Sickness absence with low-back, shoulder, or neck diagnoses: an 11-year follow-up regarding gender differences in sickness absence and disability pension.

Alexanderson, KristinaLinköpings universitet,Socialmedicin och folkhälsovetenskap,Hälsouniversitetet (author)

BACKGROUND: There is very little knowledge on the long-term outcomes of sickness absence. The aim was to investigate sickness absence and disability pensions over 11 years in a cohort of young persons initially long-term sick listed with back, neck, or shoulder diagnoses. METHOD: A prospective population-based cohort study of all 213 individuals in the Municipality of Linköping, Sweden, who in 1985 were aged 25-34 and had at least one new sick-leave spell > 28 days with such diagnoses. MAIN RESULTS: More women (61%) than men fulfilled the inclusion criteria. In 1996, 22% of the cohort (14% of the men, 26% of the women) had been granted disability pension; 76% of these individuals with musculoskeletal and the rest with psychiatric diagnoses. Partial disability pension was granted to 59% of the women, 17% of the men. Women were more often granted temporary disability pension than men. CONCLUSIONS: This proved to be a high-risk group for disability pension. There were large and somewhat unexpected gender differences regarding incidence and type of disability pension. It has been debated how soon physicians should be concerned about the risk of long-term disability regarding these diagnoses; at four or eight weeks of sickness absence - our results support the former, at least for women.

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
Absenteeism
Adult
Female
Follow-Up Studies
Humans
Male
Musculoskeletal Diseases
economics
Pensions
Prospective Studies
Sex Factors
Sick Leave
economics
Sweden
Time Factors
sickness absence
MEDICINE

Borg, Karin E.Linköpings universitet,Socialmedicin och folkhälsovetenskap,Hälsouniversitetet(Swepub:liu)karbo19 (author)
Hensing, Gunnel,1956Gothenburg University,Göteborgs universitet,Institutionen för samhällsmedicin, Avdelningen för socialmedicin,Institute of Community Medicine, Dept of Social Medicine,Department of Social Medicine, The Sahlgrenska Academy at Göteborg University(Swepub:gu)xhengu (author)
Linköpings universitetSocialmedicin och folkhälsovetenskap (creator_code:org_t)

By the author/editor: Alexanderson, Kr ...; Borg, Karin E.; Hensing, Gunnel, ...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

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