Diagnosis-specific sick leave as a long-term predictor of disability pension: a 13-year follow-up of the GAZEL cohort study

Diagnosis-specific sick leave as a long-term predictor of disability pension : a 13-year follow-up of the GAZEL cohort study

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.

Kivimäki, M. (författare)
Ferrie, J. E. (författare)
Westerlund, HugoStockholms universitet,Stressforskningsinstitutet,Karolinska Institutet, Sweden(Swepub:su)hwest (författare)
Vahtera, J. (författare)
Singh-Manoux, A. (författare)
Melchior, M. (författare)
Zins, M. (författare)
Goldberg, M. (författare)
Head, J.Karolinska Institutet (författare)
Karolinska InstitutetStressforskningsinstitutet (creator_code:org_t)

Ingår i:Journal of Epidemiology and Community Health: BMJ66:2, s. 155-1590143-005X1470-2738

Av författaren/redakt...: Alexanderson, K.; Kivimäki, M.; Ferrie, J. E.; Westerlund, Hugo; Vahtera, J.; Singh-Manoux, A.; visa fler...; Melchior, M.; Zins, M.; Goldberg, M.; Head, J.; visa färre...

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