Can high psychological job demands, low decision latitude, and high job strain predict disability pensions? A 12-year follow-up of middle-aged Swedish workers

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Canivet, CatarinaLund University,Lunds universitet,Socialmedicin och global hälsa,Forskargrupper vid Lunds universitet,Social Medicine and Global Health,Lund University Research Groups,Division of Social Medicine and Global Health, Department of Clinical Sciences Malmö, Malmö University Hospital, Lund University, Malmö, Sweden (författare)

Can high psychological job demands, low decision latitude, and high job strain predict disability pensions? A 12-year follow-up of middle-aged Swedish workers

Artikel/kapitelEngelska2013

Förlag, utgivningsår, omfång ...

2012-04-05
Amsterdam :Springer Science and Business Media LLC,2013

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LIBRIS-ID:oai:gup.ub.gu.se/176151
https://gup.ub.gu.se/publication/176151URI
https://doi.org/10.1007/s00420-012-0766-4DOI
https://lup.lub.lu.se/record/2519778URI
https://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-21122URI

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Språk:engelska

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OBJECTIVES: The aim of this study was to investigate whether job strain, psychological demands, and decision latitude are independent determinants of disability pension rates over a 12-year follow-up period. METHODS: We studied 3,181 men and 3,359 women, all middle-aged and working at least 30 h per week, recruited from the general population of Malmö, Sweden, in 1992. The participation rate was 41 %. Baseline data include sociodemographics, the Job Content Questionnaire, lifestyle, and health-related variables. Disability pension information was obtained through record linkage from the National Health Insurance Register. RESULTS: Nearly 20 % of the women and 15 % of the men were granted a disability pension during the follow-up period. The highest quartile of psychological job demands and the lowest quartile of decision latitude were associated with disability pensions when controlling for age, socioeconomic position, and health risk behaviours. In the final model, with adjustment also for health indicators and stress from outside the workplace, the hazard ratios for high strain jobs (i.e. high psychological demands in combination with low decision latitude) were 1.5 in men (95 % CI, 1.04-2.0) and 1.7 in women (95 % CI, 1.3-2.2). Stratifying for health at baseline showed that high strain tended to affect healthy but not unhealthy men, while this pattern was reversed in women. CONCLUSIONS: High psychological demands, low decision latitude, and job strain were all confirmed as independent risk factors for subsequent disability pensions. In order to increase chances of individuals remaining in the work force, interventions against these adverse psychosocial factors appear worthwhile.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Arbetsmedicin och miljömedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Occupational Health and Environmental Health hsv//eng
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
Disability leave
Stress
physiological
Stress
psychological
Gender
Longitudinal studies
sickness absence
cardiovascular-disease
construction workers
psychosocial factors
risk-factors
life-style
health
population
stress
environment
aspl
AvshalomCaspl
AMilne
Barry J.Milne
BJDanese
AndreaDanese
APoulton
RichiePoulton
Disability leave

Biuppslag (personer, institutioner, konferenser, titlar ...)

Choi, B.Center for Occupational and Environment Health, University of California, Irvine, USA (författare)
Karasek, R.Department of Work Environment, University of Massachusetts, Lowell, USA (författare)
Moghaddassi, MahnazLund University,Lunds universitet,Socialmedicin och global hälsa,Forskargrupper vid Lunds universitet,Social Medicine and Global Health,Lund University Research Groups,Division of Social Medicine and Global Health, Department of Clinical Sciences Malmö, Malmö University Hospital, Lund University, Malmö, Sweden(Swepub:lu)smi-mmo (författare)
Staland Nyman, Carin,1963Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Unit of Social Medicine, Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden(Swepub:hh)carsta (författare)
Östergren, Per-OlofLund University,Lunds universitet,Socialmedicin och global hälsa,Forskargrupper vid Lunds universitet,Social Medicine and Global Health,Lund University Research Groups,Division of Social Medicine and Global Health, Department of Clinical Sciences Malmö, Malmö University Hospital, Lund University, Malmö, Sweden(Swepub:lu)smi-pos (författare)
Socialmedicin och global hälsaForskargrupper vid Lunds universitet (creator_code:org_t)

Sammanhörande titlar

Ingår i:International Archives of Occupational and Environmental HealthAmsterdam : Springer Science and Business Media LLC86:3, s. 307-3190340-01311432-1246

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Av författaren/redakt...: Canivet, Catarin ...; Choi, B.; Karasek, R.; Moghaddassi, Mah ...; Staland Nyman, C ...; Östergren, Per-O ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Arbetsmedicin oc ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Folkhälsovetensk ...

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Av lärosätet: Göteborgs universitet; Lunds universitet; Högskolan i Halmstad

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