Disability in society—medical and non-medical determinants for disability pension in a Norwegian total county population study

Krokstad, Steinar; Westin, Steinar

doi:10.1016/s0277-9536(03)00409-x

Cited by 85 publications

(90 citation statements)

References 29 publications

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“…Thus, based on variables indicating position in social space, especially variables related to socio-economic status, one may expect to observe an overlap between disability pension and habits of unfavourable use of abusive drugs, such as benzodiazepines. This theoretical hypothesis is supported by empirical evidence from epidemiological studies which reveal the importance of social, non-medical and contextual determinants for being on a disability pension, as well as for the use of benzodiazepines (Blennow, Romelsjo, Leifman, Leifman, & Karlsson, 1994;Groenewegen, Leufkens, Spreeuwenberg, & Worm, 1999;Krokstad & Westin, 2004).…”

Section: Introductionmentioning

confidence: 84%

Disability pension as predictor of later use of benzodiazepines among benzodiazepine users

Hartz¹,

Tverdal

Skille³

2010

Social Science & Medicine

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The proportion of Norwegians on disability pensions has doubled since the 1980s. The Norwegian Government wants action to stimulate the working capacity in those disability pensioners who have the potential to work. Information on factors that may impair rehabilitation efforts, including the unfavourable use of benzodiazepines, may be useful in this context. A longitudinal design, including data on 40-42 year old participants in Norwegian health surveys (year 1985-89) linked to a prescription database (year 2004-06), was used to describe risk of long-term use of benzodiazepines among disability pension recipients. The study-population constituted benzodiazepine users at baseline.More than half of those on disability pensions, 57% of all men and 65% of all women, retrieved benzodiazepine prescriptions 20 years later, a span covering a large part of the potential active workforce period. Further, the observed amount of benzodiazepines dispensed over a three year period indicated more than sporadic use; e.g. half of the female disability pensioners were dispensed an amount of benzodiazepines corresponding to the use of a daily dose every second day over a three year period (median 450 daily doses). The majority of those who was dispensed benzodiazepines, was dispensed opioids as well: half of all men and 3 out of four women. And last, being on a disability pension was a predictor of benzodiazepine use 20 years later.In conclusion, this prospective study provides new information on the epidemiology of benzodiazepine use in disability pensioners. Our study suggests that benzodiazepines are extensively and unfavourably used among disability pensioners, and that disability 3 pension may have an independent effect on long-term use. Improved management of benzodiazepine use may be one alternative to get disability pensioners with the potential to work back into employment.

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Section: Introductionmentioning

confidence: 84%

Disability pension as predictor of later use of benzodiazepines among benzodiazepine users

Hartz¹,

Tverdal

Skille³

2010

Social Science & Medicine

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“…anhand von Routinedaten der Deutschen Rentenversicherung, dass gering qualifizierte Berufe sowohl im Dienstleistungs-als auch im produktiven Sektor erhöhte krankheitsbedingte Früh-berentungsraten mit sich bringen [18]. Auch diese Beobachtung beschränkt sich nicht auf Deutschland [19][20][21][22].…”

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Arbeit und gesundheitliche Ungleichheit

Dragano

Wahrendorf

Müller

et al. 2015

Bundesgesundheitsbl.

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“…Low educational attainment has been associated with earlier exit from the labor market through disability pension in a number of studies (1)(2)(3)(4)(5)(6). While a majority of these studies have shown quite similar associations among men and women, a few have shown weaker associations among women (4,6).…”

mentioning

confidence: 99%

Do working conditions explain the increased risks of disability pension among men and women with low education? A follow-up of Swedish cohorts

Falkstedt

Backhans²,

Lundin³

et al. 2014

Scand J Work Environ Health

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Disability in society—medical and non-medical determinants for disability pension in a Norwegian total county population study

Cited by 85 publications

References 29 publications

Disability pension as predictor of later use of benzodiazepines among benzodiazepine users

Disability pension as predictor of later use of benzodiazepines among benzodiazepine users

Arbeit und gesundheitliche Ungleichheit

Do working conditions explain the increased risks of disability pension among men and women with low education? A follow-up of Swedish cohorts

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