Early-life factors associated with increased risk of disability pension in the national real-world schizophrenia FACE-SZ cohort study

Fond, Guillaume; Dubreucq, Julien; Verville, P L Sunhary de; Godin, O.; Andrieu-Haller, C.; Berna, Fabrice; Aouizerate, Bruno; Capdevielle, Delphine; Chéreau, Isabelle; Clauss-Kobayashi, J.; Coulon, Nathalie; Dorey, Jean‐Michel; Dubertret, Caroline; Mallet, J.; Misdrahi, D.; Passerieux, C.; Rey, Romain; Pignon, Baptiste; Schürhoff, Franck; Urbach, M.; Llorca, Pierre Michel; Lançon, Christophe; Boyer, Laurent

doi:10.1007/s00406-021-01364-7

Cited by 2 publications

(1 citation statement)

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“…Sickness absence is commonly used for time-limited work incapacity, intended to facilitate recovery, with disability pension used when illness is likely to permanently limit occupational functioning. Whilst the use of these social protection policies in psychosis populations has been less commonly studied than unemployment, data from Sweden, 3 Northern Finland 5 and France, 6 suggest that as many as 80% of individuals with schizophrenia receive disability pension, and that among those who are able to work, sickness absence is common. 7 …”

Section: Introductionmentioning

confidence: 99%

Risk of unemployment and work disability among refugee and non-refugee migrants with incident psychotic disorders in Sweden and Denmark

Mastafa,

de Montgomery,

Pettersson

et al. 2023

European Journal of Public Health

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Background Unemployment and work disability are common among individuals with non-affective psychotic disorders (NAPDs) but it is unknown whether rates differ among migrants and native-born individuals. The present study aimed to compare the risk of these outcomes during the first 5 years of illness in non-refugee migrants, refugees and native-born individuals with NAPDs in Sweden and Denmark—two countries with different immigration policies and models of early psychosis care. Methods Using national registers, we identified all individuals aged 18–35 years in Sweden and Denmark who received an incident NAPD diagnosis between 2006 and 2013 (N = 6750 and 8320, respectively). Cohorts were followed for 5 years to determine the days of unemployment and sickness absence (analyzed using zero-inflated negative binomial models) and the time to receipt of disability pension (analyzed using complementary log-log models). Results Relative to their native-born peers, refugees and non-refugee migrants in Sweden and non-refugee migrants in Denmark were significantly less likely to have zero unemployment days (OR range: 0.54–0.72) and all migrant groups experienced more unemployment days (IRR range: 1.26–1.37). Results were largely unchanged after adjustment for sociodemographic and clinical factors. In the adjusted model, both Swedish migrant groups and refugees in Denmark were more likely to experience zero sickness absence days than native-born individuals (OR range: 1.48–1.56). Only refugees in Denmark were at greater risk of disability pension. Conclusions Non-refugee migrants and refugees with NAPDs in both Sweden and Denmark are particularly vulnerable to experiencing unemployment. Targeted interventions may help to reduce these disparities and promote long-term work ability among migrant groups.

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