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Contribution of com...
Contribution of comorbid conditions to the association between diabetes and disability pensions : a population-based nationwide cohort study
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- Ervasti, Jenni (författare)
- Finnish Institute of Occupational Health, Helsinki, Finland
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- Virtanen, Marianna (författare)
- Finnish Institute of Occupational Health, Helsinki, Finland
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- Lallukka, Tea (författare)
- Finnish Institute of Occupational Health, Helsinki, Finland: Department of Public Health, University of Helsinki, Finland
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- Pentti, Jaana (författare)
- Finnish Institute of Occupational Health, Helsinki, Finland
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- Kjeldgård, Linnea, 1985- (författare)
- Karolinska Institutet,Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
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- Mittendorfer-Rutz, Ellenor (författare)
- Karolinska Institutet,Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
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- Tinghög, Petter (författare)
- Karolinska Institutet,Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
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- Alexanderson, Kristina (författare)
- Karolinska Institutet,Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
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(creator_code:org_t)
- 2016-03-01
- 2016
- Engelska.
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Ingår i: Scandinavian Journal of Work, Environment and Health. - : Nordic Association of Occupational Safety and Health. - 0355-3140 .- 1795-990X. ; 42:3, s. 209-216
- Relaterad länk:
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https://doi.org/10.5...
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https://vti.diva-por... (primary) (Raw object)
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https://doi.org/10.5...
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Abstract
Ämnesord
Stäng
- OBJECTIVES: Using Swedish population-based register data, we examined the extent to which comorbid conditions contribute to the risk of disability pension among people with diabetes.METHODS: We carried out Cox proportional hazard analyses with comorbid conditions as time-dependent covariates among 14 198 people with newly diagnosed diabetes in 2006, and 39 204 people free from diabetes during the follow-up from 2007-2010. The average follow-up times were 46 and 48 months for those with and without diabetes, respectively.RESULTS: For those with diabetes only, the incidence of all-cause disability pension was 9.5 per 1000 person-years. The highest incidence of disability pension were for those with: diabetes and depression (23.6); diabetes and musculoskeletal disorder (30.6), and those with diabetes and more than one comorbid condition (36.5). The incidence rate was 5.8 for those without diabetes. Diabetes was associated with a 2.30 times [95% confidence interval (95% CI) 2.09-2.54] higher risk of disability pension (adjusted for sociodemographic factors). This association attenuated by 41% after further adjustment for comorbid chronic conditions. While diabetes was a risk factor for disability pension due to musculoskeletal disorders and diseases of the circulatory system, even after accounting for the above-mentioned conditions, the association between disability pension due to mental disorders and diabetes was diluted after adjustment for mental disorders.CONCLUSIONS: Although diabetes is an independent risk factor for disability pension, comorbid conditions contribute to this risk to a large degree.
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 -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)
Nyckelord
- cardiovascular disease
- early retirement
- hypertension
- ill health
- mental disorder
- musculoskeletal disorder
- prospective study
- register data
- Sweden
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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