Health-related risk factors for disability pensions due to musculoskeletal diagnoses: A 30-year Finnish twin cohort study

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

doi:10.1177/1403494811418283

Cited by 45 publications

(48 citation statements)

References 32 publications

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“…In the univariate analyses, poor health was related to disability pension and with borderline significance to unemployment, and not to early retirement, which can be seen as a more voluntary pathway of exit from paid employment. The relation between poor health and disability pension is in agreement with other studies (4,(26)(27)(28)(29) and is not surprising since health problems are a requirement for disability pension. Several studies have reported a significant effect of poor health on unemployment (10,11,14,30), similar to the strength of the relation we found in the analysis after adjustment for demographic characteristics.…”

Section: Discussionsupporting

confidence: 79%

Poor health, unhealthy behaviors, and unfavorable work characteristics influence pathways of exit from paid employment among older workers in Europe: a four year follow-up study

Robroek¹,

Schuring²,

Croezen³

et al. 2012

Scand J Work Environ Health

204

174

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Poor health, unhealthy behaviors, and unfavorable work characteristics influence pathways of exit from paid employment among older workers in Europe: a four year follow-up study by Robroek SJW, Schuring M, Croezen S, Stattin M, Burdorf A The relative importance of poor health, physical inactivity, and lack of job control differed by pathway of labor force exit. Primary preventive interventions focusing on promoting physical activity and increasing job control may contribute to reducing exit from paid employment. To maintain a productive workforce, it should be considered to integrate health promotion with activities aimed at occupational health. 125Original article Scand J Work Environ Health. 2013;39(2):125-133. doi:10.5271/sjweh.3319 Poor health, unhealthy behaviors, and unfavorable work characteristics influence pathways of exit from paid employment among older workers in Europe: a four year follow-up study Objectives The aim of this study was to get insight into the role of poor health, unhealthy behaviors, and unfavorable work characteristics on exit from paid employment due to disability pension, unemployment, and early retirement among older workers. Methods Respondents of the longitudinal Survey of Health, Ageing, and Retirement in Europe (SHARE) in 11European countries were selected when (i) aged between 50 years and the country-specific retirement age, (ii) in paid employment at baseline, and (iii) having information on employment status during the 4-year follow-up period (N=4923). Self-perceived health, health behaviors, and physical and psychosocial work characteristics were measured by interview at baseline. Employment status was derived from follow-up interviews after two and four years. Cox proportional hazards regression analyses were used to identify determinants of unemployment, disability pension, and early retirement.Results Poor health was a risk factor for disability pension [hazard ratio (HR) 3.90, 95% confidence interval (95% CI) 2.51-6.05], and a lack of physical activity was a risk factor for disability pension (HR 3.05, 95% CI 1.68-5.55) and unemployment (HR 1.84, 95% CI 1.13-3.01). A lack of job control was a risk factor for disability pension, unemployment, and early retirement (HR 1.30-1.77).Conclusions Poor health, a lack of physical activity, and a lack of job control played a role in exit from paid employment, but their relative importance differed by pathway of labor force exit. Primary preventive interventions focusing on promoting physical activity as well as increasing job control may contribute to reducing premature exit from paid employment.

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Section: Discussionsupporting

confidence: 79%

Poor health, unhealthy behaviors, and unfavorable work characteristics influence pathways of exit from paid employment among older workers in Europe: a four year follow-up study

Robroek¹,

Schuring²,

Croezen³

et al. 2012

Scand J Work Environ Health

204

174

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“…Several studies have, for example, shown that work environmental factors, mainly physical but also psychosocial factors (Burr et al, 2011;Christensen et al, 2005;Labriola et al, 2006;Lund et al, 2006;Nielsen et al, 2006;Voss et al, 2004), lifestyle Robroek et al, 2011), and pain (Saastamoinen et al, 2009) are associated with SA. Further, some recent twin studies of the associations between socio-demography, health-related factors, pain, and DP showed that the associations seem to be independent from familial effects or influenced by those to a minor degree (Pietikäinen et al, 2011;Ropponen et al, 2011aRopponen et al, , 2011bSamuelsson et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

“…Even though some studies have included information on the diagnosis underlying the work incapacity, mostly biological factors including genetic, have not been studied, mainly due to lack of such data. Nevertheless, influence of genetic factors may affect the estimations of the influential factors on SA if present, since genetic factors may be unknown confounders in studies of associations between risk factors and SA (Alexanderson & Norlund, 2004a, 2004bAllebeck & Mastekaasa, 2004;Pietikäinen et al, 2011;Ropponen et al, 2011aRopponen et al, , 2011bSamuelsson et al, 2012).…”

mentioning

confidence: 99%

“…The pathways leading to SA might include biological factors affected by the presence of a disease or health symptoms, but also factors related to the work situation, insurance system, family background, socio-economy, demography, lifestyle, and culture can influence the SA of a person (Alexanderson & Norlund, 2004b;Allebeck & Mastekaasa, 2004;Pietikäinen et al, 2011;Ropponen et al, 2011aRopponen et al, , 2011bSamuelsson et al, 2012).…”

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confidence: 99%

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Genetic Susceptibility to Sickness Absence is Similar Among Women and Men: Findings From a Swedish Twin Cohort

et al. 2012

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Previous studies of risk factors for sickness absence (SA) focus primarily on psychosocial and work environmental exposures. The aim of this study was to investigate the relative contribution of genetic influences on SA among women and men. The population-based study sample of Swedish twins (34,547) included 13,743 twin pairs of known zygosity, 3,495 monozygotic, 5,073 same-sexed dizygotic, and 5,175 opposite sexed. The point prevalence of long-term SA (≥15 days) in each zygosity and sex group was calculated. The risk of SA was estimated as an odds ratio (OR) with 95% confidence intervals (CI) where the odds for twins on SA to have a co-twin on SA was compared to the OR for SA in twins whose co-twin were not sickness absent. Intrapair correlations and probandwise concordance rates were calculated and standard biometrical genetic model-fitting methods were used to estimate the heritability of SA. The prevalence of SA was 8.8% (women 10.7%; men 6.5%). Intrapair similarity was higher among monozygotic than dizygotic twin pairs. The best-fitting model showed no sex differences in genetic effects or variance components contributing to SA. The heritability estimate was 36% (95% CI: 35-40%). Results suggest genetic contribution to the variation of SA and that environmental factors have an important role, for women and men. As SA seem to be influenced by genetic factors, future studies of associations between risk factors and SA should consider this potentially confounding effect.

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“…However, studies examining DR due to MSD (2,4,6,8), mental disorders (2,7), and cardiovascular diseases (7) have shown that the socioeconomic differences may vary based on the cause of disability. In particular, large socioeconomic differences in DR due to MSD have been found (2,4,8). A Finnish study (2) among municipal employees found a stronger and more consistent socioeconomic gradient in DR due to MSD than mental disorders.…”

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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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Health-related risk factors for disability pensions due to musculoskeletal diagnoses: A 30-year Finnish twin cohort study

Abstract: The risk of DP due to MSD and OA seemed to be influenced by comorbidities, educational level and social class. Analyses of twin pairs discordant for DP confirmed the results. Accumulated health problems and chronic conditions during the life course may lead to permanent work incapacity.

Cited by 45 publications

References 32 publications

Poor health, unhealthy behaviors, and unfavorable work characteristics influence pathways of exit from paid employment among older workers in Europe: a four year follow-up study

Poor health, unhealthy behaviors, and unfavorable work characteristics influence pathways of exit from paid employment among older workers in Europe: a four year follow-up study

Genetic Susceptibility to Sickness Absence is Similar Among Women and Men: Findings From a Swedish Twin Cohort

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

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