Disability pension due to musculoskeletal diagnoses: importance of work-related factors in a prospective cohort study of Finnish twins

Kärkkäinen, Sanna; Pitkäniemi, Janne; Silventoinen, Karri; Svedberg, Pia; Huunan-Seppälä, Antti; Koskenvuo, Karoliina; Koskenvuo, Markku; Alexanderson, Kristina; Kaprio, Jaakko; Ropponen, Annina

doi:10.5271/sjweh.3345

Cited by 29 publications

(34 citation statements)

References 25 publications

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“…Various kinds of working conditions have been shown to be risk factors for DR (17)(18). In previous studies, a high physical workload, low job control, and chemical and physical exposures at work have provided the largest contributions to socioeconomic differences in DR due to MSD (2, 4).…”

Section: Discussionmentioning

confidence: 99%

The contribution of major diagnostic causes to socioeconomic differences in disability retirement

Polvinen¹,

Laaksonen²,

Gould³

et al. 2013

Scand J Work Environ Health

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Section: Discussionmentioning

confidence: 99%

The contribution of major diagnostic causes to socioeconomic differences in disability retirement

Polvinen¹,

Laaksonen²,

Gould³

et al. 2013

Scand J Work Environ Health

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“…For instance, prospective epidemiological evidence from a twin study in Sweden reported statistically significant excess risk of obtaining disability pension due to MSD among workers employed in the health care and social sector, transport, production and mining, services and military [12]. Concerning physical risk factors, another prospective twin study in Finland confirmed that shift work, monotonous work, lifting and carrying, physically demanding work are strongly associated with work incapacity and disability pension [13]. The results of both studies were consistent after controlling for genetic and shared-environment factors.…”

Section: Introductionmentioning

confidence: 99%

Upper body and lower limbs musculoskeletal symptoms and health inequalities in Europe: an analysis of cross-sectional data

Montaño

2014

BMC Musculoskelet Disord

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BackgroundMusculoskeletal disorders are the most frequent occupational diseases in Europe. However, their multifactorial aetiology poses several challenges concerning not only the estimation of relative prevalence rates across occupational groups but also how the co-occurrence of known risk factors might differ between disorders of the upper and lower limbs. Against this background, the following objectives are pursued: (1) to estimate the relative odds and prevalence rates of self-reported disorders of the upper limbs and/or shoulders and neck (upper body) and the lower limbs for major ISCO-88 occupational groups, (2) to evaluate to what extent the associations between known risk factors differ for musculoskeletal disorders of the upper body and the lower limbs.MethodsStatistical analysis of cross-sectional data from the European Working Conditions Survey 1995-2010. The probability of reporting upper body and lower limbs pain in the survey sample 2010 is estimated by mixed logistic regression models using the Markov chain Monte Carlo Sampler. Independent variables include some known physical and psychosocial risk factors.ResultsConcerning the first objective, an excess risk of reporting musculoskeketal disorders of the upper body was observed among craft workers (ISCO 7), machine operators (ISCO 8) and workers in elementary occupations (ISCO 9). Concerning musculoskeletal disorders of the lower limbs, service and sales workers (ISCO 5) and workers in ISCO groups 7, 8 and 9 reported symptoms more frequently. Regarding the second objective, similar association patterns were observed for upper body and lower limbs symptoms. Major physical risk factors associated with both symptom types were very frequent exposure to tiring positions, carrying heavy loads and performing repetitive tasks. Standing appears to be an important risk factor for lower limbs symptoms only.ConclusionsResults suggest that the unequal burden of exposure has not changed substantially across occupational groups since 1995, and that there is urgent need of delivering and evaluating the effects of specific interventions targeting workers at high risk of developing musculoskeletal disorders.Electronic supplementary materialThe online version of this article (doi:10.1186/1471-2474-15-285) contains supplementary material, which is available to authorized users.

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“…For example, a Finnish study found that unemployment, changes of workplace and negative factors related to the work environment were all strong risk factors for DP based on musculoskeletal diagnoses, even when social background factors were taken into account 22. Another Finnish study, which used a composite index for core–periphery position, based on work hours, employment permanency and unemployment income, found associations with self-rated health, diagnosed diseases and depression, even among the less disadvantaged positions on the core–periphery scale 3.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have shown that unemployment experience is associated with an increased probability of being granted a DP,19 – 22 but findings on the more intermediate positions are scarce.…”

Section: Introductionmentioning

confidence: 99%

Peripheral labour market position and risk of disability pension: a prospective population-based study

et al. 2014

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ObjectiveTo investigate what impact individuals’ position in a labour market core–periphery structure may have on their risk of disability pension (DP) in general and specifically on their risk of DP based on mental or musculoskeletal diagnoses.MethodsThe study comprised 45 567 individuals who had been interviewed for the annual Swedish Surveys of Living Conditions (1992–2007). The medical DP diagnoses were obtained from the Swedish Social Insurance Agency (1993–2011). The assumed predictors were studied in relation to DP by Cox's proportional hazards regression. The analyses were stratified on sex and age, controlling for social background and self-reported long-standing illness at baseline.ResultsAll three indicators underlying the categorisation of the core–periphery structure: employment income, work hours and unemployment, increased the risk of DP in all strata. The risk of DP tended to increase gradually the more peripheral the labour market position was. The risk estimates for DP in general and for DP based on mental diagnoses were particularly high among men aged 20–39 years.ConclusionsThe core–periphery position of individuals, representing their labour market attachment, was found to be a predictor of future DP. The association was most evident among individuals below 40 years of age with regard to DP based on mental diagnoses. This highlights the need for preventative measures that increase the participation of young people in working life.

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Disability pension due to musculoskeletal diagnoses: importance of work-related factors in a prospective cohort study of Finnish twins

Cited by 29 publications

References 25 publications

The contribution of major diagnostic causes to socioeconomic differences in disability retirement

The contribution of major diagnostic causes to socioeconomic differences in disability retirement

Upper body and lower limbs musculoskeletal symptoms and health inequalities in Europe: an analysis of cross-sectional data

Peripheral labour market position and risk of disability pension: a prospective population-based study

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