While this need increases, there is high sickness absence among home health aides, and research show that home health aides have one of the highest probabilities of being granted a disability pension. A high prevalence of musculoskeletal disorders has been reported in occupations with physically demanding work, and this aspect is a major health problem among home health aides. Studies have shown that home health aides find their work stressful, physically demanding and exhausting. The objectives of this study were to summarise peer-reviewed literature on how home health aides experience their occupational health and conduct an ethnographic meta-synthesis with the aim of identifying and describing key concepts across studies. Methods: A qualitative ethnographic meta-synthesis was used to develop new insights into home health aides’ occupational experiences. By using this method, we directed attention to the interpretation of studies, development of concepts and expansion and specification of theories that concern these concepts. The first author conducted searches in the electronic databases CINAHL, MEDLINE and PsycINFO. Results: This meta-synthesis includes 27 articles. The review of these sources identified four key concepts as important to gain an understanding of occupational health among home health aides: exposure to physical demands , physical environmental factors , organisational conditions of employment and psychosocial working environment . Conclusion: The findings in this synthesis are consistent with previous research showing that occupational health among home health aides is a complex phenomenon. Specifically, physical, psychosocial and psychological exposure aspects have potential negative and positive effects on home health aides’ occupational health. In order to increase employee’s well-being, create a healthier workplace that provides well-functioning and high-quality home care services and cope with future health challenges, more investigations into the organisation of home care are needed.

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Sick leave patterns as predictors of disability pension or long-term sick leave: a 6.75-year follow-up study in municipal eldercare workers

Cited by 17 publications

References 27 publications

Disability pension receipt in young adults: an analysis of the Swiss Social protection and labour market (SESAM) data

Disability pension receipt in young adults: an analysis of the Swiss Social protection and labour market (SESAM) data

Physical work environment factors affecting risk for disability pension due to mental or musculoskeletal diagnoses among nursing professionals, care assistants and other occupations: a prospective, population-based cohort study

Home health aides’ experiences of their occupational health: a qualitative meta-synthesis

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