Health-related risk factors for disability pensions due to musculoskeletal diagnoses: A 30-year Finnish twin cohort study
Aims: There is a need to better understand work incapacity due to musculoskeletal disorders (MSD) and the factors that contribute to being granted disability pension (DP) with such disorders. A twin cohort study would serve a powerful tool responding to this knowledge gap by providing information on...
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| Veröffentlicht in: | Scandinavian journal of public health 2011-12, Vol.39 (8), p.839-848 |
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| creator | ROPPONEN, ANNINA SILVENTOINEN, KARRI SVEDBERG, PIA ALEXANDERSON, KRISTINA KOSKENVUO, KAROLIINA HUUNAN-SEPPÄLÄ, ANTTI KOSKENVUO, MARKKU KAPRIO, JAAKKO |
| description | Aims: There is a need to better understand work incapacity due to musculoskeletal disorders (MSD) and the factors that contribute to being granted disability pension (DP) with such disorders. A twin cohort study would serve a powerful tool responding to this knowledge gap by providing information on factors affecting DP when controlling for family background. The purpose was to investigate the incidence of and risk factors for DP due to any MSD (n = 1,819) and specifically due to osteoarthritis (OA, n = 677) in a twin cohort of 24,043 people over a 30-year follow-up. Methods: Data on twin pairs from a mailed questionnaire during the baseline year of 1975 were followed up with register data regarding DP, emigration, old-age pension, and death. For statistical analysis, univariate and multivariate Cox proportional hazard ratios were estimated. Results: Baseline musculoskeletal pain, frequency of use of analgesics, body mass index, and chronic diseases, as well as education and social class were significant risk factors for DP due to MSD at follow-up in both sexes. These factors were also the significant predictors of DP due to OA in men. In women, DP due to OA was best predicted by baseline musculoskeletal pain and lower social class. Conclusions: The risk of DP due to MSD and OA seemed to be influenced by comorbidities, educational level and social class. Analyses of twin pairs discordant for DP confirmed the results. Accumulated health problems and chronic conditions during the life course may lead to permanent work incapacity. |
| doi_str_mv | 10.1177/1403494811418283 |
| format | Article |
| fullrecord | <record><control><sourceid>jstor_swepu</sourceid><recordid>TN_cdi_swepub_primary_oai_swepub_ki_se_542105</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>45150491</jstor_id><sage_id>10.1177_1403494811418283</sage_id><sourcerecordid>45150491</sourcerecordid><originalsourceid>FETCH-LOGICAL-c572t-22f23fc89aed8143907a5a896a125b19a2ad0c2640329c90d5830b1d54ef9cda3</originalsourceid><addsrcrecordid>eNqNks1vEzEQxVcIREvhzgXkC-K04PHH2uZWVZQiVeIC55Vjexunm3XweFXlv8dR0hQhAT155Pm9NxrNa5rXQD8AKPURBOXCCA0gQDPNnzSn0ElowVD5tNa13e76J80LxBWltBNMP29OGGjDO6pPm-1VsGNZtjmMtgRPcsRbMlhXUkYypEx8RLuIYyxbsgkTxjQh8XMgJZH1jG4eE96GMRQ7VtTeTAkDfiLnhNN2G2wml3GaIi5JuYsTcWmZciFYZr992Twb7Ijh1eE9a35cfv5-cdVef_vy9eL8unVSsdIyNjA-OG1s8BoEN1RZabXpLDC5AGOZ9dSxrq7KjDPUS83pArwUYTDOW37WtHtfvAubedFvclzbvO2Tjf3h67ZWoZeCAZWVN3_lNzn5B9G9EBhXlCq5077fayv4cw5Y-nVEF8bRTiHN2BswRoEU-hEkM4xK_RhPMDULiv-fpB1IqRWrJN2TLifEHIbjlkD7XbL6P5NVJW8P5vNiHfxRcB-lCrw7ABadHYdsJxfxgRNKG8XZb_ewN6FfpTlP9fz_Gvxmz6-whvLoJyRIKgzwX3xu7SQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>906155872</pqid></control><display><type>article</type><title>Health-related risk factors for disability pensions due to musculoskeletal diagnoses: A 30-year Finnish twin cohort study</title><source>Access via SAGE</source><source>MEDLINE</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Jstor Complete Legacy</source><source>Alma/SFX Local Collection</source><creator>ROPPONEN, ANNINA ; SILVENTOINEN, KARRI ; SVEDBERG, PIA ; ALEXANDERSON, KRISTINA ; KOSKENVUO, KAROLIINA ; HUUNAN-SEPPÄLÄ, ANTTI ; KOSKENVUO, MARKKU ; KAPRIO, JAAKKO</creator><creatorcontrib>ROPPONEN, ANNINA ; SILVENTOINEN, KARRI ; SVEDBERG, PIA ; ALEXANDERSON, KRISTINA ; KOSKENVUO, KAROLIINA ; HUUNAN-SEPPÄLÄ, ANTTI ; KOSKENVUO, MARKKU ; KAPRIO, JAAKKO</creatorcontrib><description>Aims: There is a need to better understand work incapacity due to musculoskeletal disorders (MSD) and the factors that contribute to being granted disability pension (DP) with such disorders. A twin cohort study would serve a powerful tool responding to this knowledge gap by providing information on factors affecting DP when controlling for family background. The purpose was to investigate the incidence of and risk factors for DP due to any MSD (n = 1,819) and specifically due to osteoarthritis (OA, n = 677) in a twin cohort of 24,043 people over a 30-year follow-up. Methods: Data on twin pairs from a mailed questionnaire during the baseline year of 1975 were followed up with register data regarding DP, emigration, old-age pension, and death. For statistical analysis, univariate and multivariate Cox proportional hazard ratios were estimated. Results: Baseline musculoskeletal pain, frequency of use of analgesics, body mass index, and chronic diseases, as well as education and social class were significant risk factors for DP due to MSD at follow-up in both sexes. These factors were also the significant predictors of DP due to OA in men. In women, DP due to OA was best predicted by baseline musculoskeletal pain and lower social class. Conclusions: The risk of DP due to MSD and OA seemed to be influenced by comorbidities, educational level and social class. Analyses of twin pairs discordant for DP confirmed the results. Accumulated health problems and chronic conditions during the life course may lead to permanent work incapacity.</description><identifier>ISSN: 1403-4948</identifier><identifier>ISSN: 1651-1905</identifier><identifier>EISSN: 1651-1905</identifier><identifier>DOI: 10.1177/1403494811418283</identifier><identifier>PMID: 21893608</identifier><language>eng</language><publisher>London, England: SAGE</publisher><subject>Adult ; Biological and medical sciences ; Body weight ; Cohort analysis ; Cohort Studies ; Disability benefit ; Disability Evaluation ; Diseases ; Diseases of the osteoarticular system ; Female ; Finland ; Follow-Up Studies ; Humans ; Male ; Medical sciences ; Medicin och hälsovetenskap ; Middle Aged ; Miscellaneous ; Miscellaneous. Osteoarticular involvement in other diseases ; Musculoskeletal Diseases - diagnosis ; Musculoskeletal Diseases - etiology ; Musculoskeletal pain ; Occupational health ; Original articles ; Osteoarthritis ; Osteoarthritis - diagnosis ; Osteoarthritis - etiology ; Pensions ; Physically disabled ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Risk ; Risk Factors ; Social class ; Surveys and Questionnaires ; Twins ; Work Capacity Evaluation</subject><ispartof>Scandinavian journal of public health, 2011-12, Vol.39 (8), p.839-848</ispartof><rights>2011 Nordic Societies of Public Health</rights><rights>2011 the Nordic Societies of Public Health</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c572t-22f23fc89aed8143907a5a896a125b19a2ad0c2640329c90d5830b1d54ef9cda3</citedby><cites>FETCH-LOGICAL-c572t-22f23fc89aed8143907a5a896a125b19a2ad0c2640329c90d5830b1d54ef9cda3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/45150491$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/45150491$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,780,784,803,885,21819,27924,27925,31000,43621,43622,58017,58250</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24789732$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21893608$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:123700755$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>ROPPONEN, ANNINA</creatorcontrib><creatorcontrib>SILVENTOINEN, KARRI</creatorcontrib><creatorcontrib>SVEDBERG, PIA</creatorcontrib><creatorcontrib>ALEXANDERSON, KRISTINA</creatorcontrib><creatorcontrib>KOSKENVUO, KAROLIINA</creatorcontrib><creatorcontrib>HUUNAN-SEPPÄLÄ, ANTTI</creatorcontrib><creatorcontrib>KOSKENVUO, MARKKU</creatorcontrib><creatorcontrib>KAPRIO, JAAKKO</creatorcontrib><title>Health-related risk factors for disability pensions due to musculoskeletal diagnoses: A 30-year Finnish twin cohort study</title><title>Scandinavian journal of public health</title><addtitle>Scand J Public Health</addtitle><description>Aims: There is a need to better understand work incapacity due to musculoskeletal disorders (MSD) and the factors that contribute to being granted disability pension (DP) with such disorders. A twin cohort study would serve a powerful tool responding to this knowledge gap by providing information on factors affecting DP when controlling for family background. The purpose was to investigate the incidence of and risk factors for DP due to any MSD (n = 1,819) and specifically due to osteoarthritis (OA, n = 677) in a twin cohort of 24,043 people over a 30-year follow-up. Methods: Data on twin pairs from a mailed questionnaire during the baseline year of 1975 were followed up with register data regarding DP, emigration, old-age pension, and death. For statistical analysis, univariate and multivariate Cox proportional hazard ratios were estimated. Results: Baseline musculoskeletal pain, frequency of use of analgesics, body mass index, and chronic diseases, as well as education and social class were significant risk factors for DP due to MSD at follow-up in both sexes. These factors were also the significant predictors of DP due to OA in men. In women, DP due to OA was best predicted by baseline musculoskeletal pain and lower social class. Conclusions: The risk of DP due to MSD and OA seemed to be influenced by comorbidities, educational level and social class. Analyses of twin pairs discordant for DP confirmed the results. Accumulated health problems and chronic conditions during the life course may lead to permanent work incapacity.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Body weight</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Disability benefit</subject><subject>Disability Evaluation</subject><subject>Diseases</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Finland</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicin och hälsovetenskap</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Miscellaneous. Osteoarticular involvement in other diseases</subject><subject>Musculoskeletal Diseases - diagnosis</subject><subject>Musculoskeletal Diseases - etiology</subject><subject>Musculoskeletal pain</subject><subject>Occupational health</subject><subject>Original articles</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis - diagnosis</subject><subject>Osteoarthritis - etiology</subject><subject>Pensions</subject><subject>Physically disabled</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Risk</subject><subject>Risk Factors</subject><subject>Social class</subject><subject>Surveys and Questionnaires</subject><subject>Twins</subject><subject>Work Capacity Evaluation</subject><issn>1403-4948</issn><issn>1651-1905</issn><issn>1651-1905</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNks1vEzEQxVcIREvhzgXkC-K04PHH2uZWVZQiVeIC55Vjexunm3XweFXlv8dR0hQhAT155Pm9NxrNa5rXQD8AKPURBOXCCA0gQDPNnzSn0ElowVD5tNa13e76J80LxBWltBNMP29OGGjDO6pPm-1VsGNZtjmMtgRPcsRbMlhXUkYypEx8RLuIYyxbsgkTxjQh8XMgJZH1jG4eE96GMRQ7VtTeTAkDfiLnhNN2G2wml3GaIi5JuYsTcWmZciFYZr992Twb7Ijh1eE9a35cfv5-cdVef_vy9eL8unVSsdIyNjA-OG1s8BoEN1RZabXpLDC5AGOZ9dSxrq7KjDPUS83pArwUYTDOW37WtHtfvAubedFvclzbvO2Tjf3h67ZWoZeCAZWVN3_lNzn5B9G9EBhXlCq5077fayv4cw5Y-nVEF8bRTiHN2BswRoEU-hEkM4xK_RhPMDULiv-fpB1IqRWrJN2TLifEHIbjlkD7XbL6P5NVJW8P5vNiHfxRcB-lCrw7ABadHYdsJxfxgRNKG8XZb_ewN6FfpTlP9fz_Gvxmz6-whvLoJyRIKgzwX3xu7SQ</recordid><startdate>20111201</startdate><enddate>20111201</enddate><creator>ROPPONEN, ANNINA</creator><creator>SILVENTOINEN, KARRI</creator><creator>SVEDBERG, PIA</creator><creator>ALEXANDERSON, KRISTINA</creator><creator>KOSKENVUO, KAROLIINA</creator><creator>HUUNAN-SEPPÄLÄ, ANTTI</creator><creator>KOSKENVUO, MARKKU</creator><creator>KAPRIO, JAAKKO</creator><general>SAGE</general><general>SAGE Publications</general><general>Sage Publications</general><scope>IQODW</scope><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>7X8</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7T2</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>7QJ</scope><scope>ADTPV</scope><scope>AOWAS</scope></search><sort><creationdate>20111201</creationdate><title>Health-related risk factors for disability pensions due to musculoskeletal diagnoses: A 30-year Finnish twin cohort study</title><author>ROPPONEN, ANNINA ; SILVENTOINEN, KARRI ; SVEDBERG, PIA ; ALEXANDERSON, KRISTINA ; KOSKENVUO, KAROLIINA ; HUUNAN-SEPPÄLÄ, ANTTI ; KOSKENVUO, MARKKU ; KAPRIO, JAAKKO</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c572t-22f23fc89aed8143907a5a896a125b19a2ad0c2640329c90d5830b1d54ef9cda3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Body weight</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Disability benefit</topic><topic>Disability Evaluation</topic><topic>Diseases</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Finland</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicin och hälsovetenskap</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Miscellaneous. Osteoarticular involvement in other diseases</topic><topic>Musculoskeletal Diseases - diagnosis</topic><topic>Musculoskeletal Diseases - etiology</topic><topic>Musculoskeletal pain</topic><topic>Occupational health</topic><topic>Original articles</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis - diagnosis</topic><topic>Osteoarthritis - etiology</topic><topic>Pensions</topic><topic>Physically disabled</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Risk</topic><topic>Risk Factors</topic><topic>Social class</topic><topic>Surveys and Questionnaires</topic><topic>Twins</topic><topic>Work Capacity Evaluation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ROPPONEN, ANNINA</creatorcontrib><creatorcontrib>SILVENTOINEN, KARRI</creatorcontrib><creatorcontrib>SVEDBERG, PIA</creatorcontrib><creatorcontrib>ALEXANDERSON, KRISTINA</creatorcontrib><creatorcontrib>KOSKENVUO, KAROLIINA</creatorcontrib><creatorcontrib>HUUNAN-SEPPÄLÄ, ANTTI</creatorcontrib><creatorcontrib>KOSKENVUO, MARKKU</creatorcontrib><creatorcontrib>KAPRIO, JAAKKO</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><jtitle>Scandinavian journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ROPPONEN, ANNINA</au><au>SILVENTOINEN, KARRI</au><au>SVEDBERG, PIA</au><au>ALEXANDERSON, KRISTINA</au><au>KOSKENVUO, KAROLIINA</au><au>HUUNAN-SEPPÄLÄ, ANTTI</au><au>KOSKENVUO, MARKKU</au><au>KAPRIO, JAAKKO</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health-related risk factors for disability pensions due to musculoskeletal diagnoses: A 30-year Finnish twin cohort study</atitle><jtitle>Scandinavian journal of public health</jtitle><addtitle>Scand J Public Health</addtitle><date>2011-12-01</date><risdate>2011</risdate><volume>39</volume><issue>8</issue><spage>839</spage><epage>848</epage><pages>839-848</pages><issn>1403-4948</issn><issn>1651-1905</issn><eissn>1651-1905</eissn><abstract>Aims: There is a need to better understand work incapacity due to musculoskeletal disorders (MSD) and the factors that contribute to being granted disability pension (DP) with such disorders. A twin cohort study would serve a powerful tool responding to this knowledge gap by providing information on factors affecting DP when controlling for family background. The purpose was to investigate the incidence of and risk factors for DP due to any MSD (n = 1,819) and specifically due to osteoarthritis (OA, n = 677) in a twin cohort of 24,043 people over a 30-year follow-up. Methods: Data on twin pairs from a mailed questionnaire during the baseline year of 1975 were followed up with register data regarding DP, emigration, old-age pension, and death. For statistical analysis, univariate and multivariate Cox proportional hazard ratios were estimated. Results: Baseline musculoskeletal pain, frequency of use of analgesics, body mass index, and chronic diseases, as well as education and social class were significant risk factors for DP due to MSD at follow-up in both sexes. These factors were also the significant predictors of DP due to OA in men. In women, DP due to OA was best predicted by baseline musculoskeletal pain and lower social class. Conclusions: The risk of DP due to MSD and OA seemed to be influenced by comorbidities, educational level and social class. Analyses of twin pairs discordant for DP confirmed the results. Accumulated health problems and chronic conditions during the life course may lead to permanent work incapacity.</abstract><cop>London, England</cop><pub>SAGE</pub><pmid>21893608</pmid><doi>10.1177/1403494811418283</doi><tpages>10</tpages></addata></record> |
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| subjects | Adult Biological and medical sciences Body weight Cohort analysis Cohort Studies Disability benefit Disability Evaluation Diseases Diseases of the osteoarticular system Female Finland Follow-Up Studies Humans Male Medical sciences Medicin och hälsovetenskap Middle Aged Miscellaneous Miscellaneous. Osteoarticular involvement in other diseases Musculoskeletal Diseases - diagnosis Musculoskeletal Diseases - etiology Musculoskeletal pain Occupational health Original articles Osteoarthritis Osteoarthritis - diagnosis Osteoarthritis - etiology Pensions Physically disabled Public health. Hygiene Public health. Hygiene-occupational medicine Risk Risk Factors Social class Surveys and Questionnaires Twins Work Capacity Evaluation |
| title | Health-related risk factors for disability pensions due to musculoskeletal diagnoses: A 30-year Finnish twin cohort study |
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