Health- and work-related predictors of work disability among employees with a cardiometabolic disease — A cohort study

Ervasti, Jenni; Kivimäki, Mika; Pentti, Jaana; Salo, Paula; Oksanen, Tuula; Vahtera, Jussi; Virtanen, Marianna

doi:10.1016/j.jpsychores.2016.01.010

Cited by 21 publications

(20 citation statements)

References 39 publications

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“…Our findings of a two-fold independent risk of disability retirement associated with low occupational class and CVD confirms previous research that has reported associations of low socioeconomic status [14,15] and CVD [6][7][8][9][10] with work disability. We found support for our hypothesis that low occupational class and CVD together might assert their influence on work disability pension over and above their independent effects.…”

Section: Discussionsupporting

confidence: 91%

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The joint contribution of cardiovascular disease and socioeconomic status to disability retirement: A register linkage study

Virtanen

Lallukka

Ervasti

et al. 2017

International Journal of Cardiology

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Background: Whether low occupational class amplifies the risk of disability retirement among employees with cardiovascular disease (CVD) is unknown. We examined this issue in two prospective cohort studies. Methods:In the Finnish Public Sector Study and the Helsinki Health Study (n=50,799 employees), prevalent CVD (coronary heart disease or stroke, n=1269) was ascertained using records from national health registers, self-reported doctor-diagnosed diseases, and Rose Angina Questionnaire. Data linkage to national pension registers allowed the follow up of disability retirement among the participants for a mean of six years. We analysed the associations of occupational class and CVD with disability retirement using Cox regression, tested interactions between occupational class and prevalent CVD in predicting disability retirement by calculating the Synergy Index, and pooled the results from the two studies using fixed-effect meta-analysis. Results:Compared with the participants from high occupational class and no CVD, the participants from the low occupational class without CVD had a 2.13-fold (95% CI 1.97-2.30), and those with high occupational class and CVD a 2.18-fold (1.73-2.74); those with both low occupational class and CVD a 4.49-fold (3.83-5.26) risk of disability retirement. A Synergy Index of 1.55 (1.16-2.06) suggested a greater than additive effect for low occupational class and CVD in combination.Conclusions: Individuals with both low occupational class and CVD are at a particularly high risk of premature exit from the labour market due to work disability. These findings suggest that preventive strategies are needed to improve prognosis in this risk group.Word count: 244 in abstract, 3403 in text 3

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Section: Discussionsupporting

confidence: 91%

“…As the workforce is aging, CVD is not uncommon in working-age populations, and due to more effective treatments, many CVD patients remain in employment despite illnesses [5]. However, CVD is a major risk factor for premature exit from the labour market, as indicated by work disability retirement [6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

The joint contribution of cardiovascular disease and socioeconomic status to disability retirement: A register linkage study

Virtanen

Lallukka

Ervasti

et al. 2017

International Journal of Cardiology

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“…The majority described it as a work schedule in which day and night shifts alternate (19,20,(26)(27)(28)(29)(30)(31), with a specific rotation (32) or a minimum number of nights per week or month (16)(17)(18)33). Other studies considered doing long working hours or weekend work as shift work (34,35).…”

Section: Study Characteristicsmentioning

confidence: 99%

Shift work and the risk of cardiovascular disease. A systematic review and meta-analysis including dose–response relationship

Torquati¹,

Mielke²,

Brown³

et al. 2017

Scand J Work Environ Health

313

240

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“…We adjusted the models for medical treatment procedures received, which can be considered a proxy for severity of illness, and we excluded angina cases, milder forms of IHD 23 . We did not have data on health behaviors which, however, have shown to contribute relatively little to work disability in cardiometabolic diseases, whereas the contribution of comorbid diseases, especially mental disorders, has been substantially high 24 . Another register-based limitation is that we did not have data on work disability episodes that lasted less than 15 days (i.e., we only had days covered by the Social Insurance Agency).…”

Section: Discussionmentioning

confidence: 99%

Work disability before and after a major cardiovascular event: a ten-year study using nationwide medical and insurance registers

Virtanen

Ervasti

Mittendorfer‐Rutz

et al. 2017

Sci Rep

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We examined the trajectories of work disability before and after IHD and stroke events. New IHD (n = 13521) and stroke (n = 7162) cases in 2006–2008 were retrieved from nationwide Swedish hospital records and their annual work disability days five years before and after the date of diagnosis were retrieved from a nationwide disability register. There was no pre-event differences in disability days between the IHD and stroke cases and five years prior to the event, they were close to those observed in the general population. In the first post-event year, the adjusted mean days increased to 83.9 (95% CI 80.6–86.5) in IHD; to 179.5 (95% CI 172.4–186.8) in stroke, a six-fold increase in IHD and 14-fold in stroke. Work disability leveled off among the IHD cases but not among those who had stroke. The highest disability levels for the fifth post-event year after a stroke event was associated with pre-existing diabetes (146.9), mental disorder (141.2), non-employment (137.0), and immigrant status (117.9). In a working-age population, the increase in work disability after a cardiovascular event decreases close to the pre-event level in IHD but remains particularly high after stroke; among patients with comorbid depression or diabetes, immigrants, and those not in employment.

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Health- and work-related predictors of work disability among employees with a cardiometabolic disease — A cohort study

Cited by 21 publications

References 39 publications

The joint contribution of cardiovascular disease and socioeconomic status to disability retirement: A register linkage study

The joint contribution of cardiovascular disease and socioeconomic status to disability retirement: A register linkage study

Shift work and the risk of cardiovascular disease. A systematic review and meta-analysis including dose–response relationship

Work disability before and after a major cardiovascular event: a ten-year study using nationwide medical and insurance registers

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