Future risk for disability pension among people with sickness absence due to otoaudiological diagnoses: a population-based cohort study with a 12-year follow-up

Gustafsson, Klas; Backenroth-Ohsako, Gunnel; Rosenhall, Ulf; Ternevall-Kjerulf, Elisabeth; Ulfendahl, Mats; Alexanderson, Kristina

doi:10.1177/1403494811399652

Cited by 9 publications

(24 citation statements)

References 20 publications

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“…The associations between having hearing difficulties and unemployment, sickness absence, and disability pension presented here are in agreement with previous results [25,26,28-30,32-34]. Moreover, this investigation shows that significant associations remain when adjusting for SES, type of living region, and country of birth and not only for gender and age.…”

Section: Discussionsupporting

confidence: 93%

“…Hearing difficulties has previously been associated with poorer health [14,31,54], work-related stress [14,30,31,54], and work-related accidents [26,55-57], which may eventually lead to sickness absence [30,33] and disability pension [25,33,34]. On the other hand, transitions from paid employment to unemployment, long-term sick leave, and even maternal leave have been associated with increased psychological distress [58], which may cause health problems, including hearing difficulties [24].…”

Section: Discussionmentioning

confidence: 99%

“…Working hearing-impaired individuals often experience less control over their work environment, which may eventually result in stress-related health problems [30,31]. Several studies have shown associations between hearing difficulties and long-term health problems [14,32], sickness absence [30,32], and disability pension [25,33,34]. …”

Section: Introductionmentioning

confidence: 99%

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Self-reported hearing difficulties, main income sources, and socio-economic status; a cross-sectional population-based study in Sweden

et al. 2012

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BackgroundHearing difficulties constitute the most common cause of disability globally. Yet, studies on people with hearing difficulties regarding socio-economic status (SES), work, long-term unemployment, sickness absence, and disability pension are scarce. The aim of the present study was to investigate the main income sources of men and women of working ages with and without self-reported hearing difficulties and associations with gender, age, SES, type of living area, and country of birth.MethodsA cross-sectional population-based study, using information on self-reported hearing difficulties and SES of 19 045 subjects aged 20–64 years participating in Statistics Sweden’s annual Living Conditions Surveys in any of the years 2004 through 2008. The information was linked to a nationwide database containing data on demographics and income sources. Odds ratios (ORs) and their 95% confidence intervals (CIs) were calculated, using binary logistic regression analysis.ResultsHearing difficulties increased with age and were more common in men (age-adjusted OR: 1.42 (95% CI: 1.30-1.56)) with an overall prevalence of 13.1% in men and 9.8% in women. Using working men as reference, the OR of having hearing difficulties was 1.23 (0.94-1.60) in men with unemployment benefits and 1.36 (1.13-1.65) in men with sickness benefits or disability pension, when adjusting for age and SES. The corresponding figures in women were 1.59 (1.17-2.16) and 1.73 (1.46-2.06). The OR of having sickness benefits or disability pension in subjects with hearing difficulties was 1.36 (1.12-1.64) in men and 1.70 (1.43-2.01) in women, when adjusting for age and SES and using men and women with no hearing difficulties as reference.ConclusionsHearing difficulties were more prevalent in men. After adjustment with age and SES as well as with type of living area and country of birth, a significant association with unemployment benefits was found only in women, and the associations with long-term sickness absence and disability pension tended to be stronger in women.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

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Self-reported hearing difficulties, main income sources, and socio-economic status; a cross-sectional population-based study in Sweden

et al. 2012

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“…The majority of previous studies include small groups [9], [13], [14], [16] or only focus on specific occupational groups [15], [17]. Most previous studies [9], [10], [15], [16] have indicated an increased risk of disability pension among individuals with a hearing difficulty. The results of this study confirms and extends previous results from a Swedish cohort study including 40 786 individuals living in a county in southern Sweden, where we found that individuals with sick leave due to an otoaudiological diagnosis had a 42% higher risk of disability pension compared to individuals with sick leave spells due to non-otoaudiological diagnoses [10].…”

Section: Discussionmentioning

confidence: 99%

Sickness Absence Due to Otoaudiological Diagnoses and Risk of Disability Pension: A Nationwide Swedish Prospective Cohort Study

et al. 2012

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BackgroundHearing difficulties are a large public health problem. Knowledge is scarce regarding risk of disability pension among people who have been sickness absent due to these difficulties.MethodsA cohort including all 4,687,756 individuals living in Sweden in 2005, aged 20–64, and not on disability or old-age pension, was followed through 2009. Incidence rate ratios (RR) of disability pension with 95% confidence intervals (CI) were estimated using Cox proportional hazard models.ResultsIn multivariable models, individuals who had a sick-leave spell due to otoaudiological diagnoses in 2005 had a 1.52-fold (95% CI: 1.43–1.62) increased risk of being granted a disability pension compared to individuals on sick leave due to other diagnoses. Hearing and tinnitus sick-leave diagnoses were associated with risk of disability pension: RR 3.38, 95% CI: 3.04–3.75, and 3.30, 95% CI: 2.95–3.68, respectively. No association was observed between sick leave due to vertigo diagnoses and disability pension whereas otological diagnoses and no sick leave were inversely associated with risk of disability pension compared to non-otoaudiological sick-leave diagnoses. Sick leave due to otoaudiological diagnoses was positively associated with risk of disability pension due to otoaudiological diagnoses and sick leave due to a tinnitus diagnosis was also associated with risk of disability pension due to mental diagnoses. The risk of disability pension among individuals with hearing or tinnitus sick-leave diagnoses was highest in the age group 35–44. Moreover, men had a slightly higher risk.ConclusionThis large cohort study suggests an increased risk of disability pension among those with sickness absence due to otoaudiological diagnoses, particularly hearing and tinnitus diagnoses, compared to those with sickness absence due to non-otoaudiological diagnoses.

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“…In particular, knowledge of sick leave and disability pension resulting from specific otoaudiological diagnoses is very limited due to the small sizes of the groups involved [19-21]. In two recent prospective studies, however, we have shown that sick leave due to an otoaudiological diagnosis is associated with an increased risk of disability pension in comparison with sick leave due to other diagnoses [22,23]. …”

Section: Introductionmentioning

confidence: 99%

Sickness absence and disability pension due to otoaudiological diagnoses: risk of premature death – a nationwide prospective cohort study

2014

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BackgroundIt is estimated that hearing difficulties will be one of the top ten leading burdens of disease by 2030. Knowledge of mortality among individuals on sick leave or disability pension due to hearing diagnoses is virtually non-existent. We aimed prospectively to examine the associations of diagnosis-specific sick leave and disability pension due to different otoaudiological diagnoses with risks of all-cause and cause-specific mortality.MethodsA cohort, based on Swedish registry data, including all 5 248 672 individuals living in Sweden in 2005, aged 20–64, and not on old-age pension, was followed through 2010. Otoaudiological diagnoses were placed in the following categories: otological, hearing, vertigo, and tinnitus. Hazard ratios (HRs) with 95% confidence intervals (CIs) were estimated using Cox proportional hazard models; individuals on sick leave or disability pension due to different otoaudiological diagnoses during 2005 were compared with those not on sick leave or disability pension.ResultsIn multivariable models, individuals with sickness absence due to otoaudiological diagnoses showed a lower risk of mortality, while individuals on disability pension due to otoaudiological diagnoses showed a 14% (95% CI 1-29%) increased risk of mortality, compared with individuals not on sick leave or disability pension. The risk increase among individuals on disability pension was largely attributable to otological (HR 1.56; 95% CI = 1.04-2.33) and hearing diagnoses (HR 1.20; 95% CI = 1.00-1.43).ConclusionThis large nationwide population-based cohort study suggests an increased risk of mortality among individuals on disability pension due to otoaudiological diagnoses.

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Future risk for disability pension among people with sickness absence due to otoaudiological diagnoses: a population-based cohort study with a 12-year follow-up

Abstract: The risk for future DP was more than 40% higher among those initially on sickness absence due to OAD than among other sickness absentees.

Cited by 9 publications

References 20 publications

Self-reported hearing difficulties, main income sources, and socio-economic status; a cross-sectional population-based study in Sweden

Self-reported hearing difficulties, main income sources, and socio-economic status; a cross-sectional population-based study in Sweden

Sickness Absence Due to Otoaudiological Diagnoses and Risk of Disability Pension: A Nationwide Swedish Prospective Cohort Study

Sickness absence and disability pension due to otoaudiological diagnoses: risk of premature death – a nationwide prospective cohort study

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