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Risk factors for disability pension: Studies of a Swedish twin cohort
Karolinska institutet.
2013 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Ort, förlag, år, upplaga, sidor
Stockholm: Karolinska institutet , 2013. , s. 71
Nationell ämneskategori
Hälsovetenskaper
Identifikatorer
URN: urn:nbn:se:hig:diva-39773ISBN: 978-91-7549-018-2 (tryckt)OAI: oai:DiVA.org:hig-39773DiVA, id: diva2:1689287
Tillgänglig från: 2022-08-22 Skapad: 2022-08-22 Senast uppdaterad: 2022-08-22Bibliografiskt granskad
Delarbeten
1. Disability Pension Among Swedish Twins - Prevalence Over 16 Years and Associations With Sociodemographic Factors in 1992
Öppna denna publikation i ny flik eller fönster >>Disability Pension Among Swedish Twins - Prevalence Over 16 Years and Associations With Sociodemographic Factors in 1992
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2012 (Engelska)Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 54, nr 1, s. 10-16Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective: To investigate annual prevalence of disability pension (DP) from 1992 to 2007 and associations with sociodemographic factors in 1992.

Methods: All twins born between 1928 and 1958 were identified from the Swedish Twin Registry and linked to national records on DP. Descriptive statistics and logistic regressions were applied.

Results: The annual prevalence of DP was 10.7% (9.6% to 11.3%). High age (odds ratio [OR] 9.17; 95% confidence interval [CI] 8.43 to 9.98), low education (OR 4.84; 95% CI 4.31 to 5.42), and being unmarried (OR 2.36; 95% CI 2.22 to 2.50) were associated with DP. The associations remained after adjusting for familial factors.

Conclusions: The fact that the associations remained after control for familial factors indicates that factors not shared by family members, such as choices in adulthood, are of relevance for the associations found.

Ort, förlag, år, upplaga, sidor
Wolters Kluwer, 2012
Nationell ämneskategori
Hälsovetenskaper
Identifikatorer
urn:nbn:se:hig:diva-39766 (URN)10.1097/jom.0b013e31823d86d5 (DOI)
Tillgänglig från: 2022-08-22 Skapad: 2022-08-22 Senast uppdaterad: 2022-08-22Bibliografiskt granskad
2. Incidence of disability pension and associations with socio-demographic factors in a Swedish twin cohort
Öppna denna publikation i ny flik eller fönster >>Incidence of disability pension and associations with socio-demographic factors in a Swedish twin cohort
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2012 (Engelska)Ingår i: Social Psychiatry and Psychiatric Epidemiology, ISSN 0933-7954, E-ISSN 1433-9285, Vol. 47, s. 1999-2009Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose

The incidence of disability pension (DP), especially due to mental diagnoses, has increased in many countries, but knowledge of socio-demographic risk factors for DP is limited. Further, the influences of genetics and early-life factors (jointly called familial factors) on these associations remain to be studied. The aims were to study incidence of DP (due to all and mental diagnoses) and associations with socio-demographic factors, and also to establish whether associations differ with DP diagnosis and sex, and are influenced by familial factors.

Methods

A prospective cohort study of all twins born in 1928–1958 (n = 52,609) in Sweden was conducted. The twins were followed from 1993 to 2008 regarding DP. Cox proportional hazard models were applied.

Results

The cumulative incidence of DP was 17 %. Of all the DP diagnoses 20 % were mental. Higher age (≥45 years), being a woman or unmarried, and/or living in a semi-urban area were risk factors for DP. Low education, being a blue-collar worker or being self-employed predicted either higher (all diagnoses) or lower (mental diagnoses) risk of DP. Rural areas were associated with DP due to mental diagnoses. The estimates varied for men and women. After adjustment for familial factors the associations of DP with education and marital status were attenuated and no longer significant. Similar results were apparent for DP due to mental diagnoses and socioeconomic status.

Conclusions

Familial factors may select individuals into some of the established risk environments for DP. Studies investigating the causes of DP need to take such confounding into account.

Ort, förlag, år, upplaga, sidor
Springer, 2012
Nationell ämneskategori
Hälsovetenskaper
Identifikatorer
urn:nbn:se:hig:diva-39768 (URN)10.1007/s00127-012-0498-5 (DOI)
Tillgänglig från: 2022-08-22 Skapad: 2022-08-22 Senast uppdaterad: 2022-08-22Bibliografiskt granskad
3. Psychosocial working conditions, occupational groups, and risk of disability pension due to mental diagnoses: a cohort study of 43 000 Swedish twins
Öppna denna publikation i ny flik eller fönster >>Psychosocial working conditions, occupational groups, and risk of disability pension due to mental diagnoses: a cohort study of 43 000 Swedish twins
2012 (Engelska)Ingår i: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 39, nr 4, s. 351-360Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objectives

The aim of this study was to investigate associations between psychosocial working conditions, occupational groups defined by sector, and disability pension (DP) with mental diagnoses while accounting for familial confounding.

Methods

A prospective population-based cohort study was conducted, including all Swedish twins who, in January 1993, were living and working in Sweden and not on old-age pension or DP (N=42 715). The twins were followed from 1993–2008 regarding DP. Data on DP, exposures, and covariates were obtained from national registries. Cox proportional hazards regression models with hazard ratios (HR) and 95% confidence intervals (95% CI) were constructed for the whole cohort, and for discordant twin pairs.

Results

The associations for the whole cohort between DP with mental diagnoses and (i) job demands (HR 1.23, 95% CI 1.06–1.43), (ii) job control (HR 0.91, 95% CI 0.83–0.99), (iii) healthcare and social work (HR 1.41, 95% CI 1.04–1.92), and (iv) service and military work (HR 2.07, 95% CI 1.37–3.14) remained after accounting for possible confounders, including familial factors, while the associations between DP and (i) social support, (ii) type of jobs, and (iii) some of the occupational groups were attenuated, becoming non-significant. In the discordant twin pair analyses, commercial work was significantly associated with lower risk of DP (HR 0.55, 95% CI 0.32–0.95).

Conclusions

One unit increase in job demands and working in the occupational groups healthcare and social work or service and military work seem to be risk factors of DP with mental diagnoses, independent from various background factors including familial ones. However, one unit increase in job control or working in commercial work seem to be protective factors of such DP, accounting for confounding factors of this study.

Ort, förlag, år, upplaga, sidor
NOROSH, 2012
Nyckelord
cohort study; disability; disability pension; JEM; job exposure matrix; mental diagnosis; mental disorder; mental health; mental illness; occupational group; population-based cohort study; prospective study; psychosocial working condition; sick leave; sickness absence; sickness absence; Sweden; twins; working condition
Nationell ämneskategori
Hälsovetenskaper
Identifikatorer
urn:nbn:se:hig:diva-39769 (URN)10.5271/sjweh.3338 (DOI)
Tillgänglig från: 2022-08-22 Skapad: 2022-08-22 Senast uppdaterad: 2022-08-22Bibliografiskt granskad

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