Transitioning from sickness absence to disability pension—the impact of poor health behaviours: a prospective Swedish twin cohort study

Helgadóttir, Björg; Mather, Lisa; Narusyte, Jurgita; Ropponen, Annina; Blom, Victoria; Svedberg, Pia

doi:10.1136/bmjopen-2019-031889

Cited by 7 publications

(4 citation statements)

References 49 publications

(54 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This further complicates the search for a definition or certain, commonly agreed on measures of “sustainable working life.” However, the expectation is that in our Sustainable Working Life project, we can add to the existing knowledge via the utilisation of available definitions and frameworks since our survey data cover self-reported aspects comprehensively. Furthermore, the register data enable detailed follow-up for labour market participation in terms of “sustainable working life,” as well as labour market non-participation in line with earlier studies based on STODS for SA, DP, and unemployment [ 10 , 41 , 42 , 43 , 44 , 45 ].…”

Section: Discussionmentioning

confidence: 61%

Sustainable Working Life in a Swedish Twin Cohort—A Definition Paper with Sample Overview

Ropponen

Wang

Narusyte

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

Background: A unified or consensus definition of “sustainable working life” remains lacking, although studies investigating risk factors for labour market exit are numerous. In this study, we aimed (1) to update the information and to explore a definition of “sustainable working life” via a systematic literature review and (2) to describe the working life trajectories via the prevalence of sickness absence (SA), disability pension (DP), and unemployment in a Swedish twin cohort to provide a sample overview in our Sustainable Working Life-project. Methods: A systematic literature review was conducted to explore the studies with the search phrase “sustainable working life” in PubMed, PsycInfo, and the Web of Science Database of Social Sciences in January 2021, resulting in a total of 51 references. A qualitative synthesis was performed for the definitions and the measures of “sustainable working life.” Based on the Swedish Twin project Of Disability pension and Sickness absence (STODS), the current dataset to address sustainable working life includes 108 280 twin individuals born between 1925 and 1990. Comprehensive register data until 2016 for unemployment, SA and DP were linked to all individuals. Using STODS, we analysed the annual prevalence of SA, DP, and unemployment as working life trajectories over time across education and age groups. Results: The reviewed 16 full articles described several distinct definitions for sustainable working life between 2007 and 2020 from various perspectives, i.e., considering workplaces or employees, the individual, organizational or enterprise level, and the society level. The definition of “sustainable working life” appearing most often was the swAge-model including a broad range of factors, e.g., health, physical/mental/psychosocial work environment, work motivation/satisfaction, and the family situation and leisure activities. Our dataset comprised of 81%–94% of individuals who did not meet SA, DP, or unemployment during the follow-up in 1994–2016, being indicative for “sustainable working life.” The annual prevalence across years had a decreasing trend of unemployment over time, whereas the prevalence of SA had more variation, with DP being rather stable. Both unemployment and DP had the highest prevalence among those with a lower level of education, whereas in SA, the differences in prevalence between education levels were minor. Unemployment was highest across the years in the youngest age group (18–27 years), the age group differences for SA were minor, and for DP, the oldest age group (58–65 years) had the highest prevalence. Conclusions: No consensus exists for a “sustainable working life,” hence meriting further studies, and we intend to contribute by utilising the STODS database for the Sustainable Working Life project. In the upcoming studies, the existing knowledge of available definitions and frameworks will be utilised. The dataset containing both register data and self-reports enables detailed follow-up for labour market participation for sustainable working life.

show abstract

Section: Discussionmentioning

confidence: 61%

Sustainable Working Life in a Swedish Twin Cohort—A Definition Paper with Sample Overview

Ropponen

Wang

Narusyte

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

“…In this comprehensive register data of almost 25,000 Swedish twins we investigated SA spell durations in association with subsequent inpatient or specialized outpatient care. Although SA research with interest in patient care has been recently conducted [ 3 – 5 ], this might have been among the first studies with a focus on SA spell durations. Our results indicate that there is no difference between SA spell duration categories (i.e.…”

Section: Discussionmentioning

confidence: 99%

“…Sickness absence (SA) is a common practice in health care and the most recent statistics by WHO [ 1 ] show that the European Union had on average 12 days of SA per year in 2017 whereas Sweden had 11 days [ 2 ]. Consequences of SA such as permanent work incapacity in terms of disability pension, morbidity or mortality [ 3 – 5 ] have merited interest in recent years as the impact is considerable for the individuals, employers and for society. Furthermore, the consequences of SA influence medical (such as hospitalization), psychosocial (comorbidity or related to exclusion from the labour market), but also economic (i.e.…”

Section: Introductionmentioning

confidence: 99%

The predictive role of sickness absence spell durations in associations with inpatient- and specialized outpatient care among a population-based Swedish twin sample

Ropponen

Wang

Narusyte

et al. 2021

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

Background The associations between a sickness absence spell duration and patient care have been rarely studied. An assumption is that associations would differ by spell duration and by the patient care type, inpatient- or specialized outpatient, due to severity of diseases and/or conditions. We aimed to investigate sickness absence spells in various spell durations as a predictor for subsequent inpatient- and specialized outpatient care separately, and to study if familial confounding plays a role in these associations. Methods We followed a population-based sample of Swedish twins born 1925–90 with national registers from 2001 for first incident sickness absence spell (days to calculate spell duration categorized into ≤30 days, 31–90 days, 91–180 days and ≥ 181 days), or no sickness absence, and for inpatient- and specialized outpatient care until 2013 (n = 24,975). Cox proportional hazards models were applied for hazard ratios (HR) with 95% confidence intervals (CI) while accounting for covariates and familial confounding. Results First incident sickness absence spell across all duration categories was associated with an increased risk of inpatient- (age- and sex adjusted HR 1.28 to 6.05) or specialized outpatient care (HR 1.17–2.50), both in comparison to those without any sickness absence or the shortest sickness absence spell category (1–30 days). The associations remained statistically significant while controlling for covariates or familial confounding. Conclusions First incident sickness absence spell increases the risk of inpatient care or specialized outpatient care regardless of the duration of the sickness absence spell. Hence, incident sickness absence spells should be noted and targeted to actions at workplaces as well as in primary and occupational health care.

show abstract

“…The majority of these physical demands consisted of lifting or carrying heavy loads, working in awkward postures, and repetitive movements, while the psychologically stressful conditions included time pressure, low job control, little social or supervisor support, effort-reward imbalance, or work-life conflict [ 9 , 12 ]. However, different modifiable lifestyle factors, such as a low level of education [ 13 ], physical illnesses [ 13 ], and alcohol consumption [ 14 ], have been associated with a disability pension, having an important role on it. For instance, in Finland, mental and behavioral disorders exceeded musculoskeletal disorders as the principal reason of a disability pension in 2019 [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Can a Healthy Lifestyle Prevent Disability Pension among Female Healthcare Workers with Good and Poor Self-Rated Health? Prospective Cohort Study with 11-Year Register Follow-Up

Morera

Calatayud

López‐Bueno

et al. 2022

IJERPH

View full text Add to dashboard Cite

Background: Our purpose was to investigate whether healthy lifestyle habits prevent disability pension among female healthcare workers. Methods: We conducted a prospective cohort study with an 11-year register follow-up in which 8159 female healthcare workers from Denmark completed a questionnaire concerning self-rated health, work environment, leisure-time physical activity (LTPA), smoking, and body mass index (BMI). Data on disability benefit payments were obtained from the Danish Register for Evaluation of Marginalization during an 11-year follow-up. Potential confounders included age, occupational education, psychosocial work factors, and physical exertion during work. Results: Among workers in good health at baseline, smoking, obesity, and low levels of LTPA were risk factors for disability pension during 11-year follow-up. Among workers with poor health, only low levels of physical activity were a risk factor for disability pension. Conclusions: This underscores the importance of a healthy lifestyle, specially being physically active, for preventing premature exit from the labor market in female healthcare workers.

show abstract

Transitioning from sickness absence to disability pension—the impact of poor health behaviours: a prospective Swedish twin cohort study

Cited by 7 publications

References 49 publications

Sustainable Working Life in a Swedish Twin Cohort—A Definition Paper with Sample Overview

Sustainable Working Life in a Swedish Twin Cohort—A Definition Paper with Sample Overview

The predictive role of sickness absence spell durations in associations with inpatient- and specialized outpatient care among a population-based Swedish twin sample

Can a Healthy Lifestyle Prevent Disability Pension among Female Healthcare Workers with Good and Poor Self-Rated Health? Prospective Cohort Study with 11-Year Register Follow-Up

Contact Info

Product

Resources

About