Effects of Work and Lifestyle on Risk for Future Disability Pension Due to Low Back Diagnoses

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

doi:10.1097/jom.0b013e3182775881

Cited by 17 publications

(30 citation statements)

References 21 publications

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“…In previous studies, unemployment has been a predictor for higher risk of DP due to rheumatoid arthritis (11), DP due to low-back diagnoses (15), and limited work capacity (28), but no such association was found for short-term unemployment and DP due to musculoskeletal diagnoses (29). Our finding is pronounced as we used the selection criterion of being at work at baseline and despite the fact that criterion changes of workplace and unemployment prior to baseline in 1975 were significant factors for future DP.…”

Section: Kärkkäinen Et Almentioning

confidence: 93%

“…These familial factors (that is both genetics and shared environment mainly in childhood) may therefore confound some observed epidemiological associations since these familial effects may influence the characteristics influencing DP due to musculoskeletal diagnoses. Until now, most previous studies have investigated work-related risk factors for chronic conditions, or if DP has been involved, with relatively short follow-up time (3,6,14,15). However, studies with a life-course perspective would be needed if one wished to investigate work-related factors during life stages as identification of work-related risk factors would facilitate prevention of exposures and diagnoses leading to DP.…”

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confidence: 99%

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

Kärkkäinen¹,

Pitkäniemi²,

Silventoinen³

et al. 2013

Scand J Work Environ Health

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Section: Kärkkäinen Et Almentioning

confidence: 93%

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confidence: 99%

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

Kärkkäinen¹,

Pitkäniemi²,

Silventoinen³

et al. 2013

Scand J Work Environ Health

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“…intrauterine and rearing, this is possible [56]. There are some studies of Nordic twin cohorts which have investigated the direct associations of health behaviors with DP [28,57-59]. However, none of these focused specifically on DP due to mental diagnoses.…”

Section: Introductionmentioning

confidence: 99%

A prospective cohort study of disability pension due to mental diagnoses: the importance of health factors and behaviors

et al. 2013

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BackgroundPrevious studies have found associations between various health factors and behaviors and mental disorders. However, knowledge of such associations with disability pension (DP) due to mental diagnoses is scarce. Moreover, the influence of familial factors (genetics and family background) on the associations are mainly unknown. The aim of the study was to investigate associations between health factors and behaviors and future DP due to mental diagnoses in a twin cohort, accounting for familial confounding.MethodsA prospective cohort study of Swedish twins (N=28 613), including survey data and national register data on DP and other background factors was conducted. Cox proportional hazards regression models were used to calculate hazard ratios (HR) with 95% confidence intervals (CI) for the whole twin cohort, and for discordant twin pairs.ResultsDuring follow-up 1998–2008 (median 10 years), 2.2% of the cohort was granted a DP with a mental diagnosis. In the fully adjusted analyses of the whole cohort, the associations of poor or moderate self-rated health (SRH), under- or overweight, former or current tobacco use, or being an abstainer from alcohol were significantly associated with risk of DP due to mental diagnoses. Analyses of discordant twin pairs confirmed all these associations, except for current tobacco use, being independent from familial confounding. Exclusion of individuals with current or previous depression or anxiety at baseline did not influence the associations found.ConclusionsPoor or moderate SRH, under- or overweight, former tobacco use or being an abstainer from alcohol seem to be strong direct predictors of DP due to mental diagnoses, independently of several confounders of this study, including familial factors.

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“…Factors found to be important predictors of sick leave and disability pension due to MSD are employment and social relations [53], stress and workload [54, 55], lifestyle and work factors [56], emotional stability and personality [57]. Future studies will investigate interactions between patient related factors and organisational factors in order to gain further knowledge on successful rehabilitation and return to work.…”

Section: Discussionmentioning

confidence: 99%

Referring to multimodal rehabilitation for patients with musculoskeletal disorders – a register study in primary health care

Sennehed

Holmberg

Stigmar

et al. 2017

BMC Health Serv Res

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BackgroundIn 2008, the Swedish government introduced a National Rehabilitation Program, in which the government financially reimburses the county councils for evidence-based multimodal rehabilitation (MMR) interventions. The target group is patients of working age with musculoskeletal disorders (MSD), expected to return to work or remain at work after rehabilitation. Much attention in the evaluations has been on patient outcomes and on processes. We lack knowledge about how factors related to health care providers and community can have an impact on how patients have access to MMR. The aim of this study was therefore to study the impact of health care provider and community related factors on referrals to MMR in patients with MSD applying for health care in primary health care.MethodsThis was a primary health care-based cohort study based on prospectively ascertained register data. All primary health care centres (PHCC) contracted in Region Skåne in 2010-2012, referring to MMR were included (n = 153). The health care provider factors studied were: community size, PHCC size, public or private PHCC, whether or not the PHCCs provided their own MMR, burden of illness and the community socioeconomic status among the registered population at the PHCCs. The results are presented with descriptive statistics and for the analysis, non-parametric and multiple linear regression analyses were applied.ResultsPHCCs located in larger communities sent more referrals/1000 registered population (p = 0.020). Private PHCCs sent more referrals/1000 registered population compared to public units (p = 0.035). Factors related to more MMR referrals/1000 registered population in the multiple regression analyses were PHCCs located in medium and large communities and with above average socioeconomic status among the registered population at the PHCCs, private PHCC and PHCCs providing their own MMR. The explanation degree for the final model was 24.5%.ConclusionsWe found that referral rates to MMR were positively associated with PHCCs located in medium and large sized communities with higher socioeconomic status among the registered population, private PHCCs and PHCCs providing their own MMR. Patients with MSD are thus facing significant inequities and were thus not offered the same opportunities for referrals to rehabilitation regardless of which PHCC they visited.

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Effects of Work and Lifestyle on Risk for Future Disability Pension Due to Low Back Diagnoses

Abstract: The factors shared by family members seemed to influence both work and lifestyle factors, which then influenced the incidence of DP due to LBDs.

Cited by 17 publications

References 21 publications

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

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

A prospective cohort study of disability pension due to mental diagnoses: the importance of health factors and behaviors

Referring to multimodal rehabilitation for patients with musculoskeletal disorders – a register study in primary health care

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