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Role of social bene...
Role of social benefits for future long-term sickness absence, disability pension and unemployment among individuals on sickness absence due to mental diagnoses : a competing risk approach
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- Ropponen, Annina (författare)
- Karolinska Institutet,Karolinska institutet, Stockholm, Sweden; Finnish Institute of Occupational Health, Helsinki, Finland
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- Narusyte, Jurgita (författare)
- Karolinska Institutet,Karolinska institutet, Stockholm, Sweden; Center of Epidemiology and Community Medicine, Stockholm County Council, Stockholm, Sweden
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- Wang, Mo (författare)
- Karolinska Institutet,Karolinska institutet, Stockholm, Sweden
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- Kärkkäinen, Sanna (författare)
- Karolinska Institutet,Karolinska institutet, Stockholm, Sweden; Finnish Institute for Health and Welfare, Helsinki, Finland
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- Mather, Lisa (författare)
- Karolinska Institutet,Karolinska institutet, Stockholm, Sweden
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- Blom, Victoria (författare)
- Karolinska Institutet,Gymnastik- och idrottshögskolan,Institutionen för fysisk aktivitet och hälsa,Karolinska institutet, Stockholm, Sweden,Karolinska institutet ; Gymnastik- och idrottshögskolan
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- Bergström, Gunnar, Professor (författare)
- Högskolan i Gävle,Karolinska Institutet,Arbetshälsovetenskap,Centrum för belastningsskadeforskning,Karolinska Institutet, Stockholm, Sweden; University of Gävle, Gävle, Sweden
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- Svedberg, Pia (författare)
- Karolinska Institutet,Karolinska institutet, Stockholm, Sweden
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(creator_code:org_t)
- 2021-12-28
- 2022
- Engelska.
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Ingår i: International Archives of Occupational and Environmental Health. - : Springer. - 0340-0131 .- 1432-1246. ; 95:4, s. 867-876
- Relaterad länk:
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https://doi.org/10.1...
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https://hig.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Purpose: To investigate associations between social benefits and disability pension (DP), long-term sickness absence (LTSA, ≥ 90 days), or unemployment among Swedish twins with sickness absence (SA) due to mental diagnoses.Methods: This population-based prospective twin study included register data on first incident SA spell (< 90 days) due to mental diagnoses (ICD 10 codes F00-F99) during the follow-up 2005-2016. SA < 90 days due to other diagnoses than mental diagnoses or any other social insurance benefit was identified for the preceding year of the first incident SA spell due to mental diagnoses (coded yes/no). Comparing those with any previous social benefits vs without, cumulative incidence curve to compare time to an event, and Cox proportional hazards models for cause-specific hazard ratios (HR, 95% confidence intervals, CI) treating first incident DP, LTSA and unemployment as competing risks were modeled.Results: During follow-up, 21 DP, 1619 LTSA, and 808 unemployment events took place. Compared to those without, those with at least one benefit had a higher risk for DP (HR 5.03; 95%CI 1.80, 14.01), LTSA (1.67; 1.50, 1.84) and unemployment (1.24; 1.03, 1.50). The cumulative incidence for DP was very low, < 1%, for LTSA 80% with any previous social benefits vs. 60% without, and for unemployment ≤ 5%.Conclusion: Social benefits received during the preceding year of SA due to mental diagnoses (< 90 days) predict DP, LTSA, and unemployment. Hence, previous social benefits may provide means for early identification of persons at risk for exit from labor market.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)
Nyckelord
- Disability pension; Mental diagnoses; Sick leave; Sickness absence; Unemployment.
- Medicin/Teknik
- Medicine/Technology
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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