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Diagnosis-specific ...
Diagnosis-specific sick leave as a long-term predictor of disability pension : a 13-year follow-up of the GAZEL cohort study
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- Alexanderson, K. (author)
- Karolinska Institutet
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Kivimäki, M. (author)
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Ferrie, J. E. (author)
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- Westerlund, Hugo (author)
- Stockholms universitet,Stressforskningsinstitutet,Karolinska Institutet, Sweden
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Vahtera, J. (author)
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Singh-Manoux, A. (author)
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Melchior, M. (author)
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Zins, M. (author)
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Goldberg, M. (author)
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- Head, J. (author)
- Karolinska Institutet
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(creator_code:org_t)
- 2011-10-14
- 2012
- English.
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In: Journal of Epidemiology and Community Health. - : BMJ. - 0143-005X .- 1470-2738. ; 66:2, s. 155-159
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https://urn.kb.se/re...
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Abstract
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- Background Factors that increase the risk of labour market exclusion are poorly understood. In this study, we examined the extent to which all-cause and diagnosis-specific sick leave predict subsequent disability pension (DP).Methods Prospective cohort study of 20 434 persons employed by the French national gas and electric company (the GAZEL study). New sick-leave spells >7 days in 1990–1992 were obtained from company records. Follow-up for DP was from 1994 to 2007.Results The HR, adjusted for age and occupational position, for DP was 3.5 (95% CI 2.7 to 4.5) in men and 2.6 (95% CI 1.9 to 3.5) in women with one or more sick-leave spells >7 days compared with those with no sick leave. The strongest predictor of DP was sick leave with a psychiatric diagnosis, HR 7.6 (95% CI 5.2 to 10.9) for men and 4.1 (95% CI 2.9 to 5.9) for women. Corresponding HRs for sick leave due to circulatory diagnoses in men and women were 5.6 (95% CI 3.7 to 8.6) and 3.1 (95% CI 1.8 to 5.3), for respiratory diagnoses 3.9 (95% CI 2.6 to 5.8) and 2.6 (95% CI 1.7 to 4.0), and musculoskeletal diagnoses 4.6 (95% CI 3.4 to 6.4) and 3.3 (95% CI 2.2 to 4.8), respectively.Conclusions Sick leave with a psychiatric diagnosis is a major risk factor for subsequent DP, especially among men. Sick leave due to musculoskeletal or circulatory disorders was also a strong predictor of DP. Diagnosis-specific sick leave should be recognised as an early risk marker for future exclusion from the labour market.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)
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- ref (subject category)
- art (subject category)
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- By the author/editor
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Alexanderson, K.
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Kivimäki, M.
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Ferrie, J. E.
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Westerlund, Hugo
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Vahtera, J.
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Singh-Manoux, A.
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show more...
-
Melchior, M.
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Zins, M.
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Goldberg, M.
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Head, J.
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Occupational Hea ...
- Articles in the publication
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Journal of Epide ...
- By the university
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Stockholm University
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Karolinska Institutet