Sickness absence with psychiatric diagnoses: Individual and contextual predictors of permanent disability
Sickness absence due to psychiatric problems is on the increase. Many sickness absentees do not recover and end up on a permanent disability pension (DP). A prospective cohort study of 12,283 women and 7099 men with a spell of sickness absence longer than 8 weeks, certified with a psychiatric diagno...
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Veröffentlicht in: | Health & place 2009-03, Vol.15 (1), p.308-314 |
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description | Sickness absence due to psychiatric problems is on the increase. Many sickness absentees do not recover and end up on a permanent disability pension (DP). A prospective cohort study of 12,283 women and 7099 men with a spell of sickness absence longer than 8 weeks, certified with a psychiatric diagnosis, was carried out. Diagnoses and socioeconomic data for each case were obtained from a national insurance research database. Socio-demographic data characterising each of Norway's 19 counties were obtained from Statistics Norway, and a deprivation index was constructed. Cox regression models with county-level variables only and combinations of variables at individual and county level were estimated separately for each gender as predictors of DP. Men had the highest risk of disability. Several individual-level variables predicted permanent disability. Contextual factors had a marginal effect among women also, after adjustment for individual-level variables. No such effect was present among the men. |
doi_str_mv | 10.1016/j.healthplace.2008.06.004 |
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Many sickness absentees do not recover and end up on a permanent disability pension (DP). A prospective cohort study of 12,283 women and 7099 men with a spell of sickness absence longer than 8 weeks, certified with a psychiatric diagnosis, was carried out. Diagnoses and socioeconomic data for each case were obtained from a national insurance research database. Socio-demographic data characterising each of Norway's 19 counties were obtained from Statistics Norway, and a deprivation index was constructed. Cox regression models with county-level variables only and combinations of variables at individual and county level were estimated separately for each gender as predictors of DP. Men had the highest risk of disability. Several individual-level variables predicted permanent disability. Contextual factors had a marginal effect among women also, after adjustment for individual-level variables. 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Many sickness absentees do not recover and end up on a permanent disability pension (DP). A prospective cohort study of 12,283 women and 7099 men with a spell of sickness absence longer than 8 weeks, certified with a psychiatric diagnosis, was carried out. Diagnoses and socioeconomic data for each case were obtained from a national insurance research database. Socio-demographic data characterising each of Norway's 19 counties were obtained from Statistics Norway, and a deprivation index was constructed. Cox regression models with county-level variables only and combinations of variables at individual and county level were estimated separately for each gender as predictors of DP. Men had the highest risk of disability. Several individual-level variables predicted permanent disability. Contextual factors had a marginal effect among women also, after adjustment for individual-level variables. No such effect was present among the men.</description><subject>Absenteeism</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Cohort Studies</subject><subject>Disability</subject><subject>Disability pension</subject><subject>Disabled Persons - psychology</subject><subject>Female</subject><subject>Gender differences</subject><subject>Health technology assessment</subject><subject>Humans</subject><subject>Illness</subject><subject>Male</subject><subject>Mental Disorders</subject><subject>Middle Aged</subject><subject>Multi-level analysis</subject><subject>Multidimensional analysis</subject><subject>Norway</subject><subject>Pensions</subject><subject>Proportional Hazards Models</subject><subject>Prospective Studies</subject><subject>Psychiatric diagnoses</subject><subject>Psychiatric disorders</subject><subject>Psychiatry</subject><subject>Sick Leave - statistics & numerical data</subject><subject>Sickness absence</subject><subject>Sickness benefits</subject><subject>Workers</subject><subject>Young Adult</subject><issn>1353-8292</issn><issn>1873-2054</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkU2P0zAQhiMEYpeFv4DMhVvC2PFXuKGKj5VW4gCcrYk9oS5pEmx3of-eVK0Et-XksfS8M6N5quoVh4YD1292zZZwLNtlRE-NALAN6AZAPqquuTVtLUDJx2vdqra2ohNX1bOcdwCgreRPqytudSekMNdV_BL9j4lyZthnmjyxX7Fs2ZKPfhuxpOhZiPh9mjPlt-x2CvE-hgOODKfA_DwV-l1O3yVRiL7MKbN5YAulPU40lTWcsY9jLMfn1ZMBx0wvLu9N9e3D-6-bT_Xd54-3m3d3tZetKXXfWuBSowKFaCz2RIgdcgl6CLLXkpBz3SvFtSCtVAighOoGY6xV3vP2pnp97ruk-eeBcnH7mD2N47rQfMhOa8MNB_UgqIzQRqmHwdZAyzvRrWB3Bn2ac040uCXFPaaj4-BO5tzO_WPOncw50G41t2ZfXoYc-j2Fv8mLqhXYnAFaj3cfKbns48lYiIl8cWGO_zHmD0LCsb4</recordid><startdate>20090301</startdate><enddate>20090301</enddate><creator>Bratberg, Espen</creator><creator>Gjesdal, Sturla</creator><creator>Mæland, John Gunnar</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20090301</creationdate><title>Sickness absence with psychiatric diagnoses: Individual and contextual predictors of permanent disability</title><author>Bratberg, Espen ; 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Many sickness absentees do not recover and end up on a permanent disability pension (DP). A prospective cohort study of 12,283 women and 7099 men with a spell of sickness absence longer than 8 weeks, certified with a psychiatric diagnosis, was carried out. Diagnoses and socioeconomic data for each case were obtained from a national insurance research database. Socio-demographic data characterising each of Norway's 19 counties were obtained from Statistics Norway, and a deprivation index was constructed. Cox regression models with county-level variables only and combinations of variables at individual and county level were estimated separately for each gender as predictors of DP. Men had the highest risk of disability. Several individual-level variables predicted permanent disability. Contextual factors had a marginal effect among women also, after adjustment for individual-level variables. 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subjects | Absenteeism Adolescent Adult Cohort Studies Disability Disability pension Disabled Persons - psychology Female Gender differences Health technology assessment Humans Illness Male Mental Disorders Middle Aged Multi-level analysis Multidimensional analysis Norway Pensions Proportional Hazards Models Prospective Studies Psychiatric diagnoses Psychiatric disorders Psychiatry Sick Leave - statistics & numerical data Sickness absence Sickness benefits Workers Young Adult |
title | Sickness absence with psychiatric diagnoses: Individual and contextual predictors of permanent disability |
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