Chapter 1. Aim, background, key concepts, regulations, and current statistics

Alexanderson, Kristina; Norlund, Anders

doi:10.1080/14034950410021808

Cited by 142 publications

(173 citation statements)

References 7 publications

(5 reference statements)

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“…18,19 This was, however, not the case in the present study, which could be because the rate of people in work/equivalent seems to stagnate 5 years post SCT, as seen in Table 6. In general, absence because of sickness and receiving a disability pension is higher among older people, women and immigrants, 26 which is in line with our results. Studies of SCT survivors also show that older age 7,17,21,24 and being a woman 17,24,36 are associated with not being in work/ equivalent.…”

Section: P-valuesupporting

confidence: 82%

“…8 In general, multi-morbidity and self-rated health are not necessarily predictors of sickness absence or disability pension. 26 However, in the present study multi-morbidity was a great risk factor for not being in (full-time) work probably because many allo-SCT survivors experience serious functional limitations, 35 which may influence their possibility to RTW. 18 A common side effect among allo-SCT patients is cGHVD.…”

Section: Discussionmentioning

confidence: 81%

“…All people with income from work or unemployment benefits can be sickness absent with benefits if unable to work due to disease or injury. 26 Here ⩾ 75% is considered as full-time and o75% as part-time, being in work/equivalent defined as working, studying, unemployed, homemaker or parental leave and not in work/equivalent defined as on sick leave, disability pension or old-age pension. For one participant who had not answered this question, the information was retrieved from the medical record.…”

Section: Samplementioning

confidence: 99%

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Occupational status among adult survivors following allo-SCT

Winterling

Johansson

Wennman-Larsen

et al. 2014

Bone Marrow Transplant

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Being in work or the equivalent is an important goal after allo-SCT and is used as an indicator of recovery. The aim was to elucidate occupational status and factors associated with work among SCT survivors. Adults in working age with a haematological disease (n = 177) were followed up within a median of 8 (range 28) years post allo-SCT. Predictors of not being in work at all or working part-time because of sick leave, disability pension or early old-age pension were analyzed using logistic regression analyses. At diagnosis, 82% of the participants were working full-time and 2% were on sick leave or old-age pension. At follow-up, 52% were working full-time, 27% were working part-time and 17% were on sick leave, disability pension or old-age pension. Not working at all was associated with multi-morbidity (P = 0.01) and poorer health (P = 0.00). Working part-time was associated with a higher age at diagnosis (P = 0.00), being a woman (P = 0.03), being born abroad (P = 0.03) and multi-morbidity (P = 0.00). In conclusion, the majority of survivors were in paid work at follow-up; however, a substantial number were not working or worked part-time.

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Section: P-valuesupporting

confidence: 82%

Section: Discussionmentioning

confidence: 81%

Section: Samplementioning

confidence: 99%

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Occupational status among adult survivors following allo-SCT

Winterling

Johansson

Wennman-Larsen

et al. 2014

Bone Marrow Transplant

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“…Yet, they had much in common. They had settled and lived in Sweden for about 15 years in a segregated work and housing market, they had similar family, social and health problems, and not least, they were familiar with the Swedish health care system [1] and many lived with holistic family traditions [15]. Thus, similarities, rather than differences, in culture might have contributed to the results.…”

Section: Discussionmentioning

confidence: 99%

Pain intensity and severe pain in young immigrant patients with long-standing back pain

Löfvander

Taloyan

2007

Eur Spine J

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The aim of this study was to explore if self-rated pain intensity and severe pain differed significantly between immigrants from different regions, and if other socio-economic, or clinical, characteristics could predict severe pain. A total of 129 men and 217 women at a primary health centre in Stockholm, Sweden, 27-45 years, on long-term sick leave, were recruited in consecutive order and grouped into a Turkish (n = 122), Southern European (n = 52), Middle East (n = 69) and one Mixed (n = 173) group of immigrants. All were employed in service jobs. Somatic status, depression and level of psychosocial stressors, including pain anxiety, were established by standardized procedures. All reported long-standing disabling back pain. Patients rated intensity of pain ''right now'' on a 0-100 mm visual analogue scale (VAS) as a last part of the consultation with two doctors. Severe pain was defined as VAS 75-100. Median values (md) with inter-quartile ranges (IQR) were calculated for interval and ordinal data. Non-parametric statistics were used to calculate significant differences between groups. Crude and age-standardized odds ratios (OR) with 95% confidence intervals (95% CI) as rating severe pain were calculated by binary and forward conditional logistic regression. Men and women were analyzed separately. Women had more tender points, (P \ 0.001), and reported pain anxiety more often (P \ 0.01). Frequency of depression did not differ between the immigrant groups. The VAS-values varied, but not significantly, between the immigrant groups of men and women. Men had lower VAS values than women (md 50, IQR 36-69 vs. md 72, IQR 51-85), (P \ 0.001). Women had a three-fold risk to rate severe pain (OR 2.9, 95% CI 1.8-4.7). By sex, no immigrant group had significantly elevated OR to rate severe pain. Being 40-45 year old doubled the OR as rating severe pain. Men with depression, or little education, had high risks as rating severe pain (age-standardized ORs 4.1; 95% CI 1.7-10.0 and 2.7; 95% CI 1.1-6.8, respectively), and so had depressed women (age-standardized OR 1.9; 95% CI 1.1-3.4). Women with pain anxiety had a doubled, not statistically significant, elevated risk (age-standardized OR 2.0, 95% CI 0.95-4.3). The groups did not differ significantly in pain intensity or severe pain. Severe pain was predicted by depressed mood and probably linked to gender, age and sick roles.

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“…The three also comprise the most common diagnostic groups that account for retirement on grounds of ill health (Alexanderson and Norlund 2004). Poor health may thus constitute the intermediate step in the pathway from work stress to disability for those who are healthy at the outset.…”

Section: Introductionmentioning

confidence: 99%