Occupation, Physical Workload Factors, and Disability Retirement as a Result of Hip Osteoarthritis in Finland, 2005–2013

Solovieva, Svetlana; Kontio, Tea; Viikari‐Juntura, Eira

doi:10.3899/jrheum.170748

Cited by 19 publications

(66 citation statements)

References 34 publications

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“…This is concerning as the rapid distributional change resulting from the process of urbanisation may exert limited impacts, if any, on reducing the inequalities. Previous studies found that farming in China is very labour intensive, which has a long-term detrimental effect on the physical functioning of those in their later life [ 40 , 41 ]. Such an effect can be accumulative without necessarily being apparent at an younger age despite serious health consequences on older persons [ 2 , 42 ].…”

Section: Discussionmentioning

confidence: 99%

Changes of inequality in functional disability of older populations in China from 2008 to 2018: a decomposition analysis

Zhang

Liu

et al. 2022

BMC Geriatr

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Background This study aims to determine the change of inequality in functional disability of older populations in China over the period from 2008 to 2018 and decompose the contribution of the personal and environmental predictors to the change. Methods Data were drawn from two waves (2008 and 2018) of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Functional disability was assessed by the basic activities of daily living (ADL) and the instrumental activities of daily living (IADL). Concentration index (CI) was calculated to measure the socioeconomic inequality in ADL and IADL. A two-level linear regression model was established to identify the individual and care environmental predictors and their contribution to the inequality of ADL and IADL, respectively. The Oaxaca-type decomposition technique was adopted to estimate the contribution of these predictors to changes of the inequality in ADL and IADL over the period from 2008 to 2018. Results Socioeconomic inequality in functional disability of older adults increased over the period from 2008 to 2018, with the CI for ADL changing from − 0.0085 to − 0.0137 and the CI for IADL changing from − 0.0164 to − 0.0276, respectively. Self-rated economic status was the single most powerful predictor of changes in the inequality, although the growing and dominant rating of older persons with fare economic status could offset the detrimental effects of other (rich or poor) ratings on the changes. The enlarged inequality was also attributable to the increasing importance of regular exercise and its distributional changes, as well as the accumulative long-term effect of farming in earlier life. They outweighed the counteracting effects of rural residency, living with chronic conditions and in an institution. Conclusions Socioeconomic inequality in functional disability of older populations in China increased over the period from 2008 to 2018. Re-distribution of wealth remains to be a powerful instrument for addressing the inequality issue, but alone it is not enough. The detrimental accumulative effect of farming will not disappear any time soon. While rural residents are catching up with their urban counterparts, new challenges such as physical inactivity are emerging.

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Section: Discussionmentioning

confidence: 99%

Changes of inequality in functional disability of older populations in China from 2008 to 2018: a decomposition analysis

Zhang

Liu

et al. 2022

BMC Geriatr

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“…The etiology behind higher osteoarthritis rates in agricultural workers is unclear. Agriculture is a physicallydemanding occupation, and some studies have shown an association between high physical workload and osteoarthritis [11][12][13][14]. In a study of hip and knee arthroplasty by occupation, using sedentary occupations as a control group, male farmers had an odds ratio (OR) of 5.1 for knee replacement and 3.6 for hip replacement, higher than four other physically-demanding occupations [15].…”

Section: Introductionmentioning

confidence: 99%

WOMAC score and arthritis diagnosis predict decreased agricultural productivity

Webber

Tran

June

et al. 2021

BMC Musculoskelet Disord

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Background Arthritis and joint pain are highly prevalent in agricultural (ag) workers. Many ag operations are sustained by a small number of workers, and the disability of even one worker thus contributes to economic hardship. This study investigated associations between joint health in Montana ag workers and economic well-being and work capacity. Methods This observational mixed-methods study utilized quantitative survey data and qualitative focus group data. 299 ranchers and farmers in 9 Montana counties completed either an online or paper survey that included participant demographics, joint symptoms, history of arthritis and arthritis type, financial status, work capacity, and the need to rely on others to complete one’s work. The Western Ontario and McMaster Universities arthritis index (WOMAC) survey was completed by those with hip or knee pain. Data were entered into REDCap v8.9.2 for analysis with SAS 9.4, using logistic and linear regression models to detect associations between covariables and to calculate odds ratios and confidence intervals. Focus groups were held with ranchers in two Montana counties, discussing similar topics, and the themes expressed were identified. Results 87.6% of survey respondents reported joint pain, 47.8% a diagnosis of arthritis, and 22.4% osteoarthritis (OA). A 10-point increase in WOMAC was significantly associated with lower work capacity (OR 2.00; 95% CI [1.58, 2.55], p < 0.01), worse financial condition (OR 1.23; 95% CI [1.01,1.48], p = 0.04), and increased reliance on others (OR 1.82; 95% CI [1.32, 2.55], p < 0.01). An arthritis diagnosis was associated with worsening work capacity (OR 4.66; 95% CI [2.71, 8.01], p < 0.01) and increased odds of relying on others (OR 3.23; 95% CI [1.56, 6.66], p < 0.01). A diagnosis of OA was significantly associated with decreased work capacity (OR 3.47; 95% CI [1.97, 6.11], p < 0.01). Unadjusted for age and BMI, we found a significant association between years spent working in agriculture and joint health, which became non-significant after adjusting for age and BMI. Focus group themes included decreased productivity with increased joint symptoms and a tendency for ranchers to avoid interaction with the health care system. Conclusion Poor joint health is associated with economic risk on Montana ranches and farms.

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“…For the analysis, the occupations were aggregated to two-digit level. The description of occupations at the two-digit level has been reported elsewhere (Solovieva et al 2018 ).…”

Section: Methodsmentioning

confidence: 99%

Occupational differences in disability retirement due to a shoulder lesion: do work-related factors matter?

Sirén

Viikari‐Juntura

Arokoski

et al. 2020

Int Arch Occup Environ Health

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Objective To identify occupations with a high risk of disability retirement due to a shoulder lesion and to examine the effect of physical and psychosocial work-related factors on occupational differences in disability retirement. Methods We followed Finnish wage earners aged 30–59 years (n = 1,135,654) from 2005 to 2014 for full disability retirement due to a shoulder lesion. The work-related exposures were assessed with job exposure matrices. We calculated age-adjusted incidence rates and hazard ratios to test for the association between occupation and disability retirement due to a shoulder lesion. We also examined the contribution of work-related exposures to the excess risk of disability retirement. Results As compared to professionals, the age-adjusted risk of disability retirement was increased among men in all occupational groups except managers and customer service clerks and among women in several occupational groups. Adjustment for education attenuated the occupational differences considerably, particularly among women. The physical work-related factors fully explained the excess risk of disability retirement due to a shoulder lesion among male finance and sales associate professionals and administrative secretaries as well as among agricultural and fishery workers. In women, the physical work-related factors fully explained the excess risk among construction workers, electricians and plumbers. For both genders, the contribution of psychosocial factors to excess risk of disability retirement was modest and seen for monotonous work only. Conclusions A reduction of the level of physical work load factors as well as monotonousness of work has a potential to prevent work disability due to a shoulder lesion.

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Occupation, Physical Workload Factors, and Disability Retirement as a Result of Hip Osteoarthritis in Finland, 2005–2013

Abstract: Our results suggest that education and physical workload factors appear to be the major reasons for excess disability retirement as a result of hip OA in manual occupations, particularly among men.

Cited by 19 publications

References 34 publications

Changes of inequality in functional disability of older populations in China from 2008 to 2018: a decomposition analysis

Changes of inequality in functional disability of older populations in China from 2008 to 2018: a decomposition analysis

WOMAC score and arthritis diagnosis predict decreased agricultural productivity

Occupational differences in disability retirement due to a shoulder lesion: do work-related factors matter?

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