Differences in Sickness Allowance Receipt between Swedish Speakers and Finnish Speakers in Finland

Reini, Kaarina; Saarela, Jan

doi:10.23979/fypr.66598

Cited by 12 publications

(13 citation statements)

References 23 publications

(27 reference statements)

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“…Both are native and have equal constitutional rights, yet there are marked differences in health outcomes. Swedish speakers have lower age-specific mortality rates ( 33 , 34 ), and lower rates of SA and DP receipt ( 17 , 30 ). Calendar year of observation was used to control for any period-specific variation in DP receipt.…”

Section: Methodsmentioning

confidence: 99%

“…The covariates used are standard, known to be related to SA and DP receipt, and have thus been used in previous studies of this kind. They are time varying and refer to the situation at the end of a calendar year (Supplementary (17,30). Calendar year of observation was used to control for any period-specific variation in DP receipt.…”

Section: Covariatesmentioning

confidence: 99%

“…There is ample evidence about how socioeconomic and demographic characteristics affect SA and DP receipt. The risk for both SA and DP receipt increases with age ( 17 ), and so does the risk for DP receipt following SA receipt ( 18 , 19 ). The risk for DP receipt is negatively related to socioeconomic status ( 16 ), although this association weakens with age ( 12 ).…”

Section: Introductionmentioning

confidence: 99%

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Sickness Absence and Disability Pension in the Very Long Term: A Finnish Register-Based Study With 20 Years Follow-Up

Klein

Reini

Saarela

2021

Front. Public Health

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Sickness allowance is paid for short-term sickness absence and is thus an indicator of temporary ill health, but it is also associated with a heightened risk of receiving disability pension. Using event history analysis, we examined the long-term risk for disability pension receipt after first observed receipt of medically certified sickness allowance in each single year after sickness allowance was first recorded. Utilizing longitudinal data from the Finnish population register, covering the period 1989–2010, we observed 110,675 individuals aged 16–40 years at baseline. Using discrete-time hazard models, we estimated how the first observed receipt of sickness allowance was related to the risk of receiving disability pension, with an average follow-up time of 20.6 years. In this population, about 40 percent received sickness allowance and 10 percent received disability pension. In the first years after sickness allowance receipt, there was a substantial difference between long-term and short-term sickness allowance recipients in the hazard of becoming a disability pensioner. This difference levelled out over time, but even 20 years after the first observed sickness allowance receipt, the hazard of disability retirement was more than 15 times higher than that of non-recipients of sickness allowance. Patterns were similar for men and women. First observed receipt of sickness allowance is a powerful predictor for disability pension receipt, also in the very distant future. Thus, it can be used to monitor people with heightened risk of becoming more permanently ill and falling outside the labour market.

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Section: Methodsmentioning

confidence: 99%

Section: Covariatesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Sickness Absence and Disability Pension in the Very Long Term: A Finnish Register-Based Study With 20 Years Follow-Up

Klein

Reini

Saarela

2021

Front. Public Health

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“…Swedish speakers have less harmful drinking patterns ( Paljarvi et al, 2009 ), lower rates of sickness allowance, less early retirement ( Reini and Saarela, 2017 , Saarela and Finnäs, 2002 ), and mortality ( Saarela and Finnäs, 2011 , Saarela and Finnäs, 2005 ). The mortality difference between language-groups is highest in deaths related to alcohol, suicide, and other external causes ( Sipilä and Martikainen, 2010 ).…”

Section: Introductionmentioning

confidence: 99%

Multimorbidity in Finnish and Swedish speaking Finns; association with daily habits and socioeconomic status – Nordic EpiLung cross-sectional study

Andersén¹,

Kankaanranta²,

Tuomisto³

et al. 2021

Preventive Medicine Reports

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Multimorbidity is an emerging public health priority. This study aims to assess the role of lifestyle and socioeconomic status in the prevalence of multimorbidity and chronic diseases by using two language groups that are part of the same genetic subgroup but differ by daily habits. We conducted a cross-sectional survey in 2016 with randomly selected population sample with 4173 responders (52.3%) aged 20–69 years in Western Finland. We included 3864 Finnish participants with Swedish (28.1%) or Finnish (71.9%) as a native language. We used a questionnaire to assess participants' chronic diseases and lifestyle. We determined multimorbidity as a disease count ≥ 2. Finnish speakers were more likely to have a diagnosis of COPD, heart failure, diabetes, reflux disease, chronic kidney failure, and painful conditions than Swedish speakers. The prevalence of multimorbidity was higher for Finnish speakers in the age group of 60–69 years (41.0% vs. 32.0%, p = 0.018) than Swedish speakers. A higher proportion of Finnish speakers smoked, were obese, inactive, and had lower socioeconomic status compared to Swedish speakers. All these factors, in addition to age and female sex, were significant risk factors for multimorbidity. Prevalence of multimorbidity was different in two language groups living in the same area and was associated with differences in lifestyle factors such as smoking, physical inactivity and obesity.

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“…Swedish-speaking school children are healthier in terms of objective measures of health [3]. The Swedish speakers have a less harmful drinking pattern [4] and lower rates of sickness allowance receipt and early retirement [5,6]. There is also a correlation between family origin and mortality [7]: the relative death risk compared to Finnish speakers born in western Finland was 1.13 for Finnish speakers born in eastern Finland and only 0.60 for Swedish speakers [8].…”

Section: Introductionmentioning

confidence: 99%

Dyspnea has an association with lifestyle: differences between Swedish and Finnish speaking persons in Western Finland

Andersén

Ilmarinen

Honkamäki

et al. 2020

European Clinical Respiratory Journal

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Differences in Sickness Allowance Receipt between Swedish Speakers and Finnish Speakers in Finland

Abstract: Abstract

Cited by 12 publications

References 23 publications

Sickness Absence and Disability Pension in the Very Long Term: A Finnish Register-Based Study With 20 Years Follow-Up

Sickness Absence and Disability Pension in the Very Long Term: A Finnish Register-Based Study With 20 Years Follow-Up

Multimorbidity in Finnish and Swedish speaking Finns; association with daily habits and socioeconomic status – Nordic EpiLung cross-sectional study

Dyspnea has an association with lifestyle: differences between Swedish and Finnish speaking persons in Western Finland

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