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Diagnosis-specific ...
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Alexanderson, K.Karolinska Institutet
(författare)
Diagnosis-specific sick leave as a long-term predictor of disability pension : a 13-year follow-up of the GAZEL cohort study
- Artikel/kapitelEngelska2012
Förlag, utgivningsår, omfång ...
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2011-10-14
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BMJ,2012
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:su-67597
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https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-67597URI
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https://doi.org/10.1136/jech.2010.126789DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:123767863URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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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.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Kivimäki, M.
(författare)
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Ferrie, J. E.
(författare)
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Westerlund, HugoStockholms universitet,Stressforskningsinstitutet,Karolinska Institutet, Sweden(Swepub:su)hwest
(författare)
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Vahtera, J.
(författare)
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Singh-Manoux, A.
(författare)
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Melchior, M.
(författare)
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Zins, M.
(författare)
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Goldberg, M.
(författare)
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Head, J.Karolinska Institutet
(författare)
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Karolinska InstitutetStressforskningsinstitutet
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Journal of Epidemiology and Community Health: BMJ66:2, s. 155-1590143-005X1470-2738
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Till lärosätets databas
- Av författaren/redakt...
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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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visa fler...
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Melchior, M.
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Zins, M.
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Goldberg, M.
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Head, J.
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visa färre...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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- Av lärosätet
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Stockholms universitet
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Karolinska Institutet